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ASCP MEDICAL LABORATORY TECHNICIAN - MLT(ASCP) Sample Questions:

1. Patients who develop severe sepsis or septic shock commonly have increased plasma lactic acid values.
Patients who develop severe sepsis or septic shock commonly have __________ plasma lactic acid values.

A) Increased
B) Decreased
C) Normal

2. Overcentrifugation may cause either a false negative result (if too much agitation is required for resuspension), or a false positive, (if centrifuged clumps cannot be completely dispersed). High concentration of IgG paraprotein, and failure to adequately wash cells can leave unbound IgG which will neutralize antiglobulin reagent. Delay of addition of antiglobulin reagent may allow previously bound IgG antibody to dissociate from red cells.
Blood bank
Which of the following might cause a false positive indirect antiglobulin test:

A) Failure to adequately wash cells
B) Delay of addition of antiglobulin reagent.
C) High concentration of IgG paraprotein in a patient's serum
D) Overcentrifugation

3. The cell depicted with the arrow in this image is an atypical (reactive) lymphocyte. These cells are common found in certain viral infections, especially infectious mononucleosis. Notice the larger size and abundant cytoplasm present in this lymphocyte. There is also apparent vacuoliation which is a key feature of atypical lymphocytes. The chromatin pattern of this cell as well as the overall shape, color and size rules out the monocyte, macrophage, and mesothelial cell choices.

A patient with an infectious mononucleosis infection presents in the emergency room. Physicians order a spinal tap which is immediately sent to the laboratory for review. Please identify the cell in the image below from this patient's cerebrospinal fluid sample.

A) Reactive Lymphocyte
B) Monocyte
C) Mesothelial Cell
D) Macrophage

4. A person classified as an ultrarapid metabolizer (UM) has a polymorphism that enhances the catabolic activity of the enzyme. This means that a UM would need more of the drug to achieve a 'normal' level since he/she is rapidly metabolizing the drug.
Chem
In therapeutic drug monitoring, a person who is classified as an ultrarapid metabolizer (UM) would need
__________ of a drug metabolized by that enzyme.

A) The standard dose
B) A higher dose
C) A lower dose

5. Clostridium difficile is a gram-positive, spore-forming bacilli. The remaining organisms will all stain gram-negative on direct smear or smears made from culture.
Which of the following organisms are gram-positive?

A) Clostridium difficile
B) Neisseria gonorrhoeae
C) Pseudomonas aeruginosa
D) Brucella species

Solutions: