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

1. Hemolytic anemia, myelodysplasia, and liver disease may each fit this peripheral blood picture. Each of these conditions can display peripheral blood macrocytosis. It is easy to observe the overall larger size of the red blood cells in this image compared to the normal lymphocyte also present.
When macrocytes are present, they should be examined for their shape (round vs. oval), the hemoglobin content (central pallor), and whether or not there are any inclusions present in the cell.
Iron deficiency would not be the correct answer in this case, since this condition is associated with microcytosis instead.
The complete blood count was obtained from a patient recently admitted to the emergency room. The red blood cell indices obtained revealed an MCV of 115 femtoliters (fL) (normal range 80 - 90 fL). The patient met the criteria for a peripheral blood smear examination. A representative field is shown on the right.

Which of the following conditions may be indicated by the results seen on this peripheral blood smear?

A) Iron deficiency
B) Hemolytic anemia
C) Myelodysplasia
D) Liver disease

2. The DAT is most likely to be negative in ABO HDFN. It's possible that the washing done as part of the DAT may break the bonds between anti-A (or anti-B) and the newborn's poorly developed A (or B) antigens.
For which of the following antibodies is the DAT most likely to be negative when testing a newborn for possible HDFN?

A) anti-A
B) anti-D
C) anti-Fya
D) anti-K
E) anti-c

3. Which advancement in clinical science occurred during the second half of the twentieth century?

A) invention of the microscope
B) replacement with tedious tests with more efficient and sophisticated testing technology
C) identification of the smallpox virus
D) addition of protective clothing to daily requirements for staff

4. Listeria are non-capsulated, non-acid-fast, ß-hemolytic, gram-positive bacilli that have a characteristic tumbling motility. They are found primarily in the environment and in the human GI tract. Since L.
monocytogenes multiplies intracellularly, control of listeriosis requires cell-mediated immunity; thus, immunocompromised patients (such as newborns) are at high risk.
Which bacterial species is a common agent of neonatal bacteremia?

A) Listeria monocytogenes
B) Enterococcus faecium
C) Staphylococcus aureus
D) Streptococcus pyogenes

5. Which of the following genotypes cause beta thalassemia minor?

A) B0/B0
B) B0/B
C) B+/B
D) B/B

Solutions: