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

1. The lecithin-sphingomyelin ratio is a test for assessing fetal lung maturity that is useful in determining risk of an infant born with respiratory distress syndrome.
The Lecithin/Sphingomyelin ratio determination of amniotic fluid is useful in assessing the probability of:

A) chromosomal abnormalities
B) respiratory distress syndrome
C) phenylketonuria
D) cystic fibrosis


2. Cholesterol levels do not fluctuate as triglycerides, fatty acids, lipoproteins, and chylomicrons do after an individual eats a meal. This is the reason that patients are told to fast; the laboratory needs a fasting sample to determine a lipid profile or panel which includes the latter four components.
Which of the following lipid tests is LEAST affected by the fasting status of the patient?

A) Triglycerides
B) Cholesterol
C) Fatty acids
D) Chylomicrons
E) Lipoproteins


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

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


4. If all newborns were tested, many positive DATs due to ABO incompatibility would be detected that are of no clinical significance.
Although many laboratories test infants born to group O Rh positive females due to the higher risk of ABO HDFN when the mother is group O, testing such infants is optional provided there is appropriate monitoring and follow-up for hyperbilirubinemia.
Blood Bank
Not performing direct antiglobulin tests (DATs) on newborns born to group O Rh positive mothers is acceptable good practice, providing there is appropriate surveillance and follow-up to detect hyperbilirubinemia.

A) false
B) true


5. Hives and rash usually indicate an allergic reaction. Hematuria is due to a variety of causes. Fever and chills usually indicate a febrile reaction. Positive DAT due to conditions other than sensitization to red cell alloantigens is not uncommon. Therefore a positive DAT in the posttransfusion specimen with a negative DAT in the pretransfusion specimen is more likely to indicate alloimmunization.
The most definite indication that a patient has been sensitized to a specific red cell antigen is:

A) A positive posttransfusion DAT in a patient with a previously positive DAT
B) Hives and rash
C) A positive posttransfusion DAT in a patient with a previously negative DAT
D) Hemoglobinuria


Solutions:

Question # 1
Answer: B
Question # 2
Answer: B
Question # 3
Answer: C
Question # 4
Answer: B
Question # 5
Answer: C

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