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

1. Myoglobin rises typically within 2-4 hours after a myocardial infarction and stay elevated for days, with a peak at the 6-9-hour mark post-MI. After myoglobin, troponin is the next fastest to rise afer a mycardial infarction and can rise within 3-4 hours with a peak around 12 hours post-MI. LD (8-12 hours, 24-48 hour peak) and CK (4-6 hours with peak at 24-36 hours) will also rise after MI, but are not as fast to rise as myoglobin and troponin.
Chemistry
A patient is admitted to the hospital with acute chest pain, but which of the following cardiac markers will be elevated FIRST if the patient had an MI?

A) LD
B) CK
C) Myoglobin
D) Troponin

2. In which of the following laboratory situations is a verbal report permissible?

A) When the report cannot be found at the nurse's station
B) None of these answers is correct.
C) When preoperative test results are needed by the anesthesiologist
D) When the patient is going directly the physician's office

3. Creatinine clearance tests are utilized to estimate the glomerular function of the kidney. The creatitine clearance calculation is defined as the volume of plasma that is cleared of creatinine by the kidney per unit of time and uses the following formula:
creatinine clearance = Urine creatinine conc x Volume / Plamsa creatinine conc Creatinine clearance measurements have a recommended specimen requirement = 24-hour urine collection.
Which of the following tests would be useful in the assessment of glomerular filtration:

A) Urea clearance
B) 24 hour urine protein
C) PSP test
D) Creatinine clearance

4. A combination of (nonselective) 5% sheep blood and (selective) MacConkey agars is sufficient for the recovery of the pathogenic microorganisms that are most commonly encountered in urinary tract infections (UTIs). MacConkey is the selective culture medium that is most commonly used to inhibit growth of gram-positive organisms (most UTIs are caused by gram-negative organisms).
Eosin methylene blue (EMB) is a selective agar that also inhibits the growth of gram-positive organisms.
Therefore, using only a combination of MacConkey and EMB would prevent the detection of a gram-positive organism, if this were the cause of the infection.
Chocolate agar or other enriched media may be needed in addition to blood and MacConkey if a more fastidious organism is suspected.
Thayer-Martin would be used specifically for recovery of Neisseria gonorrhoeae. Thayer-Martin (or Modified Thayer-Martin) inhibits other microorganisms and allows the selective recovery of both N. gonorrhoeae and
N. meningitidis.
Microbiology
Which culture agar combinations below will usually be sufficient for MOST routine urine culture investigations?

A) 5% sheep blood and Thayer-Martin
B) Thayer-Martin and Chocolate
C) 5% sheep blood and MacConkey
D) MacConkey and Eosin Methylene Blue
E) 5% sheep blood and Chocolate

5. What are the certification requirements for clinical laboratory professionals?

A) college degree and a national certification exam
B) college degree
C) on the job training
D) national certification exam

Solutions: