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

1. Immunoassay is the most common technique that is used by clinical laboratories for therapeutic drug monitoring.
Most of the drugs commonly assessed with TDM can be measured on analytical platforms which utilize antibodies (in some form) for detection. Antibodies can be developed that recognize drugs. Although most drugs are much too small to evoke an immune response, scientists can conjugate drugs to immunogenic proteins to produce antibodies that recognize drug-specific epitopes.
Which of the following is the most common technique that is used by clinical laboratories for therapeutic drug monitoring?

A) Atomic absorption
B) Electrophoresis
C) Immunoassay
D) Ion selective electrode voltimetry

2. The results of this PT and aPTT are in normal range. These results can be reported and are not indicative of the need to: order a mixing study or request a redraw.
You have just performed stat PT and aPTT tests on your coagulation instrument. Your results are as follows:
PT = 12 seconds (normal range 10-13 seconds)
aPTT = 24 seconds (normal range 21-34 seconds)
What would be your next step?

A) Request a redraw of the specimen
B) Report the results
C) Perform a mixing study

3. Although any one of the answers might be considered correct, a report of gram-positive cocci in chains provides sufficient information without going beyond what the observation might allow. In off-the record conversation with the physician, a technologist might divulge that the picture is consistent with Streptococcus; however, enterococci may have a similar Gram stain appearance, potentially leading to the wrong choice of empiric antibiotic agents.

The image shows the Gram stain prepared from the positive blood culture. What is the MOST appropriate report?

A) Gram-positive cocci consistent with Enterococcus
B) Gram-positive cocci in chains
C) Gram-positive cocci consistent with Streptococcus
D) Gram-positive cocci

4. FFP that has been thawed at 30 - 37oC and maintained at 1 - 6oC must be transfused within 24 hours. In contrast, "Thawed Plasma" can be used for up to 5 days as a replacement therapy for patients requiring stable clotting factors. Keep in mind that these are two different component types and you are asked about FFP.
Blood Bank
FFP that has been thawed at 30 - 37oC and maintained at 1 - 6oC must be transfused within ___________ after it has been thawed.

A) 12 hours
B) 5 days
C) 8 hours
D) 10 days
E) 24 hours

5. FAB M5 is acute monoblastic leukemia
FAB M1 is acute myeloblastic leukemia without maturation
FAB M3 is acute promyelocytic leukemia
FAB M4 is acute myelomonocytic leukemia
Which FAB designation is called the "true" monocytic leukemia and is characterized by monoblasts, promonocytes, and monocytes?

A) FAB M4
B) FAB M5
C) FAB Ml
D) FAB M3

Solutions: