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ASCP ASCP-MLT Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Microbiology | - Clinical microbiological techniques
|
| Clinical Chemistry | - Metabolic and analytical testing
|
| Hematology | - Blood cell analysis and disorders
|
| Blood Banking / Immunohematology | - Blood group systems and antibody identification
|
| Laboratory Operations | - Quality and safety in the clinical lab
|
| Urinalysis and Body Fluids | - Fluid analysis and interpretation
|
ASCP MEDICAL LABORATORY TECHNICIAN - MLT(ASCP) Sample Questions:
1. In DIC, or disseminated intravascular coagulation, the prothrombin time is increased due to the consumption of the coagulation factors due to the tiny clots forming throughout the vasculature. This is also the reason that the fibrinogen levels and platelet levels are decreased. Finally FDP, or fibrin degredation products, are increased due to the formation and subsequent dissolving of many tiny clots in the vasculature. The FDPs are the pieces of fibrin that are left after the fibrinolytic processes take place.
Which of the following laboratory results would be seen in a patient with acute Disseminated Intravascular Coagulation (DIC)?
A) normal PT, decreased fibrinogen, decreased platelet count, decreased FDP
B) prolonged PT, decreased fibrinogen, decreased platelet count, increased FDP
C) normal PT, decreased platelet count, decreased FDP
D) prolonged PT, elevated platelet count, decreased FDP
2. In sickle cell anemia, rapid hemoglobin turnover may be present. HbA1C and other glycated hemoglobin assays are not valid in rapid hemoglobin turnover and in abnormal hemoglobin conditions. Fructosamine measurements can be used because of shorter half life of albumin.
HbA1C measurements are NOT ordinarily used to monitor long-term diabetic control in a diabetic with sickle cell anemia.
A) false
B) true
3. A monoclonal B-cell population (Kappa or Lambda predominant) with expression of CD19, CD20, CD23, and co-expression of CD5 is consistent with which of the following?
A) A mature T cell
B) A normal B cell
C) Mantle cell lymphoma
D) Chronic
4. Vitamin K dependent factors are those that require Vitamin K for their synthesis in the liver. Vitamin K is an important factor to gamma-glutamyl carboxylase which adds a carboxyl group to glutamic acid residues on factors II, VII, IX and X, as well as Protein S, Protein C. In adding the gamma-carboxyl group to glutamate residues on the immature clotting factors Vitamin K is itself oxidized. Deficiency of Vitamin K due to malabsorption, liver disease, etc. may contribute to bleeding disorders because clotting factor maturation depends on Vitamin K.
Which of these coagulation factors are referred to as "vitamin-K dependent?"
A) II, VII, IX, X
B) I, V, VIII, XIII
C) II, V, IX, XII
D) XI, XII, Fletcher, Fitzgerald
5. Allergic reactions, bacterial/viral meningitis do not cause the presence of blasts to be noted in the CSF.
Leukemia with CNS involvement will show immature cells, similarly to the peripheral blood smear.
The image is a stained smear of cerebrospinal fluid. The cells present in this field may indicate what condition?
A) bacterial meningitis
B) leukemia with CNS involvement
C) allergic reaction
D) viral meningitis
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: B |
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