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ASCP BOC Exam / MLS ASCP Certification – Actual Exam Questions and Correct Answers

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This document contains a comprehensive set of exam questions and correct answers for the ASCP Board of Certification (BOC) Medical Laboratory Scientist (MLS) exam. Topics include immunology (IFA-ANA, humoral antibodies, C3b opsonization, immunoglobulin structure and function, rheumatoid factors, haptens), immunohematology/blood banking (platelet transfusion refractoriness, ABO compatibility, crossmatching, hemolytic transfusion reactions, anti-IgA reactions, polyagglutinable red cells, antibody idiotype, Kell antigen, HDN, Liley method), chemistry (solution percentage calculation, lactate dehydrogenase assay, anion gap calculation, bilirubin photodegradation, CK dilution calculation, biuret reaction for protein, ion-selective electrodes, PCO2 electrode, gas chromatography, tumor markers, anion gap, metabolic alkalosis, respiratory alkalosis, spectrophotometry monochromator, nephelometry), hematology (platelet count calculation, polycythemia vera, May-Hegglin anomaly, G6PD deficiency, Philadelphia chromosome, CML, MCV calculation, hemoglobin electrophoresis, Kleihauer-Betke test for HbF), coagulation (Clauss fibrinogen method), microbiology (mycobacteria culture (Lowenstein-Jensen, N-acetyl-L-cysteine method, mycobacteria growth time), Klebsiella pneumonia, Neisseria differentiation (lactose degradation), Vibrio parahaemolyticus (TCBS agar), Pseudomonas aeruginosa (growth at 42°C), Bacteroides (BBE agar, kanamycin-vancomycin laked blood agar), Proteus mirabilis, Serratia marcescens, Yersinia enterocolitica (glucose fermentation), MRSA (mecA gene PCR), Mycobacterium xenopi, Campylobacter, sorbitol MacConkey for E. coli O157:H7), mycology (cycloheximide, chloramphenicol, photochromogens), parasitology (Taenia solium cysticercosis), urinalysis (urine specific gravity, glycosuria, microscopic RBCs with negative occult blood due to vitamin C, waxy casts), body fluids (CSF appearance, CSF glucose, synovial fluid crystals (calcium pyrophosphate in pseudogout), pleural effusion exudate (Light's criteria)), laboratory safety (chemical spill (formaldehyde), centrifuge safety, blood spill cleanup, hydrochloric acid spill, eyewash station use, MSDS, fire extinguisher use), phlebotomy/specimen handling (cold agglutinins causing increased MCV and decreased RBC count, platelet satellitism, blood gas sample on ice with bubble (increased pO2)), molecular diagnostics (mass spectrometry, flow cytometry forward scatter (cell volume), PCR for mecA), paternity testing (direct exclusion), and laboratory math and statistics (G-force calculation, coefficient of variation, standard deviation, confidence limits).

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Page 1 of 32




ASCP BOC EXAM/ MLS ASCP
CERTIFICATION
ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS
A consistently and repeatedly negative IFA-ANA is: - ✔✔✔ Correct
Answer > strong evidence against5 untreated SLE



What kind of antigen-antibody reaction would be expected if soluble
antigen is added to homologous antibody? - ✔✔✔ Correct Answer >

precipitation



the Philadelphia chromosome is formed by a translocation between the: -
✔✔✔ Correct Answer > long arm of chromosome 22 and long arm of
chromosome 9



Ten units of group A platelets were transfused to a group AB patient.
The pretransfusion platelet count was 12x10^3/uL and the

,Page 2 of 32




posttransfusion count was 18x10^3/uL. From this information, the
technologist would most likely conclude that the patient:

a) needs group AB platelets to be effective

b) clinical data does not suggest a need for platelets

c) has developed antibodies to the transfused platelets

d) should receive irradiated platelets - ✔✔✔ Correct Answer > has developed
antibodies to the transfused platelets



A solution contains 20 g of solute dissolved in 0.5 L of water.
What is the percentage of this solution? - ✔✔✔ Correct Answer > 4%



A technician is asked to clean out the chemical reagent storeroom and
discard any reagents not used in the past 5 years.
How should the technician proceed? - ✔✔✔ Correct Answer > consult
MSDS sheets for proper disposal



in a the clauss fibrinogen method, the time to clot formation in plasma is
measured after the addition of: - ✔✔✔ Correct Answer > thrombin

,Page 3 of 32




a centrifuge head has a diameter of 60 cm and spins at 3,000 RPM. What
is the maximum achievable G force? (G=0,00001 x radius in cm x RPM)
- ✔✔✔ Correct Answer > 2,700 G



A technologist spilled 10 gallons of formaldehyde on the floor. After
determining the chemical poses a significant health hazard, the first
action step would be to: - ✔✔✔ Correct Answer > Evacuate the area



A first morning sputum is received for culture of mycobacteria. It is
digested and concentrated by the N-acetyl-L-cysteine alkali method.
Two Lowenstein-Jensen slants are incubated in the dark at 35C with 5-
10% CO2. The smears revealed acid-fast bacilli, and after 7 days no
growth appears on the slants. The best explanation is: - ✔✔✔ Correct Answer
> Cultures held for insufficient length of time. (mycobacteria are slow
growers and may take up to 12 weeks)



In the assay of lactate dehydrogenase, which of the following products is
actually measured? - ✔✔✔ Correct Answer > NADH

, Page 4 of 32




A sputum specimen from a patient with a known Klebsiella pneumonia
infection is received in the lab for fungus culture. The proper procedure
for handling this specimen is to:

a. reject the current specimen and request a repeat culture when the
bacterial organism is no longer present

b. incubate culture tubes at RT in order to inhibit bacteria

c. include media that have cycloheximide and chloramphenicol to
inhibit bacteria and saprophytic fungi

d. perform direct PAS stain; if no fungal organism seen, reject specimen
- ✔✔✔ Correct Answer > c. include media that have cycloheximide and
chloramphenicol to inhibit bacteria and saprophytic fungi



Humoral antibodies are produced by which cells? - ✔✔✔ Correct
Answer > B Lymphocytes



What battery of tests is most useful in evaluating an anion gap of
22 mEq/L (22 mmol/L)? - ✔✔✔ Correct Answer > BUN, creatinine, salicylate
and methanol

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