MLT ASCP FINAL EXAM 2026 ACTUAL QUESTIONS AND
ANSWERS RATED A+
✔✔Megaloblastic - ✔✔B12 deficiency
Folate deficiency
Marcrocytic
✔✔PA - ✔✔B 12 deficiency
Howel Holley bodies
Macrocyclic
✔✔Microcytic because of heme - ✔✔Iron deficiency
Sideroblastic
I disease of inflammation
✔✔Microcytic because of globin - ✔✔Thalassemia
Hemoglobin E
✔✔Iron deficiency - ✔✔Decreased serum ferritin serum iron saturation
Increase TIBC
Microcytic
✔✔ChronicDisease inflammation - ✔✔Decreased TIBC and serum iron
Increase serum ferritin
Microcytic
✔✔PCH - ✔✔Increase bilirubin
Decreased haptoglobin
Positiv dat
Donath landsteiner anti body or anti p
✔✔PNH - ✔✔Membrane defect
Flaer test positive
✔✔A plastic anemia - ✔✔Decreased retics
Hypocellular BM
✔✔Chronic renal disease - ✔✔Decreased EPO
✔✔Sideroblastic anemia - ✔✔Iron overload
✔✔Prussian blue - ✔✔Iron
✔✔Auer rods - ✔✔AML
,✔✔PV - ✔✔Jak 2 mutation
✔✔Hodgkin lymphoma - ✔✔Reed stern berg cell
✔✔Factor 1 - ✔✔Fibrinogen
✔✔Prothrombin factors - ✔✔2
7
9
10
VK
✔✔Extrinsic factors - ✔✔PT
Ca
Coumarin or Warferin
2
7
9
10
✔✔PT RR - ✔✔1 2 5 7 10
Less than 13 sec
✔✔Intrinsic factors - ✔✔APTT
Collagen and HMWK
Heparin
All factors except 7 and 13
✔✔APTT RR - ✔✔20-40 sec
✔✔Fibrinogen - ✔✔200-400
✔✔Thrombin Time - ✔✔Less than 20
✔✔Glanzmann - ✔✔Abnormal aggregation
All agents decreased
✔✔Bernard soulier - ✔✔Abnormal adhesion
Ristocetin decrease
Giant plt
✔✔Von Willebrands - ✔✔Abnormal adhesion
Decrease ristocetin
, Abnormal VWF
✔✔Positive D dimer - ✔✔Fibrinolysis for DIC
✔✔Primary fibrinolysis - ✔✔Abnormal Pt and APTT
FDP positive
✔✔Secondary fibrinolysis - ✔✔Decrease plt
RBC fragments
Positive Ddimer
Abnormal PT and APTT
FDP positive
✔✔Cytopenia - ✔✔Below reference
✔✔Cytosis - ✔✔Increased above reference
✔✔Philia - ✔✔Increased
✔✔Nephron - ✔✔Major function unit of kidney containing glomerulus and renal tubes
✔✔Glomerulus - ✔✔Filtrate water glucose electrolytes amino acids urea iron acid
creatinine and ammonia
✔✔Proximal tubules - ✔✔Reabsorb water sodium chloride bicarbonate potassium
calcium amino acid phosphate protein and glucose
Glucose has a threshold substance it's reabsorbed at 160 to 1 80 mg/dL or less
Secretes hydrogen ions
✔✔Loop of Henle descending - ✔✔Absorbs water
✔✔Loop of henle ascending - ✔✔Reabsorbs sodium chloride calcium and magnesium
✔✔Distal and collecting tubule's - ✔✔Reabsorb sodium
Secretes potassium ammonia and hydrogen ions
Potassium ions exchanged for sodium ions
✔✔Urea - ✔✔nonprotein nitrogenous substance produced as a result of protein
metabolism
✔✔Aldosterone - ✔✔Comes from the adrenal cortex and increases the rate of sodium
reabsorption
ANSWERS RATED A+
✔✔Megaloblastic - ✔✔B12 deficiency
Folate deficiency
Marcrocytic
✔✔PA - ✔✔B 12 deficiency
Howel Holley bodies
Macrocyclic
✔✔Microcytic because of heme - ✔✔Iron deficiency
Sideroblastic
I disease of inflammation
✔✔Microcytic because of globin - ✔✔Thalassemia
Hemoglobin E
✔✔Iron deficiency - ✔✔Decreased serum ferritin serum iron saturation
Increase TIBC
Microcytic
✔✔ChronicDisease inflammation - ✔✔Decreased TIBC and serum iron
Increase serum ferritin
Microcytic
✔✔PCH - ✔✔Increase bilirubin
Decreased haptoglobin
Positiv dat
Donath landsteiner anti body or anti p
✔✔PNH - ✔✔Membrane defect
Flaer test positive
✔✔A plastic anemia - ✔✔Decreased retics
Hypocellular BM
✔✔Chronic renal disease - ✔✔Decreased EPO
✔✔Sideroblastic anemia - ✔✔Iron overload
✔✔Prussian blue - ✔✔Iron
✔✔Auer rods - ✔✔AML
,✔✔PV - ✔✔Jak 2 mutation
✔✔Hodgkin lymphoma - ✔✔Reed stern berg cell
✔✔Factor 1 - ✔✔Fibrinogen
✔✔Prothrombin factors - ✔✔2
7
9
10
VK
✔✔Extrinsic factors - ✔✔PT
Ca
Coumarin or Warferin
2
7
9
10
✔✔PT RR - ✔✔1 2 5 7 10
Less than 13 sec
✔✔Intrinsic factors - ✔✔APTT
Collagen and HMWK
Heparin
All factors except 7 and 13
✔✔APTT RR - ✔✔20-40 sec
✔✔Fibrinogen - ✔✔200-400
✔✔Thrombin Time - ✔✔Less than 20
✔✔Glanzmann - ✔✔Abnormal aggregation
All agents decreased
✔✔Bernard soulier - ✔✔Abnormal adhesion
Ristocetin decrease
Giant plt
✔✔Von Willebrands - ✔✔Abnormal adhesion
Decrease ristocetin
, Abnormal VWF
✔✔Positive D dimer - ✔✔Fibrinolysis for DIC
✔✔Primary fibrinolysis - ✔✔Abnormal Pt and APTT
FDP positive
✔✔Secondary fibrinolysis - ✔✔Decrease plt
RBC fragments
Positive Ddimer
Abnormal PT and APTT
FDP positive
✔✔Cytopenia - ✔✔Below reference
✔✔Cytosis - ✔✔Increased above reference
✔✔Philia - ✔✔Increased
✔✔Nephron - ✔✔Major function unit of kidney containing glomerulus and renal tubes
✔✔Glomerulus - ✔✔Filtrate water glucose electrolytes amino acids urea iron acid
creatinine and ammonia
✔✔Proximal tubules - ✔✔Reabsorb water sodium chloride bicarbonate potassium
calcium amino acid phosphate protein and glucose
Glucose has a threshold substance it's reabsorbed at 160 to 1 80 mg/dL or less
Secretes hydrogen ions
✔✔Loop of Henle descending - ✔✔Absorbs water
✔✔Loop of henle ascending - ✔✔Reabsorbs sodium chloride calcium and magnesium
✔✔Distal and collecting tubule's - ✔✔Reabsorb sodium
Secretes potassium ammonia and hydrogen ions
Potassium ions exchanged for sodium ions
✔✔Urea - ✔✔nonprotein nitrogenous substance produced as a result of protein
metabolism
✔✔Aldosterone - ✔✔Comes from the adrenal cortex and increases the rate of sodium
reabsorption
