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Free ASCP ASCP-MLT Practice Exam with Questions & Answers | Set: 9

Questions 121

Neutrophils, lymphocytes and macrophage/ monocytes can be found in all types of body fluid differentials. Bronchial cells can be found only in bronchial washings and BAL specimens. Mesothelial cells are found only in serous body fluids including pleural fluid, peritoneal fluid, and pericardial fluid.

Select the specific cells listed below that can be found in all types of body fluid.

Options:
A.

Neutrophils

B.

Macrophage/monocytes

C.

Bronchial lining cells

D.

Mesothelial cells

E.

Lymphocytes

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Questions 122

What is the CORRECT blood-to-anticoagulant ratio for coagulations tests?

Options:
A.

4:1

B.

5:1

C.

9:1

D.

10:1

Questions 123

Dce is found in 4% of whites and 44% of blacks.

DCe is found in 42% of whites and 17% of blacks.

DcE is found in 14% of whites and 11% of blacks.

dce is found in 37% of whites and 26% of blacks.

Blood bank

The most common Rh haplotype among whites is:

Options:
A.

Dce

B.

DCe

C.

DcE

D.

dce

Questions 124

Sally is seeing her new primary care provider for the first time. When she signs in, she is asked to sign papers for the release of medical records, including her laboratory results. According to the Health Insurance Portability and Accountability Act (HIPAA), she must authorize release of records before _______________would be permitted to receive and review her records.

Options:
A.

Her insurance company

B.

All answers are correct

C.

Her husband

D.

Her attorney

Questions 125

Failure to deliver glucose drawn in a serum separator tube (SST) to the laboratory within the recommended time will cause:

Question options:

Options:
A.

a falsely decreased glucose value

B.

a falsely increased glucose value

C.

glycolysis

D.

both A and C

Questions 126

Intravascular hemolysis is typically associated with increased levels of serum (plasma) LDH and bilirubin, and an increased number of reticulocytes. Serum LDH is found in higher levels during intravascular hemolysis due to fact that high levels of LDH are normally found within the red cells, but is now being spilled into the bloodstream via red cell lysis. Bilirubin is a breakdown product of hemoglobin, which has also been spilled into the bloodstream from broken red blood cells via hemolysis. Reticulocytosis is a reflection of the release of an increased number of immature red blood cells from the marrow to account for the red blood cells that are lost through hemolysis. This is a normal response. Failure to show an increased reticulocyte count with hemolytic episodes or hemorrhage would indicate an ineffective erythropoiesis (possible bone marrow function problem).

Which of these blood levels will increase during intravascular hemolysis?

Options:
A.

Serum (plasma) LDH

B.

Serum (plasma) bilirubin

C.

Reticulocytes

D.

All of the above

E.

None of the above

Questions 127

The activities conducted in a laboratory with a certificate of registration include:

Options:
A.

urinalysis only

B.

moderate- or high-complexity lab testing until the lab is determined by survey to be in compliance

C.

physicians to perform microscopy only

D.

waived tests only

Questions 128

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?

Options:
A.

Le(a+b+)

B.

Le(a+b-)

C.

Le(a--b+)

D.

Le(a--b-)

Questions 129

Kell, Kidd, and Duffy are usually warm reacting IgG antibodies. The most common P system antibody is anti-P1, which is a frequently naturally occurring low titer IgM antibody, seen in most P2 individuals.

Blood bank

Which of the following blood groups is most frequently associated with cold agglutinins:

Options:
A.

Kell

B.

Kidd

C.

Duffy

D.

P

Questions 130

The tube of choice for trace metal analysis is:

Options:
A.

red

B.

royal blue

C.

gold

D.

light blue

Questions 131

The most important purpose of a requisition form is:

Question options:

Options:
A.

authorization to perform the procedure

B.

location of the patient

C.

providing a system to report results

D.

monitoring test result turnaround time

Questions 132

Standard precautions should be followed:

Options:
A.

when a patient is known to have hepatitis B

B.

when a patient is known to be HIV positive

C.

with all patients, at all times

D.

if a patient is in isolation

Questions 133

The presence of hyaline, septate hyphae, and a young conidiophore with a foot cell and a swollen vesicle in a fungus culture are excellent clues indicative of Aspergillus. Aspergillus has the ability to infect primarily immunocompromised hosts, and causes pneumonia and/or disseminates to other organs. Clinical specimens should be inoculated onto primary isolation media, such as Sabouraud's dextrose agar. Aspergillus spp. are fast growing and can be white, yellow, yellow-brown, brown to black or green in color.

The presence of hyaline, septate hyphae, and a young conidiophore with a foot cell and a swollen vesicle in a fungus culture are excellent clues indicative of:

Options:
A.

Acremonium

B.

Aspergillus

C.

Paecilomyces

D.

Penicillium

E.

Scopulariopsis

Questions 134

Which of the following legislation was developed to protect the privacy of all patient information in the health care?

Options:
A.

Health Insurance Portability and Accountability Act (HIPPA)

B.

Occupational Safety and Health Administration (OSHA)

C.

Clinical Laboratory Standards Institute (CLSI)

D.

Clinical Laboratory Improvement Amendments (CLIA)

Questions 135

Which of the following is most likely to interact with arterial walls, leading to deposition of cholesterol, and initiating or worsening atherosclerosis?

Options:
A.

Large buoyant LDL

B.

Small dense LDL

C.

LDL phenotype 'A'

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