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BCLT 4-4 hCG Tests

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Question
Answer
hCG   pregnancy hormone, prod by placenta, detectable 1 week after implantation  
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enzyme immunoassay - new method aka   chromatographic immunoassay  
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qualitative test   urine  
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quantitative test   serum  
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CLIA waived only with   urine  
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chromatographic immunoassay principle   anti hCG antibodies >> attach color particles >> coat membrane strip >> complex (color change) or no complex forms  
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1st morning urine best b/c   most concentrated  
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test asap or fridge >>   up to 24-48 hours  
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read results in   5 min exactly, on time  
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who reports results   RN or doc, not phleb!  
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qualitative enzyme immunoassay >> followed up by   quantitative serum hCG  
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other conditions cause pos hCG test results   tumors: breast, ovarian, testicular; trophoblastic disease  
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pos hCG urine or serum test >> not to used to diagnose preg unless 1 and 2   1. other clinical findings support 2. other conditions have been ruled out  
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