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

1. A test with high specificity accurately detects the absence of disease. The more specific a test is, the fewer false-positive results will occur. A test with high sensitivity accurately identifies the presence of disease. The more sensitive a test, the fewer false-negative results it produces. In the case stated in this question, the immunoassay has high specificity, so it has few false-positives and will accurately detect those individuals who do not have the disease or condition that is being tested for. However, the test has low sensitivity, so it may not identify all individuals who actually have the disease; it may produce many false-negative results.
The accuracy of an immunoassay is its ability to discriminate between results that are true positives and results that are true negatives. Two parameters of test accuracy are specificity and sensitivity. Which of these statements apply to an immunoassay with high specificity, but low sensitivity?

A) Has few false-negatives
B) Accurately identifies the presence of disease
C) Has few false-positives
D) Accurately identifies the absence of disease

2. This type of laboratory testing provides immediate assessment of the patient and can be performed at their bedside:

A) Centralized laboratory
B) Point-of-care testing (POCT)
C) High complex testing
D) Molecular testing

3. Animals serve as a reservoir of infection" is the correct answer because Shigella only infects humans while Salmonella is found in many animals. Both have diarrhea as the major symptom. Endotoxin is produced by all gram negative bacteria and exotoxin is only produced by Shigella.
A major difference between Salmonella enterica and Shigella infections is that only in salmonellosis can:

A) exotoxin produce profuse watery stools
B) animals serve as a reservoir of infection
C) endotoxin play a role in disease process
D) diarrhea become the major symptom

4. Bone marrow biopsies are helpful diagnostic tools in:
Evaluation of anemia and thrombocytopenia
Evaluation of cytopenias
Diagnosing leukemias
Can be part of evaluation for FUO
Bone marrow biopsies are NOT used as screens for hematologic issues during routine check-ups.
Hematology
In which of the following situations would a bone marrow aspirate and biopsy possibly be used as an aid for diagnosis? (Select all that apply)

A) Diagnosis of leukemias
B) Screening for hematologic issues during routine check-ups
C) Evaluation of anemia and thrombocytopenia
D) Evaluation of cytopenias
E) Evaluation of fever of unknown origin (FUO)

5. MCH is the average weight of hemoglobin in the average red blood cell. The value is expressed in picograms (10-12 grams).
Hematology
Hemoglobin (g/100ml) x 10 / RBC count (millions/mm3) is the formula for calculating:

A) MCH
B) MCV
C) MCHC
D) RDW

Solutions: