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

1. P. vivax characteristically displays Schuffner's dots and often enlarged RBCs along with brownish granules. P.
vivax can also have 12-24 merozoies in each cell, actually filling the entire RBC. This parasite also has very irreglar shapes often referred to as "Ameboid".
P. falciparum and P. malariae do not display Shuffner's dots, therefore could not be the correct choice.
P. ovale does display Shuffner's dots in all stages, but characteristically has about 8-12 merozoites in rosettes or irregular clusters inside the RBC. Also, P. ovale characteristically shows enlarged, ovoid RBCs with fimbriated edges.
Identify the parasite of a patient with suspected malaria who demonstrates the following findings on a blood smear:
- Enlarged RBCs, some with fine brownish granules
- > 15 parasites in some cells
- Ameboid structures
- Schuffner's dots

A) Plasmodium vivax
B) Plasmodium ovale
C) Plasmodium falciparum
D) Plasmodium malariae

2. To obtain a serum sample for a stat test on a patient receiving anticoagulant therapy, the recommended tube is:
Question options:

A) red/gray or gold
B) yellow/gray or orange
C) light green
D) red

3. Gluconeogenesis is the formation of glucose from noncarbohydrates when carbohydrate intake is absent, a fasting state. The hormone cortisol along with glucagon and epinephrine all stimulate this metabolic pathway.
Insulin; however, inhibits this pathway and is therefore the correct answer.
Which of the following hormones inhibits gluconeogenesis, the formation of glucose from noncarbohydrate sources such as amino acids, glycerol, and fatty acids?

A) Epinephrine
B) Insulin
C) Glucagon
D) Cortisol

4. Hemolytic transfusion reactions seldom occur because the incidence of unexpected antibodies in random patients is relatively low, e.g., 3-5% is sometimes cited.
Being transfused with O Rh negative RBC is irrelvant if you have an unexpected antibody like anti-K or anti-c.
Incompatible red cells may "bleed out" but only if bleeding is brisk. Even then, a hemolytic reaction may occur later once the patient's antibody rebounds and destroys remaining antigen-positive donor red cells.
It's true that some patients have only cold-reactive antibodies that will not react at body temperature. But this does not explain why warm-reactive red cell antibodies cause few reactions Why do so few patients transfused with un-crossmatched red cells in an emergency experience a hemolytic transfusion reaction? Select the one best reason.

A) Some patients have cold-reactive antibodies that will not react at body temperature.
B) The incidence of unexpected red cell antibodies is relatively low.
C) They hemorrhage so severely that incompatible donor red cells "bleed out" before a reaction occurs.
D) They usually receive group O Rh negative red cells; a hemolytic transfusion reaction will never occur if O Rh-negative red cells are transfused.

5. What two glycoproteins are expressed on the surface of influenza A viruses and are used for subtyping of the viruses?

A) Neuraminidase
B) Glycoprotein41 (gp41)
C) Hemagglutinin
D) Glycoprotein120 (gp120)

Solutions: