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

1. Insulin is the hormone that is mainly responsible for the entry of glucose into the cell for energy production Glucagon and epinephrine promote glycogenolysis, conversion of glycogen to glucose, which increases plasma glucose. Cortisol, along with glucagon, increases gluconeogenesis, formation of glucose from noncarbohydrates, which also raises plasma glucose concentration.
Chemistry
Which of the following hormones is mainly responsible for the entry of glucose into the cell for energy production?

A) Glucagon
B) Epinephrine
C) Insulin
D) Cortisol

2. The National Heart, Lung, and Blood Institute initiated the National Cholesterol Education Program (NCEP) in 1985. The goal was to reduce the number of Americans with elevated cholesterol and thus reduce illnesses and deaths in the United States due to coronary heart disease. Three adult treatment panels have been published since then with clinical practice guidelines for managing cholesterol levels in adults.
The most recent panel, Adult Treatment Panel III (ATP III), was published in 2001 and updated in 2004. The NCEP: ATP III also includes criteria for the diagnosis of metabolic syndrome.
Select the set of laboratory assays that are utilized in the NCEP: ATP III criteria for metabolic syndrome diagnosis.

A) Fasting blood glucose, triglycerides, HDL-C
B) LDL-C, triglycerides, HDL-C, and fasting blood glucose
C) Fasting blood glucose, triglycerides, insulin, and VLDL
D) Fasting blood glucose, triglycerides, HDL-C, and VLDL

3. The correct response is option B: The Hepatitis B "e" Antigen (HBeAg). This antigen indicates the virus is actively replicating and therefore the patient is very infectious. The hepatitis B "e" antigen is present when the virus is actively replicating. In cases of unintentional needlesticks, infectivity is of highest concern. The risk for infection is greatest during phases of increased HBeAg serology. The Hepatitis B surface antigen is the first detectable marker, but if the patient is known to have Hepatitis B already, it would be relatively unhelpful to confirm the condition with another HBsAG test. The core antigen is not detectable because it is covered by the nuclear envelope. Antibody response patterns would not be very helpful either as the patient has already been diagnosed with acute Hepatitis B. IgG antibodies would indicate recovery, which is not the case for this patient and IgM antibodies indicating a recent or acute infection would only confirm what is already known.
Recall, in cases of unintentional needlesticks, infectivity is of highest concern.
A phlebotomist at a local hospital recently had an accidental needle stick while drawing blood from a patient being treated for acute hepatitis B. Which serological marker from the patient would be of most value to the physician evaluating the phlebotomist's possible infection status?

A) Hepatitis B core Antigen (HBcAg)
B) Hepatitis B surface Antigen (HBsAg)
C) Anti-Hepatitis B core (anti-HBc) IgG
D) Anti-Hepatitis B e (anti-HBe) IgM
E) Hepatitis B e Antigen (HBeAg)

4. Heinz bodies occur as the result of denaturation and precipitation of hemoglobin, and are often attached to the red cell membrane. They require staining with crystal violet or methyl violet to be visible. They may be seen in thalassemia, with unstable hemoglobins, or during a hemolytic episode in G6PD deficiency.
Hematology
The intracellular precipitates seen in the RBCs in this illustration is termed:

A) May-Hegglin anomaly
B) Dohle bodies
C) Heinz bodies
D) Reticulocytes

5. Mode is defined as the number that occurs most frequently in a set of numbers.
The value that occurs most frequently in a set of results or values would be termed:

A) Median
B) Mode
C) Mean
D) Standard deviation

Solutions: