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MLT(ASCP) ASCP-MLT Updated Exam

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Question 68

P. vivax characteristically displays Schuffner's dots and often enlarged RBCs along with brownish granules. P. vivax can also have 12-24 merozoies in each cell, actually filling the entire RBC. This parasite also has very irreglar shapes often referred to as "Ameboid".

P. falciparum and P. malariae do not display Shuffner's dots, therefore could not be the correct choice.

P. ovale does display Shuffner's dots in all stages, but characteristically has about 8-12 merozoites in rosettes or irregular clusters inside the RBC. Also, P. ovale characteristically shows enlarged, ovoid RBCs with fimbriated edges.

Identify the parasite of a patient with suspected malaria who demonstrates the following findings on a blood smear:

- Enlarged RBCs, some with fine brownish granules

- > 15 parasites in some cells

- Ameboid structures

- Schuffner's dots

Options:

A.

Plasmodium falciparum

B.

Plasmodium ovale

C.

Plasmodium vivax

D.

Plasmodium malariae

Question 69

Gamma globulin (anti-D) is given to Rh-negative mothers to prevent any D antibody production, which could cause harmful effects in future pregnancies with an Rh-positive fetus. The administered anti-D will bind fetal Rh-positive cells that may come from the fetus in vivo; therefore the mother will not produce anti-D herself, preventing sensitization.

A solution of gamma globulins containing anti-Rh (D) is given to an Rh (D) negative mother to:

Options:

A.

Prevent fetal cells from initially sensitizing the mother

B.

Neutralize any of the child's antibody that may have passed the placental barrier

C.

Neutralize any natural maternal antibodies present

D.

Prevent greater antibody response in a previously sensitized mother

Question 70

Serum amylase and lipase levels may be slightly elevated in chronic pancreatitis, but not diagnostic enough to predict chronic pancreatitis; wheras high levels are found only during acute pancreatitis episodes. In the later stages of chronic pancreatitis, normal to decreased levels of amylase and lipase are caused by the gradual inability of the pancreas to secrete the enzyme

All of the statements below regarding amylase and lipase in pancreatitis are TRUE EXCEPT:

Options:

A.

Amylase and lipase are as predictive in chronic as in acute pancreatitis.

B.

Diagnosis sensitivity is increased by assaying both amylase and lipase.

C.

Urinary amylase: creatinine ratio is the most sensitive test for acute pancreatitis.

D.

Serum lipase peaks at 24 hours after an episode of acute pancreatitis and remains high for 7-8 days.s.

Question 71

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?

Options:

A.

acts on proximal tubules.

B.

changes distal tubule water permeability

C.

Acts on Na/K/(H') pump

D.

cannot be affected by diuretics

E.

controls thirst

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Exam Code: ASCP-MLT
Exam Name: MEDICAL LABORATORY TECHNICIAN - MLT(ASCP)
Last Update: Nov 21, 2024
Questions: 572
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