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

1. This Gram stain is under-decolorized
This microscopic field is representative of other fields that were observed on a Gram-stained smear. Which of the following describes the quality of the smear?

A) Sufficiently decolorized
B) Under-decolorized
C) Over-decolorized

2. The ApoB/ApoA1 ratio has a positive risk marker (ApoB-100) and a negative risk marker (ApoA1). Risk diminishes as ApoA1 goes up (a negative marker) and risk increases in proportion to ApoB concentrations (a positive risk marker). This 'double-edged sword' provides good risk prediction. The other risk markers in question do not have this dual-advantage.
Which risk marker has both positive and negative cardiovascular risk integrated into its measurement?

A) LpPLA2
B) hs-CRP
C) ApoB/ApoA1
D) Oxidized LDL

3. Anti-A, anti-P, anti-Leb, and anti-M all react best at 4o C as they are predominantly IgM antibodies. Other antibody group choices above include IgG antibodies such as anti-K, anti-s, anti-S, and anti-Fya, anti-Lub, etc.
which react best at 37o C.
Which of the following groups of antibodies generally reacts most strongly at 4o C:

A) Anti-B, Anti-K, Anti-Lua , Anti-Fya
B) Anti-H, Anti-S, Anti-Jkb , Anti-Leb
C) Anti-A, Anti-P1 , Anti-Leb , Anti-M
D) Anti-A, Anti-K, Anti-Lub , Anti-s

4. The hepatitis B vaccine is a series of immunizations consisting of three injections of the hepatitis B antigen.
The antigen causes the recipient of the injection to make antibodies against the antigen, hence why this is an example of active immunity.
Immunology
The hepatitis B virus vaccine was administered to MLS students during Orientation. Which type of immunity is expected to develop and provide long-term protection?

A) innate
B) passive
C) active
D) inactive
E) adoptive

5. Troponin is potentially more specific for myocardial damage than CK-MB and stays elevated longer. It may eventually replace CK-MB as the standard marker of myocardial damage. In addition, troponin T has been known to be elevated in the setting of even mild degrees of renal failure. Troponin and CK-MB both tend to rise approximately 3 hours after a MI (hence why the correct answer is "A", since it is false); however, troponins can stay elevated up to 2 weeks as CK-MB tends to return to baseline around 36 hours.
Chemistry
Which of the following statements is FALSE regarding troponin?

A) It stays positive much longer than CK-MB
B) It is potentially more specific than CK-MB
C) Troponin T is often elevated in renal failure patients
D) It rises much sooner after an MI than CK-MB

Solutions: