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ASCP MEDICAL LABORATORY TECHNICIAN - MLT(ASCP) Sample Questions:
1. The identification of the crystals depicted in this image are triple phosphate crystals. Triple phosphate crystals may be normal but are usually associated with alkaline urine. These colorless crystals have a characteristic
"coffin lid" appearance.
What is the identification of these crystals seen in urine with an alkaline pH?
A) Triple phosphate
B) Uric acid
C) Calcium oxalate
D) Calcium carbonate
2. This patient is most likely suffering from sickle cell anemia. This cell, which is sickle-shaped, is indicative of the presence of hemoglobin S. Polychromasia is also commonly observed in sickle cell anemia.
After experiencing crippling pain in her chest, Elizabeth's mother rushes her to the Emergency Room. After a complete blood count and differential are ordered, the hematology technologist views many peripheral cells similar in appearance to those found in the image below. Which condition is most likely present?
A) hemoglobin c disease
B) beta thalassemia
C) sickle cell anemia
D) myocardial infarction
3. Leptin signals the hypothalamus that there are changes in fat stores.
Resistin increases insulin resistance and enhances adhesion molecules present on endothelial cells.
IL-6 responds to tissue injury. IL-6 increases insulin resistance by inhibiting insulin receptor signal transduction in liver cells. It also increases other inflammatory cytokines, interleukin-1 (IL-1) and TNF-a, and stimulates the liver to produce C-reactive protein (CRP).
Adipose tissue and liver cells produce angiotensinogen, a precursor of angiotensin II. Besides increasing blood pressure, angiotensin II may stimulate adipose cell formation and thus increase adipose mass.
Which one of the following adipocyte products is an important messenger in metabolism, signaling the hypothalamus that there are changes in fat stores?
A) IL-6
B) Angiotensinogen
C) Leptin
D) Resistin
4. HCG levels rise rapidly during the first trimester, then the levels start to decline around week 16. The hCG levels slowly decrease and can level off during the remainder of the pregnancy.
The following BEST describes serum hCG levels during pregnancy:
A) Highest levels found at end of pregnancy
B) Rapid rise in levels during first trimester; slow decline and possible level-off throughout remainder of pregnancy
C) Rise in levels throughout pregnancy
D) Slow rise in levels during first trimester; rapid rise during second trimester; slow decline during the third trimester
5. Malbranchia species share the production of alternate staining arthroconidia as a common feature with the mold form of Coccidioides immitis.
Both Geotrichum species and Trichosporon species produce rectangular-shaped arthroconidia; however, they are regularly rather than alternately staining. Additionally, the arthroconidia of Geotrichum may produce germ tubes from one corner and the arthroconidia of Trichosporon species may produce blastoconidia from adjacent corners, features not shared by either Malbranchia species or Coccidioides immitis.
The hyphae of Microsporum canis, as seen in direct KOH mounts of skin scales, may break up into arthroconidia; however, they are much narrower in dimension and do not share the alternate staining characteristics.
Microbiology
The hyaline saprobic fungus that has microscopic features similar to the mold form of Coccidioides immitis is:
A) Microsporum canis
B) Malbranchia species
C) Geotrichum species
D) Trichosporon species
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: B |

