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

1. This antibody is found in the serum of Le(a-b-) secretors.
Which one of these Lewis blood group system phenotypes usually produces anti-Lea?

A) Le(a+b-)
B) Le(a--b+)
C) Le(a+b+)
D) Le(a--b-)

2. A patient is admitted to the hospital with acute chest pain, but which of the following enzymes will be elevated FIRST if the patient had an MI?

A) LD
B) ALT
C) AST
D) CK

3. A negative glucose oxidase test and a positive test for reducing sugars in urine indicates the presence of a non-glucose reducing sugar such as galactose, fructose, glyceraldehyde, etc. This is the reason that certain patient populations require additional confirmatory sugar testing on their urine samples.
A negative glucose oxidase test and a positive test for reducing sugars in urine indicates:

A) A false-negative glucose oxidation reaction
B) The presence of a non-glucose reducing sugar such as galactose
C) True glycosuria

4. The combination of complement C4, C2 and C3 that binds to the antigen-antibody complex in the initial reaction step in the classical pathway of complement activation is called the activation unit.
Which of the following is the "activation unit" in the classical complement pathway?

A) C1, C2, C9
B) C4, C2, C3
C) C1
D) C2
E) C5, C6, C7, C8, C9

5. Glucose positive, Maltose positive, Lactose negative and Sucrose negative is the correct answer since Neisseria meningitides causes Waterhouse-Friderichsen syndrome and it is positive only for glucose and maltose.
An autopsy of a 1-year-old female admitted to the emergency room 4 hours prior to her death revealed Waterhouse-Friderichsen syndrome. Blood and nasopharyngeal cultures taken prior to her death should reveal an oxidase-positive, Gram-negative diplococcus with the following biochemical reactions:

A) Glucose positive, Maltose positive, Lactose negative and Sucrose negative
B) Glucose positive, Maltose positive, Sucrose positive and Lactose negative
C) Glucose positive, Maltose positive, ONPG positive and DNase negative
D) Glucose positive, Maltose negative, Lactose negative and Sucrose negative

Solutions: