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ASCP ASCP-MLT Exam Overview:

Certification Vendor:ASCP Board of Certification (ASCP BOC)
Exam Name:MEDICAL LABORATORY TECHNICIAN - MLT(ASCP)
Exam Number:ASCP-MLT
Exam Price:$235 USD (standard); $215 USD (reduced for eligible regions)
Exam Format:Computer Adaptive Testing (CAT), Multiple-choice questions
Related Certifications:MLT(ASCPi)
MLS(ASCP)
PBT(ASCP)
Real Exam Qty:100
Exam Duration:150 minutes
Passing Score:400 (scale 0-999)
Available Languages:English
Certificate Validity Period:3 years (renewable via CMP)
Recommended Training:ASCP Recommended Reading List
ASCP BOC MLT Content Guideline
Exam Registration:ASCP BOC Official Application Portal
Pearson VUE Testing Center Scheduling
Sample Questions:ASCP ASCP-MLT Sample Questions
Exam Way:Proctored computer-based testing at authorized Pearson VUE test centers
Pre Condition:Associate degree or 60 semester hours from accredited institution + completion of NAACLS/ABHES-accredited MLT program OR approved education + clinical experience; multiple eligibility routes available
Official Syllabus URL:https://www.ascp.org/boc/explore-credentials/view-all-credentials/MLT

ASCP ASCP-MLT Exam Syllabus Topics:

SectionWeightObjectives
Hematology20-25%- Red blood cell physiology and disorders
- Hemostasis and coagulation testing
- White blood cell morphology and diseases
- Routine and automated hematology procedures
Microbiology15-20%- Bacteriology and antimicrobial susceptibility
- Identification of pathogenic microorganisms
- Mycology, parasitology, and virology
- Specimen collection and culture techniques
Clinical Chemistry20-25%- Toxicology and liver/kidney function tests
- Electrolytes, acid-base balance, and blood gases
- Carbohydrates, lipids, proteins, and enzymes
- Endocrinology and therapeutic drug monitoring
Laboratory Operations5-10%- Laboratory mathematics and instrumentation
- Pre-analytical, analytical, and post-analytical processes
- Laboratory safety and regulatory compliance
- Quality control and quality assurance
Blood Banking (Immunohematology)15-20%- Antibody detection and identification
- Compatibility testing
- Transfusion reactions and adverse events
- Blood group systems and antigens
- Blood components and storage
Immunology and Serology5-10%- Immunologic testing methodologies
- Immune system principles and components
- Infectious disease serology
- Autoimmune and immunodeficiency disorders
Urinalysis and Other Body Fluids5-10%- Urine formation and composition
- Physical, chemical, and microscopic analysis
- Cerebrospinal, serous, and synovial fluids
- Semen and amniotic fluid testing

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

1. Conversion of only the slant to a pink color in a Christensen's urea agar slant is produced by bacterial species that have weak urease activity. The reaction in the slant to the right is often produced by Klebsiella species, as an example. Strong urease activity is indicated by conversion of the slant and the butt of the tube to a pink color, as seen in the tube to the left. The slant only reaction in the right tube may be seen early on if only the slant had been inoculated; however, with a strong urease producer, both the slant and the butt would turn.
Therefore, the reaction is dependent on the strength of urease activity. If the media had outdated for a prolonged period, either there would be no reaction or the appearance of only a faint pink tinge, either in the slant, the butt or both, again depending on the strength of urease production by the unknown organism.
The urease reaction seen in the Christensen's urea agar slant on the far right indicates:

A) Weak activity
B) Use of outdated medium
C) Strong activity
D) Slant only inoculated


2. Allergen-specific IgE, synthesized in response to allergens, becomes fixed to receptors on cellular membranes, especially those of basophils. If these receptor-bound IgE molecules are aggregated on re-exposure to specific allergen, both mast cells and basophils produce mediators that result in the allergic response. IgE-antigen interaction at the cell surface causes degranulation of cells and release of substances including: histamine, SRS-A, platelet activator, a kallikrein, and an eosinophil chemotactic factor. Basophils are the principal cells that bind IgE antibody while their number of receptor sites is proportional to serum IgE levels. Eosinophils are drawn to the site by the basophil chemotaxis mechanism, but are not the main cell which binds the IgE antibody.
Immunology
The mediator cells that bind MOST to IgE antibodies are:

A) Polymorphonuclear neutrophils
B) Macrophages
C) Eosinophils
D) Basophils


3. Triglyceride blood concentrations change significantly when you eat, as opposed to relatively stable levels of cholesterol, HDL, or LDL circulating in the blood. Whenever you eat a meal that contains fat, your triglyceride levels rise, which is why it is important to have a patient fast before the sample is collected.
Which of the following lipid results would be expected to be FALSELY elevated on a serum specimen from a non-fasting patient?

A) triglyceride
B) LDL (not calculated)
C) HDL
D) cholesterol


4. The correct set of patient data would be: Hgb A = 60%, Hgb S = 38%, Hgb A2 = 2%, Hgb F = 0% Patients with sickle cell trait commonly have Hgb A values between 40 and 60%, Hgb S values between 20 and 40% and Hgb A2 values between 2 and 3%.
A known sickle cell trait patient has a hemoglobin electrophoresis test performed. Which of the following hemoglobin percentage sets would most closely match this patient's diagnostic state?

A) Hgb A = 60%, Hgb S = 38%, Hgb A2 = 2%, Hgb F = 0%
B) Hgb A = 90%, Hgb S = 8%, Hgb A2 = 2%, Hgb F = 0%
C) Hgb A = 40%, Hgb S = 58%, Hgb A2 = 2%, Hgb F = 0%
D) Hgb A = 25%, Hgb S = 70%, Hgb A2 = 2%, Hgb F = 3%


5. Basophilic stippling is strongly associated with lead poisoning the lead toxicity can affect the bone marrow; causing this phenomenon.
Hematology
What is a prominent morphologic feature of lead poisoning:

A) Basophilic stippling
B) Hypersegmentation
C) Macrocytosis
D) Target cell


Solutions:

Question # 1
Answer: A
Question # 2
Answer: D
Question # 3
Answer: A
Question # 4
Answer: A
Question # 5
Answer: A

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