ASCP ASCP-MLT Online Practice Questions and Exam Preparation

ASCP ASCP-MLT Online Questions & Answers

• Question 281:

  This is the total magnification of the high dry objective lens.

  A. 100X
  B. 40X
  C. 400X
  D. 1000X
  C. 400X

• Question 282:

  The morphologic characteristic(s) associated with the Chediak-Higashi syndrome is (are):

  A. Pale blue cytoplasmic inclusions
  B. Giant lysosomal granules
  C. Neutrophils with many small granules and vacuoles
  D. Nuclear hypo-segmentation
  B. Giant lysosomal granules

• Question 283:

  Epidemiology studies only infectious diseases that impact humans

  A. True
  B. False
  A. True

• Question 284:

  In combined fiscal years 2005 through 2009, transfusion-related acute lung injury (TRALI) caused the higest number of reported fatalities (48%), followed by hemolytic transfusion reactions (26%) due to non-ABO (16%) and ABO (10%) incompatibilities. Complications of microbial infection, transfusion-associated circulatory overload (TACO), and anaphylactic reactions each accounted for a smaller number of reported fatalities.

  A. Anaphylactic reactions
  B. Febrile non-hemolytic reactions
  C. Transfusion-related acute lung injury (TRALI)
  D. Transfusion-associated graft versus host disea
  C. Transfusion-related acute lung injury (TRALI)

  ---

  Explanation/Reference:

• Question 285:

  The agency within Department of Health and Human Services (DHHS) responsible for implementing CLIA'88 is:

  A. Clinical and Laboratory Standards Institute (CLSI)
  B. Commission on Office Laboratory Accredition (COLA)
  C. Centers for Medicare and Medicaid Services (CMS)
  D. Health Insurance Portability and Accountability (HIPPA)
  C. Centers for Medicare and Medicaid Services (CMS)

• Question 286:

  What is the first thing a phlebotomist should do in the event of an accidental needle stick?

  A. go to the employee health service and get a tetanus booster
  B. leave the area so that the patient does not notice the injury
  C. decontaminate the site and fill out an incident report
  D. check the patient's medical records
  C. decontaminate the site and fill out an incident report

• Question 287:

  Alpha-fetoprotein is a substance typically used in the triple test during pregnancy and for screening chronic liver disease patients for hepatocellular carcinoma.

  Increased concentrations of alpha-fetoprotein (AFP) in adults are MOST characteristically associated with:

  A. hepatocellular carcinoma
  B. alcoholic cirrhosis
  C. chronic active hepatitis
  D. multiple myeloma
  D. multiple myeloma

• Question 288:

  Phase of reactivity is primarily at immediate spin (4+) and reactions get weaker at AHG (w+). There is no specific pattern of reactivity and the auto control is negative which rules out an autoantibody. This is a strong cold antibody which is still

  slightly present after incubation and washing.

  Activation and binding of the antibody takes place at room temperature or colder. Eliminating this phase will prevent the antibody from binding. Cold antibodies usually are more of a nuisance to blood bankers and are not clinically significant.

  When performing an antibody screen, both the screen cells are 4+ at immediate spin and W+ at AHG. The antibody panel shows 4+ reactions at immediate spin and W+ reactions at AHG and there is no specific match to the reaction pattern.

  The auto control is negative.

  What would be a logical next step?

  A. Have patient redrawn
  B. Repeat testing using warmed patient sample and reagents and just do AHG reading
  C. Run an enzyme panel
  B. Repeat testing using warmed patient sample and reagents and just do AHG reading

• Question 289:

  Which one of the following conditions is NOT associated with hereditary spherocytosis?

  A. Increased osmotic fragility
  B. An MCHC greater than 37%
  C. Intravascular hemolysis
  D. Extravascular hemolysis
  C. Intravascular hemolysis

• Question 290:

  Cholesterol levels do not fluctuate as triglycerides, fatty acids, lipoproteins, and chylomicrons do after an individual eats a meal. This is the reason that patients are told to fast; the laboratory needs a fasting sample to determine a lipid profile or panel which includes the latter four components.

  Which of the following lipid tests is LEAST affected by the fasting status of the patient?

  A. Cholesterol
  B. Triglycerides
  C. Fatty acids
  D. Lipoproteins
  E. Chylomicrons
  A. Cholesterol