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

1. Hypochromia can best be described as:

A) Immature red blood cells
B) Increase in nucleated RBCs
C) Decrease in Hgb concentration in RBCs
D) Abnormal erythropoiesis

2. Patients who develop severe sepsis or septic shock commonly have increased plasma lactic acid values.
Patients who develop severe sepsis or septic shock commonly have __________ plasma lactic acid values.

A) Decreased
B) Normal
C) Increased

3. Assuming an alpha hemolytic reaction (not well seen in the image), viridans streptococcus and S. pneumoniae are the two possible responses. However, these colonies are far too mucoid for viridans streptococci; therefore,
S. pneumoniae is the most likely choice. Also, the colonies are much too large and the hemolytic reaction is wrong for S. pyogenes or S. agalactiae.
A patient was admitted to the hospital recently with an obvious infection. A sputum specimen was submitted and the microbiologist inoculated it to sheep blood agar. Based on the colony morphology and the alpha hemolysis seen in the image to the right, the most likely identification is:

A) Streptococcus agalactiae
B) Streptococcus pneumoniae
C) viridans streptococcus
D) Streptococcus pyogenes

4. Bicarbonate and Chloride form an exchanger to help regulate and buffer the body's pH.
The buffering capacity of blood is maintained by a reversible exchange process between bicarbonate and:

A) Sodium
B) Chloride
C) Calcium
D) Potassium

5. Serum amylase and lipase levels may be slightly elevated in chronic pancreatitis, but not diagnostic enough to predict chronic pancreatitis; wheras high levels are found only during acute pancreatitis episodes. In the later stages of chronic pancreatitis, normal to decreased levels of amylase and lipase are caused by the gradual inability of the pancreas to secrete the enzyme All of the statements below regarding amylase and lipase in pancreatitis are TRUE EXCEPT:

A) Serum lipase peaks at 24 hours after an episode of acute pancreatitis and remains high for 7-8 days.
B) Amylase and lipase are as predictive in chronic as in acute pancreatitis.
C) Diagnosis sensitivity is increased by assaying both amylase and lipase.
D) Urinary amylase: creatinine ratio is the most sensitive test for acute pancreatitis.

Solutions: