Quality Assurance Quiz

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Quality assurance quiz for HIV testing clinicians.

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Question 1 of 14

1. Question
Why is quality assurance important? It helps to ensure that:
- a) Clients get accurate test results
- b) HIV test results are consistent across Ontario
- c) The kits and testing processes at your site are working properly
- d) Your site can maintain approval as an HIV testing site
- e) All of the above
Correct

That’s right! The correct answer is (e) all of the above.

Incorrect

Sorry! The correct answer is (e) all of the above.
Question 2 of 14

2. Question
As part of your site’s quality assurance program, the sites must retain records about you and all HIV test counsellors, including:
- a) Your home address and telephone number
- b) An explanation of why you wish to be involved in HIV care
- c) Records of your training as an HIV test counsellor
- d) Your secondary and post-secondary education
- e) All of the above
Correct

That’s right! The correct answer is (c) records of your training as an HIV test counsellor.

Incorrect

Sorry! The correct answer is (c) records of your training as an HIV test counsellor.
Question 3 of 14

3. Question
When new test kits arrive you should:
- a) Put them with the other kits in the storage room
- b) Make sure they are put in the test kit storage area away from the kits currently in use
- c) Record the kit lot number in the incident log
- d) Put them in the freezer
- e) Leave them in the hall in front of the QA lead’s work space so they will see them
Correct

That’s correct! The answer is (c) make sure they are put in the test kit storage area away from the kits currently in use.

Incorrect

Sorry! The correct answer was (c) make sure they are put in the test kit storage area away from the kits currently in use.
Question 4 of 14

4. Question
What should you do when opening a new test kit for client testing?
- a) Check to make sure it is not damaged or opened already
- b) Tear the package open with your teeth
- c) Read the package insert every time you open a kit
- d) Look for and record the kit lot number and expiry date
- e) a) and c)
- f) a) and d)
Correct

That’s right! The correct answer is (f) a) and d).

Incorrect

Sorry! The correct answer is (f) a) and d).
Question 5 of 14

5. Question
You have just completed an HIV test for a client and the well of the membrane is completely blue. You should:
- a) Report this as an invalid test in the daily log and the incident log; repeat the test
- b) Report the test result as reactive
- c) Report the test as non-reactive
- d) Phone the AIDS Bureau about this malfunctioning test
Correct

That’s right! The answer is (a) report this as an invalid test in the daily log and the incident log; repeat the test.

Incorrect

Sorry! The correct answer is (a) report this as an invalid test in the daily log and the incident log; repeat the test.
Question 6 of 14

6. Question
When a client’s HIV rapid test is reactive, why should you recommend that the client have a standard laboratory test done to confirm the result?
- a) To provide a paper trail for the HIV doctor who will treat the client
- b) To confirm the diagnosis that the client is HIV-positive and needs to be linked to ongoing care
- c) To ensure that the reactive test was not a false positive and that the point of care test was done correctly
- d) a) and c)
- e) b) and c)
Correct

That’s right! The correct answer is (e) b) and c).

Incorrect

Sorry! The correct answer is (e) b) and c).
Question 7 of 14

7. Question
How often does a lot of kits need to be tested with positive and negative controls, once it is in regular use at your site?
- a) At least monthly
- b) Every 125 tests
- c) No more than once a week
- d) All of the above
Correct

That’s right! The correct answer is (d) all of the above.

Incorrect

Sorry! The correct answer is (d) all of the above.
Question 8 of 14

8. Question
Your supervisor has asked you to test the latest shipment of kits with the positive and negative quality controls. To do this you should:
- a) Open one test kit and use the pipette included in the kit to draw a sample of the positive control. Complete the test normally. Repeat with the negative control.
- b) Open both kits and use the special bulb pipette to draw a sample from the positive control and then from the negative control. Complete the tests normally.
- c) Open both kits and use the special bulb pipette to draw a sample from the negative control and then from the positive control. Complete the tests normally.
- d) Open one kit and use a special bulb pipette to draw a sample of one of the controls. Complete the test normally. Repeat with the other control, a new kit and a new bulb pipette.
Correct

That’s right! The correct answer is (d) open one kit and use a special bulb pipette to draw a sample of one of the controls. Complete the test normally. Repeat with the other control, a new kit and a new bulb pipette.

Incorrect

Sorry! The correct answer is (d) open one kit and use a special bulb pipette to draw a sample of one of the controls. Complete the test normally. Repeat with the other control, a new kit and a new bulb pipette.
Question 9 of 14

9. Question
If a positive/negative quality control test fails, you should:
- a) Dispose of the test materials neatly, then find the QA lead and tell them what happened
- b) Repeat the test immediately. If the second test is fine, it is the only one that needs to be recorded.
- c) Record the test in the incident log and repeat with the same control materials. If the second test is fine, record this good test in the daily log and carry on.
- d) Record the test in the incident log and repeat with the same control materials. If the second test is fine, record it in both the daily log and the incident log. Consider what might have caused the first test to fail, and record details in the incident log.
Correct

That’s right! If a positive/negative quality control test fails, you should (d) record the test in the incident log and repeat with the same control materials. If the second test is fine, record it in both the daily log and the incident log. Consider what might have caused the first test to fail, and record details in the incident log.

Incorrect

Sorry! The correct answer is (d) record the test in the incident log and repeat with the same control materials. If the second test is fine, record it in both the daily log and the incident log. Consider what might have caused the first test to fail, and record details in the incident log.
Question 10 of 14

10. Question
If quality control testing of the kits being used at your site fails twice using one batch of quality control samples, and then again during two tests with a second batch of quality control samples:
- a) All testing at your site must stop; Public Health must be notified immediately to begin tracing everyone who has had testing at your site in the last week
- b) All testing at your site must stop; The Ministry of Health (AIDS Bureau) must be notified immediately
- c) All testing at your site must stop; All the kits in that lot must be discarded, without delay
- d) The Ministry of Health (AIDS Bureau) must be notified; testing can continue until the issue is resolved
Correct

That’s right! The correct answer is b) all testing at your site must stop; The Ministry of Health (AIDS Bureau) must be notified immediately.

Incorrect

Sorry! The correct answer is b) all testing at your site must stop; The Ministry of Health (AIDS Bureau) must be notified immediately.
Question 11 of 14

11. Question
How often does the online inventory management system (http://www.HIVPOCT.ca) need to be updated:
- a) Annually
- b) At the discretion of the site, and before ordering more kits
- c) At the discretion of the site, and before ordering any new product including QA materials and staff validation panels
- d) Updating of the inventory management system is completely automatic based on the products shipped to our site
Correct

That’s right! The correct answer is (b) at the discretion of the site, and before ordering more kits.

Incorrect

Sorry, the correct answer is (b) at the discretion of the site, and before ordering more kits.
Question 12 of 14

12. Question
The online inventory management system (http://www.HIVPOCT.ca) can be used to order:
- a) Kits, QA materials, and staff certification panels
- b) Kits only
- c) Extra bulbs and capillary pipettes
- d) HIV test requisition forms
- e) a) and c)
- f) All of the above
Correct

That’s right! The answer is (a) kits, QA materials, and staff certification panels.

Incorrect

Sorry! The answer is (a) kits, QA materials, and staff certification panels.
Question 13 of 14

13. Question
What information does the QA lead summarize each month from the daily testing log:
- a) A summary of testing at your site including the client population served and the number of counsellors performing tests at your site
- b) A summary of positive, negative and invalid POC tests at your site, the number referred to the Public Health Labs for further testing, and details of how kits were used
- c) An online summary of positive and negative tests as well as invalid results and shipping discrepancies through the online inventory management system
- d) An online summary of false reactives and false negatives through the online inventory management system
Correct

That’s right! The correct answer is (b) a summary of positive, negative and invalid POC tests at your site, the number referred to the Public Health Labs for further testing, and details of how kits were used.

Incorrect

Sorry! The correct answer is (b) a summary of positive, negative and invalid POC tests at your site, the number referred to the Public Health Labs for further testing, and details of how kits were used.
Question 14 of 14

14. Question
Which of these logs must be maintained at your site?
- a) A daily log of the rapid tests done at your site, the kit used, the results, and the tests referred for standard testing, as well as QC tests. This log is completed by all testing staff.
- b) An incident log recording any testing or quality control discrepancies and the actions taken.
- c) An environmental log recording the temperature in the test kit storage area.
- d) A quality control log with records of the positive and negative control testing done.
- e) All of the above.
Correct

That’s right! The correct answer is (e) all of the above.

Incorrect

Sorry! The correct answer is (e) all of the above.

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