MLS Emergency Procedures & Response 2 — Questions and Answers
Question 1: A laboratory worker splashes a corrosive acid on their forearm. What is the first and most critical action to take?
- Apply a neutralizing base solution immediately
- Flush the affected area with large amounts of water for at least 15–20 minutes (Correct answer)
- Cover the burn with a sterile dressing and call EMS
- Notify the supervisor before beginning any treatment
Correct answer: Flush the affected area with large amounts of water for at least 15–20 minutes
Immediate and prolonged water flushing dilutes and removes the corrosive agent, minimizing tissue damage.
Question 2: Which OSHA standard specifically governs laboratory worker exposure to bloodborne pathogens during emergency response?
- OSHA 29 CFR 1910.1200 (Hazard Communication)
- OSHA 29 CFR 1910.1030 (Bloodborne Pathogens) (Correct answer)
- OSHA 29 CFR 1910.146 (Confined Spaces)
- OSHA 29 CFR 1910.132 (PPE General)
Correct answer: OSHA 29 CFR 1910.1030 (Bloodborne Pathogens)
29 CFR 1910.1030 (Bloodborne Pathogens Standard) mandates exposure control plans and post-exposure procedures for laboratory settings.
Question 3: A fire breaks out in the laboratory chemical storage area. Which class of fire extinguisher is MOST appropriate for a flammable liquid fire?
- Class A
- Class B (Correct answer)
- Class C
- Class D
Correct answer: Class B
Class B extinguishers are designed for flammable liquid fires, such as those involving solvents and reagents common in laboratories.
Question 4: During a code blue near the laboratory, an MLS discovers a patient unresponsive. Per standard protocol, what should be the first action?
- Begin chest compressions immediately
- Call for help and activate the emergency response system (Correct answer)
- Retrieve the AED from the hallway
- Administer two rescue breaths
Correct answer: Call for help and activate the emergency response system
Activating the emergency response system ensures trained personnel and resources respond, which is the priority before solo intervention.
Question 5: A laboratory receives a suspicious package that may contain a biological agent. What is the correct immediate response?
- Open the package under a biosafety cabinet to assess contents
- Isolate the package, evacuate the area, and contact security and local authorities (Correct answer)
- Place the package in an autoclave to neutralize any potential pathogen
- Shake the package to listen for liquid contents before deciding next steps
Correct answer: Isolate the package, evacuate the area, and contact security and local authorities
Isolation and evacuation limit potential exposure while authorities trained in hazmat response assess and manage the threat.
Question 6: After an accidental needlestick exposure to HIV-positive blood, when should post-exposure prophylaxis (PEP) ideally be initiated?
- Within 72 hours of exposure
- Within 24 hours of exposure
- Within 1 week of exposure
- Immediately within 2 hours, but no later than 72 hours (Correct answer)
Correct answer: Immediately within 2 hours, but no later than 72 hours
PEP is most effective when started within 2 hours; it must be initiated no later than 72 hours after exposure to be beneficial.
Question 7: A laboratory power outage affects the refrigerated centrifuge and specimen storage units. Which specimens should be prioritized for immediate relocation to backup cold storage?
- Urinalysis specimens and throat swabs
- Whole blood for CBC and ESR samples
- Serum and plasma samples for critical diagnostic assays (Correct answer)
- Microbiological culture plates at room temperature incubation
Correct answer: Serum and plasma samples for critical diagnostic assays
Serum and plasma specimens containing labile analytes (hormones, enzymes, coagulation factors) degrade rapidly without proper refrigeration and are highest priority.
A laboratory worker splashes a corrosive acid on their forearm.
What is the first and most critical action to take?