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

1. All of the following activities are associated with platelets EXCEPT:

A) Release of granules
B) Adhesion
C) Lysis
D) Aggregation

2. Which area of the laboratory can analyze a patient sample and be able to predict their risk of developing a disease?

A) Clinical chemistry
B) Molecular testing
C) Blood banking/transfusion medicine
D) Immunology

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

4. Rapid vascular constriction, not dilation, immediately occurs when there is vascular injury in order to constrict the amount of blood that escapes the vessels; ultimately preventing massive loss of blood.
Primary hemostatic processes resulting from vascular damage include all of the following EXCEPT:

A) von Willebrand factor mediates platelet adhesion
B) rapid and immediate vascular dilation occurs
C) collagen activates glycoprotein IIb/IIIa during platelet activation
D) b & c
E) platelet granule release and fibrinogen mediate platelet aggregation

5. Post-hepatic obstruction is characterized by a marked increase in alkaline phosphatase, GGT, conjugated bilirubin, as well as other hepatic enzymes. The slight rise of ALT suggests that the issue is not hepatitis.
Renal and cardiovascular failure do not match the symptom of jaundice or the abnormal laboratory values.
Chem
Which of the following conditions would be suggested by a jaundiced patient experiencing a marked rise in alkaline phosphatase, conjugated bilirubin, and a slight rise in ALT:

A) Hepatitis
B) Renal failure
C) Cardiovascular disease
D) Post-hepatic obstruction

Solutions: