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

1. Antidiuretic hormone, or ADH, has the important role of conserving body water by reducing the loss of water in urine by changing the water permeability of the distal tubule and collecting duct. An increase in ADH causes a concentrated urine since the water is retained and absorbed through the permeable membrane. An decrease in ADH causes the collecting ducts to retain very little water, instead it is excreted as urine.
Chemistry
Which of the following action describes the MAJOR property of antidiuretic hormone?

A) acts on proximal tubules.
B) Acts on Na/K/(H') pump
C) changes distal tubule water permeability
D) controls thirst
E) cannot be affected by diuretics

2. The deposition of plaques containing cholesterol and lipids on the innermost layer of the walls of large and medium-sized arteries is the defintion of atherosclerosis.
Arteriosclerosis is a more general term that describes a thickening and loss of elasticity of the walls of the arteries (hardening of the arteries). Atherosclerosis is a type of arteriosclerosis but is not synonymous with it.
Atherosclerosis is not the most common outcome for risk marker studies because it can be hard to measure.
Infarcts, cardiac procedures, death, and 'events' are more common. Most humans have visible or measureable atherosclerosis by early middle age.
Chemistry
Which of the following is true concerning atherosclerosis?

A) Atherosclerosis is the same as arteriosclerosis.
B) Atherosclerosis is the deposition of plaques containing cholesterol and lipids on the innermost layer of the walls of large and medium-sized arteries.
C) Atherosclerosis is the main outcome that is assessed in risk marker studies.
D) Most humans do not have significant atherosclerosis.

3. The newest direction for laboratory testing procedures is

A) Networked systems for point-of-care testing
B) Robotic specimen handling
C) Larger automated instruments
D) Molecular diagnostic techniques in various laboratory departments

4. C. immitis is a dimorphic fungus which can be isolated from sputum specimens of infected individuals. When grown on Sabouraud's agar at 25o it grows as a mold with white aerial mycelium in about 3 to 5 days. C.
immitis is known to produce arthroconidia which are "barrel-shaped" after 1 to 2 weeks of growth.
Within three days at 28 ºC a sputum specimen placed on Sabouraud's dextrose agar with chloramphenicol and cycloheximide produced moist, grayish growth, with a white aerial mycelium, the organism is MOST likely:

A) Histoplasma capsulatum
B) Coccidioides immitis
C) Cryptococcus neoformans
D) Blastomyces dermatitidis
E) Aspergillus fumigatus

5. Microcontainer collection order of draw differs from regular peripheral blood collection order of draw. When performing a capillary draw, the lavender top container is obtained first. This decreases the possibility of clots in the container which would invalidate the results of the complete blood count test.
After the lavender is drawn, other containers with anticoagulants would be collected, and containers without anticoagulants would be collected last.
A phlebotomist must perform a skin puncture to obtain capillary specimens for a complete blood count (CBC), a plasma-based chemistry test, and a serum-based immunology test. The microcollection containers that will be used are lavender top containing EDTA anticoagulant, green top containing heparin anticoagulant, and gold top containing no anticoagulant. Which microcollection container should be collected first?

A) Gold top
B) The order of draw is not important.
C) Green top
D) Lavender top

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