Skip to main content
. 2017 Mar 29;4:2374289517699230. doi: 10.1177/2374289517699230

Table 2.

Quiz Questions with Percent of Participants Selecting the Correct Answer before (Pretest) and after (Posttest) the Inspection.

Question Correct Answer % Correct Pretest (n = 23) % Correct Posttest (n = 23)
How often are CAP-accredited laboratories inspected?

  1. Once when they initiate patient testing

  2. Every year

  3. Every 2 years

  4. Every 4 years

 C 73.9 95.7
Who performs CAP inspections?

  1. A designated individual employed by CAP

  2. A team of individuals from a peer institution

  3. The hospital’s Quality Officer

  4. Pathologists who volunteer to be on the CAP checklist committee

 B 69.6 91.3
What does CLIA stand for?

  1. Clinical Laboratory Improvement Association

  2. Clinical Laboratory Inspection Association

  3. Clinical Laboratory Improvement Amendments

  4. Clinical Laboratory Improvement Act

 D 52.2 39.1
Which of the following are required prior to an inspection?

  1. CAP team member training

  2. Creation of a CAP checklist

  3. Choosing a date with the director of the laboratory that is being inspected

  4. A visit to the laboratory by the inspection team’s leader

 A 65.2 95.7
Which type of CLIA certificate does UF Health Shands and UF Path laboratories obtain?

  1. Provider performed microscopy

  2. Waived

  3. Compliance

  4. Accreditation

 D 87.0 91.3
Which type of CLIA certificate is required for a family practice office performing waived tests (such as group A strep) and microscopy (such as vaginal wet preps)?

  1. Provider performed microscopy

  2. Waived

  3. Compliance

  4. Accreditation

 A 34.8 52.2
What is reported to CAP when the laboratory does not meet a CAP standard?

  1. Delinquency

  2. Violation

  3. Deficiency

  4. Grade F

  5. Misdemeanor

 C 69.6 91.3
Which level of complexity is anatomic pathology considered?

  1. Waived

  2. Moderate

  3. High

  4. Provider performed microscopy

 C 78.3 91.3
What agency determines the level of complexity for each laboratory test?

  1. FDA

  2. WHO

  3. CAP

  4. CMS

  5. CLIA

 A 26.1 47.8
What year was the last major revision to CLIA law?

  1. 1970

  2. 1988

  3. 1995

  4. 2000

  5. 2008

  6. 2016

 B 34.8 60.9
What are the components of a CAP checklist item?

  1. Regulation, note, evidence of compliance

  2. Directive, discussion, recommendations

  3. Quality control, inspector name, laboratory manager name

  4. Guideline, evaluation score, endorsement

 A 65.2 82.6
How is the date of the laboratory inspection determined?

  1. A specific date determined by the CAP

  2. Any date determined by the inspection team

  3. Any date determined by the inspection team within a CAP assigned 3-month window of time, excluding any “black out dates” issued by the laboratory being inspected

  4. A specific date chosen by the laboratory director

 C 91.3 95.7
What is the difference between a phase 1 and phase 2 citation?

  1. Phase 2 are considered directly linked to possible patient harm and therefore the response must include evidence that an action plan was implemented

  2. Phase 1 are considered basis for ceasing operations of a laboratory

  3. Phase 2 are considered recommendations and do not require an action plan

  4. Phase 1 were corrected on site

 A 73.9 95.7
What should be done if an inspector does not believe that the regulation was met but the laboratory supervisor disagrees?

  1. The citation should be listed

  2. The regulation should be corrected on site

  3. The inspector is considered the expert so the citation should be listed

  4. The supervisor can call CAP and discuss it with them during the inspection

 D 56.5 39.1
How long do most inspections take?

  1. 1-3 days

  2. 1-2 weeks

  3. 1 month

  4. 1 year

 A 95.7 100
What is the relationship between CAP and CLIA?

  1. They act entirely independently

  2. All laboratories are required to be accredited by CAP in alpha-lower to be CLIA accredited

  3. CAP has deemed status which means that CAP can inspect on behalf of CLIA

  4. CLIA standards are more stringent than CAP’s so most laboratories choose to be CAP accredited

 C 43.5 69.6
How many checklists types are used during inspections and what are they?

  1. Four: laboratory-specific (technical), all common, lab general, team leader

  2. Three: laboratory general, universal technical, all lab-specific (technical)

  3. Two: laboratory general, team leader

  4. Five: laboratory general, team leader, all common, CAP general, universal technical

 A 47.8 100
How is a CAP inspection concluded?

  1. The inspector does not disclose what he/she is going to report to CAP to the laboratory manager as this should be confidential

  2. A summation where all citations are read out loud

  3. A party including the inspecting team and personnel of the laboratory that is being inspected

  4. The team leader does a “final walk” through the entire laboratory

 B 69.6 100
Which of the following do not require a response reported to CAP?

  1. Phase 1

  2. Phase 2

  3. Recommendations and corrected on site

  4. Delinquencies and violations

 C 82.6 95.7
What should occur if an inspection team cannot find an individual with expertise in an area of the laboratory that they must inspect (ie, HLA testing)?

  1. Cross-train an individual for several months so that he or she is proficient enough to inspect that area

  2. Try to obtain an individual from a neighboring institution but if they cannot, contact CAP for a CAP-assigned inspector

  3. Exclude that area from the inspection and rely on the institution’s self-inspection

  4. The team leader will perform the inspection of that area

 B 69.6 56.5

Abbreviation: CAP, College of American Pathologists.