1.
Baby is screened on the 4th day after being born
Correct Answer
B. False
Explanation
24th - 72nd hour
2.
In collecting samples for NBS, the preferred method is:
Correct Answer
C. Heel prick method
Explanation
The preferred method for collecting samples for NBS is the heel prick method. This method involves pricking the heel of a newborn baby to obtain a small blood sample. It is preferred because it is relatively easy to perform, minimally invasive, and provides an adequate amount of blood for testing. Venipuncture, ETS (earlobe puncture), and the butterfly method (a type of venipuncture using a small needle and tubing) are alternative methods that may be used in certain situations, but the heel prick method is generally the preferred choice.
3.
Blood is dropped to a special filter card; blood spots are dried for at least ____ hours in a drying rack; then sent to the laboratory.
Correct Answer
C. 4
Explanation
Blood spots need to be dried for at least 4 hours in a drying rack before being sent to the laboratory. This is important because the drying process helps to preserve the blood samples and prevents contamination. Drying the blood spots also makes it easier for the laboratory technicians to handle and analyze the samples accurately.
4.
There is a designated pick-up time for new born screening center (NSC) laboratory
Correct Answer
A. True
Explanation
The statement suggests that there is a specific time allocated for picking up samples at the new born screening center (NSC) laboratory. This implies that individuals who need to collect or drop off samples at the NSC laboratory must adhere to the designated pick-up time. Therefore, the answer "True" indicates that there is indeed a designated pick-up time for the NSC laboratory.
5.
In preparing samples for transport, the dried filter paper should be stacked on the other filter papers.
Correct Answer
B. False
Explanation
it should be stacked in an alternate fashion and wrap the stacked samples in clean paper and place inside an envelope.
6.
NBS testing is done in the accredited NBS centers which can be found in all of these except:
Correct Answer
B. Tugegarao
Explanation
NBS testing is done in accredited NBS centers, which are located in Iloilo, Davao, and Manila. Tugegarao is the exception because there is no accredited NBS center located there.
7.
If a baby's result is normal for G6PD, results are released 14 working days from date of receipt for courier.
Correct Answer
A. True
Explanation
If a baby's result is normal for G6PD, it means that the test did not detect any abnormalities or deficiencies in the baby's G6PD enzyme levels. In such cases, the results are released 14 working days from the date of receipt for courier. This suggests that the laboratory requires this amount of time to process and analyze the test results before releasing them. Therefore, the statement "True" indicates that the given explanation is accurate.
8.
Who are allowed to perform NBS on patients? (Check all that applies)
Correct Answer(s)
A. Doctors/ pHysicians
B. Medical Technologists
C. Nurses
F. Trained midwife
Explanation
NBS stands for Newborn Screening, which is a medical test performed on newborns to detect certain genetic, metabolic, hormonal, and functional disorders. Doctors/Physicians, Medical Technologists, Nurses, and trained midwives are allowed to perform NBS on patients as they have the necessary medical knowledge and training to conduct the screening. Pharmacists and Physical Therapists, on the other hand, may not have the expertise required for NBS and therefore are not included in the list of professionals who can perform this test.
9.
Which of these follows the correct order of relaying NBS results?
Correct Answer
B. NBS center --> NBS collecting facilities --> Parents
Explanation
The correct order of relaying NBS results is from the NBS center to the NBS collecting facilities and then to the parents. This ensures that the results are first received and processed by the NBS center, then transmitted to the collecting facilities for further distribution, and finally communicated to the parents. This sequence ensures a systematic and organized flow of information, allowing for efficient and accurate relay of NBS results.
10.
Normal results of NBS are released (check all that applies):
Correct Answer(s)
A. 3 weeks for postal mail
B. 14 working days from date of receipt for courier
C. 7 days from date of receipt for emails
Explanation
Only abnormal results are faxed to hospitals immediately. There should also be a designated person to handle the result.
11.
Check all the boxes that corresponds to the conditions that can be diagnosed in NBS (the first/old version):
Correct Answer(s)
A. Galactosemia
C. Glucose-6-pHospHate Dehydrogenase Deficiency
D. Congenital adrenal hyperplasia
F. Congenital hypothyroidism
G. Maple syrup urine disease
H. pHenylketonuria
Explanation
The correct answer includes conditions that can be diagnosed in NBS (Newborn Screening) using the first/old version. These conditions are Galactosemia, Glucose-6-Phosphate Dehydrogenase Deficiency, Congenital adrenal hyperplasia, Congenital hypothyroidism, Maple syrup urine disease, and Phenylketonuria. These conditions are part of the panel of disorders that are commonly screened for in newborns to detect any potential health issues early on.
12.
How much is the fee for newborn screening (first option- 6 disorders)
Correct Answer
D. 550
Explanation
The correct answer is 550. This is the fee for newborn screening for 6 disorders.
13.
How much is the fee for newborn screening (2nd option- full complement of 28 disorders)
Correct Answer
C. 1500
Explanation
The fee for newborn screening for a full complement of 28 disorders is 1500.
14.
Expanded NBS is covered by PhilHealth
Correct Answer
B. False
Explanation
Only 550 is covered by PhilHealth
15.
Newborn screening is available in: (check all that applies)
Correct Answer(s)
A. Lying ins
C. Private clinics
D. Hospitals
E. Rural health units
F. Health centers
Explanation
Newborn screening is available in various healthcare settings such as lying-ins, private clinics, hospitals, rural health units, and health centers. These facilities are equipped to conduct the necessary tests and screenings for newborns to detect any potential health conditions or abnormalities early on. By offering newborn screening in these different settings, it ensures that a wide range of individuals have access to this important healthcare service, regardless of their location or financial status.
16.
A positive screen means that the newborn is normal.
Correct Answer
B. False
Explanation
A positive screen does not necessarily mean that the newborn is normal. A positive screen indicates that there may be a potential issue or abnormality that needs further evaluation or testing to confirm the newborn's condition. Therefore, the statement is false.
17.
Babies with positive results must be _____
Correct Answer
B. Referred to a specialist for confirmatory testing
Explanation
Babies with positive results must be referred to a specialist for confirmatory testing because a positive result alone is not sufficient to make a conclusive diagnosis. Confirmatory testing is necessary to validate the initial positive result and determine the appropriate course of treatment. Referring the babies to a specialist ensures that they receive the necessary expertise and further evaluation to make an accurate diagnosis and provide appropriate care.
18.
In the event where there are no specialists in the area, the NBS secretariat office will assist its attending physician.
Correct Answer
A. True
Explanation
The statement suggests that if there are no specialists available, the NBS secretariat office will provide assistance to the attending physician. This implies that the NBS secretariat office has the necessary knowledge and resources to support the attending physician in the absence of specialists. Therefore, the statement is true.
19.
G6PD confirmatory labs except:
Correct Answer
A. St. Lukes Global City
Explanation
The correct answer is St. Lukes Global City. The question is asking for the confirmatory labs for G6PD, and the options provided are different hospitals. The other three hospitals mentioned - Mariano Marcos Memorial Hospital, Angeles University Foundation Hospital, and MCU-FDT Medical Foundation - are all confirmatory labs for G6PD. However, St. Lukes Global City is not a confirmatory lab for G6PD.
20.
Every baby with a positive screening must be recalled for confirmatory tests and management.
Correct Answer
A. True
Explanation
This statement is true because when a baby receives a positive screening result, it indicates that there may be a potential health issue. To ensure accuracy and prevent any false positives, it is necessary to recall the baby for confirmatory tests. These tests will provide a definitive diagnosis and allow for proper management and treatment if needed. It is crucial to follow up on positive screenings to ensure the baby's well-being and address any potential health concerns promptly.
21.
Types of Recall:
Recall of patients with ____
A. Rejected sample
B. Elevated results
Correct Answer
A. Both are correct
Explanation
The explanation for the given correct answer is that both options A and B are correct types of recall. Recall of patients with a rejected sample refers to the need to notify and bring back patients whose samples were rejected during testing due to various reasons such as insufficient quantity or quality. On the other hand, recall of patients with elevated results refers to the need to notify and bring back patients whose test results indicate abnormal or high values, requiring further investigation or follow-up. Both types of recall are important in ensuring patient safety and appropriate medical care.
22.
A newborn screening team is composed of:
Correct Answer(s)
A. Accounting group
C. Follow-up group
D. Administration group
E. NBS Coordinator
Explanation
The correct answer includes the Accounting group, Follow-up group, Administration group, and NBS Coordinator. These are the essential components of a newborn screening team. The Accounting group is responsible for managing the financial aspects of the screening program. The Follow-up group ensures that all necessary follow-up actions are taken for positive screening results. The Administration group handles the overall coordination and management of the screening program. The NBS Coordinator is the person who oversees and coordinates the entire newborn screening process.
23.
An accomplished Institutional Database form is submitted to a the Newborn Screening Reference Center: (Check all that applies)
Correct Answer
A. Institute of Human Genetics, National Institutes of Health, UP Manila
Explanation
The correct answer is "All of the above". This means that all of the options listed (Institute of Human Genetics, National Institutes of Health, UP Manila; Centers for Disease Control and Prevention; Polymedic Medical Plaza) are applicable and should be included in the submitted form.
24.
All orders for the NBS Specimen Collection Kit must be in purchase order (PO) of the requesting health facility.
Correct Answer
A. True
Explanation
The statement is stating that all orders for the NBS Specimen Collection Kit must be in the form of a purchase order (PO) from the requesting health facility. This means that the health facility must provide a purchase order to request the kit, indicating that they are willing to purchase it. Therefore, the answer is true, as it is stating a requirement for ordering the kit.
25.
Minimum allowable order per PO of NBS Specimen collection kits
Correct Answer
C. 5
Explanation
The minimum allowable order per purchase order (PO) of NBS Specimen collection kits is 5. This means that when placing an order for these kits, the minimum quantity that can be ordered is 5.
26.
Person in-charge of receiving the ordered supplies must immediately inform NSC of any discrepancy in the delivery within the week of receipt. Otherwise, it shall be deemed received in good order and condition.
Correct Answer
B. False
Explanation
within the day of receipt
27.
Only filter cards due to the following will be replaced for free, except:
Correct Answer
D. Taken more than 24 hours from birth
Explanation
The given answer states that the only filter cards that will not be replaced for free are those that have been taken more than 24 hours from birth. This means that if a filter card is collected within 24 hours of birth, it will be replaced for free if any issues arise. However, if the filter card is collected more than 24 hours after birth, it will not be replaced for free.