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

1. The red blood cell distribution width (RDW) increases as the severity of alpha thalassemia increases because of changing MCV as the bone marrow produces smaller cells. In addition, if Hemoglobin H bodies are present, they result in the formation of schiztocytes (RBC fragments) that can have an effect on the MCV and RDW.
The Red cell Distribution Width (RDW) in alpha thalassemia is

A) dependent upon severity
B) usually decreased
C) within normal limits
D) usually increased

2. Two CSF specimens were sent to the Lab with the following results:
Tube #1 = 11,200 rbc/µL
Tube #2 = 300 rbc/µL
The results on these CSF specimens are indicative of:

A) an old intracranial bleeding episode faulty lab equipment
B) a recent subarachnoid hemorrhage
C) an infection
D) a traumatic tap

3. The governmental agency that oversees public health care matters in the United States is:

A) Clinical and Laboratory Standards Institute (CLSI)
B) Center for Disease Control and Prevention (CDC)
C) Department of Health and Human Services (DHHS)
D) Food and Drug Administration (FDA)

4. Platelet neutralization tests are one of the confirmatory tests that can be used to determine if a patient has a circulating lupus antibody, or lupus anticoagulant. The principle in this test involved the use of a freeze-thawed platelet suspension that, when mixed with the patient plasma, will neutralize the anti-phospholipid antibodies (lupus anticoagulant) present and allow for a corrected aPTT result upon re-testing.
A patient has a history of repeated spontaneous abortion. Coagulation studies reveal an elevated APTT, normal PT, normal platelet function, and normal clotting time. Schistocytes were seen on the peripheral blood smear.
Which test should be performed to determine if the patient has lupus anticoagulant?

A) Factor VIII assay
B) platelet neutralization test
C) antinuclear antibody test
D) mixing studies with factor-deficient plasma

5. All the following characteristics are accurate for the influence of Health Insurance Portability and Accountability Act (HIPAA) except

A) Establishes a minimum standard for security of electronic health information and the electronic interchange of information
B) Directly effects the laboratory information system (LIS)
C) Replaced federal, state, or other laws that grant individuals even greater privacy protections than HIPAA
D) Covers entities that are free to retain or adopt more protective policies or practices

Solutions: