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

1. Drawing a lavendar stopper tube before an SST tube can cause a falsely:
Question options:

A) decreased calcium value
B) increased glucose value
C) increased calcium value
D) decreased glucose value

2. In order to perform a venipuncture on a newly admitted hospital patient, a phlebotomist needs to

A) Realize that an admitted hospital patient has given implied consent to routine procedures such as phlebotomy.
B) Verify with the patient's primary care provider that phlebotomy is covered as a routine procedure.
C) Ask for the patients' written permission to perform the procedure.
D) Verfity that the patient has specifically name the drawing of blood in the admission process.

3. 21 CFR 606.65 states, "Supplies and reagents shall be used in a manner consistent with instructions provided by the manufacturer." The correct answer is A. The reagents must be used according to the manufacturer's instructions for use. If the instructions say one or two drops may be used and the facility procedures also allow one or two drops, then there is no problem with the staff members choosing to use two drops.
While equipment must be calibrated, it does not generally influence the number of drops used.
Staff members often ask co-workers and colleagues from other facilities how to perform tasks, but it is the manufacturer's instructions for the operation of equipment and the use of reagents that must be followed.
A laboratory employee who is performing an internal audit of routine ABO and Rh typing procedures notes that a technologist places two drops of Anti-D in a tube, centrifuges the tube for 20 seconds, and reads the reaction using a magnifying mirror. When questioned about the procedure, the technologist indicates that most staff use two drops of Anti-D reagent because the reactions are stronger with two drops. In addition to reviewing the facility procedure manual, what should be done to ensure regulatory compliance?

A) Call a colleague at another institution to ask what they do.
B) Review the anti-D manufacturer's current instructions for use.
C) Check the calibration records for the centrifuge.

4. The red blood cell distribution width (RDW) increases as the severity of alpha thalassemia increases because of changing MCV as the bone marrow produces smaller cells. In addition, if Hemoglobin H bodies are present, they result in the formation of schiztocytes (RBC fragments) that can have an effect on the MCV and RDW.
The Red cell Distribution Width (RDW) in alpha thalassemia is

A) dependent upon severity
B) usually increased
C) usually decreased
D) within normal limits

5. Failure to tightly seal specimens for sweat electrolytes during collection and transport will cause:

A) decreased values due to exposure to light
B) increased values due to evaporation
C) decreased values due to exposure to air
D) increased values due to cellular contamination

Solutions: