ASCP ASCP Certifications ASCP-MLT Questions & Answers

• Question 231:

  Which of the following statements applies to the venipuncture procedure?

  A. Standard Precautions must be observed

  B. the procedure includes preparation of the patient

  C. selecting and preparing the puncture site is part of the procedure

  D. all of the above

  Correct Answer: D

• Question 232:

  The increase in inflammatory cytokines and the abnormal lipids and lipid levels often present in metabolic syndrome increase the risk of cardiovascular disease. Adiponectin is decreased and increases in angiotensinogen lead to hypertension.

  Chemistry

  Which of the following statements is true regarding cardiovascular disease and adipose tissue? Please select all correct answers

  A. Inflammatory cytokines, synthesized and released by adipose tissue, contribute to the development of cardiovascular disease

  B. A state of abnormal lipids and lipid levels found in metabolic syndrome contribute to the development of cardiovascular disease

  C. Obesity in metabolic syndrome contributes to the development of cardiovascular disease by increased synthesis and secretion of adiponectin

  D. Increased synthesis and secretion of PAI-1 in metabolic syndrome contributes to cardiovascular disease by increasing blood pressure

  Correct Answer: AB

• Question 233:

  Certain recipients have increased risk for developing TA-GVHD. They are: Neonates less than 4 months of age Fetuses Recipients with a congenital or acquired immunodeficiency, such as bone marrow or stem cell recipients, and patients receiving chemotherapy recipients of donor units from a blood relative Which of the following patients are at risk for transfusion-associated graft versus host disease (TA-GVHD) and require irradiated cellular blood products? (Choose all that apply)

  A. Neonates less than 4 months of age

  B. Recipients of donor units known to be from a blood relative.

  C. Patients with chronic anemias.

  D. Patient receiving chemotherapy who are immunocompromised.

  E. Patients with a history of allergic reactions.

  Correct Answer: ABD

• Question 234:

  Which of the following CD markers is NOT present on a normal mature T cell?

  A. CD20

  B. CD7

  C. CD3

  D. CD5

  Correct Answer: A

• Question 235:

  The molecular weight of a hapten is by itself not sufficient to elicit an antibody response alone, but requires a protein to do so.

  A hapten is only antigenic when it is coupled with which of the following:

  A. Enzymes

  B. Proteins

  C. Lymphocytes

  D. Lipids

  Correct Answer: B

• Question 236:

  One agency that accredits education programs for clinical laboratory personnel is the:

  A. North Central Association (NCA)

  B. American Society for Clinical Laboratory Science (ASCLS)

  C. National Accrediting Agency for Clinical Laboratory Sciences (NAACLS)

  D. American Society for Clinical Pathology (ASCP)

  Correct Answer: C

• Question 237:

  Eosinophils do not have cytoplasm containing large purple/blue-staining granules. Instead, their granules are large but are orange/red in color. These granules are very distinctive for this type of cell, typically making their identification simple.

  ll of the following statements describe an eosinophil EXCEPT:

  A. Cytoplasm contains large purple/blue-staining granules.

  B. May be called an "eo"

  C. Is a member of the granulocyte series

  D. Cytoplasm contains large reddish-orange granules.

  Correct Answer: A

• Question 238:

  A monoclonal B-cell population (Kappa or Lambda predominant) with expression of CD19, CD20, CD23, and co-expression of CD5 is consistent with which of the following?

  A. A normal B cell

  B. Chronic

  C. Mantle cell lymphoma

  D. A mature T cell

  Correct Answer: B

• Question 239:

  n reporting out Gram stains, one should not go beyond what objective observation will allow. In this case, bacterial cells are observed, which are spherical and gram-positive. Their arrangement in tetrads and clusters might be helpful to the physician, suggesting staphylococci. However, one should stop short of naming staphylococci in an official report, as the large gram-positive cocci in tetrads is also suggestive of Micrococcus species, for which human infections have not been reported.

  A Gram stain of the serous exudate is shown in the image. The appropriate report would read:

  

  A. Gram-positive cocci

  B. Gram-positive cocci in tetrads and clusters

  C. Gram-positive cocci suggestive of Staphylococcus species

  D. Smear positive for bacteria

  Correct Answer: B

• Question 240:

  This patient is most likely suffering from an immediate-acting coagulation inhibitor; most commonly, lupus anticoagulant. Notice that the addition of normal pooled plasma does not correct upon initial or incubated mix, which means that the

  inhibitor is not time or temperature-dependent.

  Factor VIII is not the correct answer as a factor deficiency would have corrected upon the addition of normal pooled plasma. Factor VII is not the correct answer, as the aPTT assay does not account for factor VII activity or concentration.

  The laboratorian completed the mixing study ordered for John Doe. The results are as follows:

  Initial aPTT result: 167 seconds

  Initial 1:1 Mix with Normal Pooled Plasma: 158 seconds

  Incubated 1:1 Mix with Normal Pooled Plasma: 150 seconds

  Which of the choices below would most likely explain the results for this patient?

  A. Factor VIII deficiency

  B. Immediate-acting coagulation inhibitor

  C. Time/temperature-dependent coagulation inhibitor

  D. Factor VII deficiency

  Correct Answer: B