Managerial accounting All laboratories in the US were required to obtain a certificate of approval from HCFA. That was the only requirement for laboratories that specialized in simple tests such as over-the-counter tests or tests that did not have to follow specific standards (thus called "waived tests"). Laboratories that performed moderate to high complexity tests had the additional requirement of being surveyed regularly by HCFA, a state representative or another accrediting organization. States could decide to become exempt from federal regulations and establish state regulations and inspection agencies of their own. During the 1990s COLA's accreditation business grew quickly as an increasing number of laboratories chose COLA instead of federal or state inspection agents to help them fulfill quality requirements.

1 How can gabapentin and carbamazepine act with a cervical disc prolapse?

2 Do patients with cervical spondylosis, experiencing neck pain and stiffness, benefit from putting on a neck collar? If so, for how long should the collar be worn?

3 What is indicated by a straightening of the lumbar spine with a loss of normal lordosis, and is there any relation to ankylosing spondylitis?

4 Can cervical spondylosis cause hypertonia in one upper limb?

5 Should a female patient, with mild congestive cardiac failure, microalbuminuria and cervical spondylosis receive IV vitamin D/ analogues? Would this not increase the risk of calcium stones owing to the mild renal impairment? Would oral vitamin D be preferable?

6 What is the recommended treatment for spinal canal stenosis? Do carbamazepine or vasodilators have a role to play in its treatment?

7 What technique is used for injecting steroids locally in the case of carpal tunnel syndrome?

8 In a patient who has sustained an anterior cruciate ligament (ACL) knee injury and whose pain and swelling have subsided on conservative treatment, what are the chances of complications (e.g. osteoarthritis, fibrosis) from the torn ligament. Will the patient be able to lead a normal life?

9 Is either gapapentin or carbamazepine effective in the treatment of meralgia paraesthetica?

10 What is the clinical differentiation between Dupuytren's contracture and ulnar nerve palsy? Is it the absence of sensory deficit in the former? Are there any other differentiating factors?