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ASCP-MLT試験は、医療技術者になりたいと考えている個人の知識とスキルを試験するための認定試験です。この試験に合格することは認定の要件であり、アメリカ全土の雇用主に認められています。この試験は、医療技術に関連するさまざまなトピックをカバーし、コンピュータで実施されます。対象者は、登録資格要件を満たしてASCP-MLT試験に登録し、認定医療技術者になるための第一歩を踏み出すことができます。
ASCP-MLT認定試験は、医療検査の専門家として成功するために必要な知識と技能を厳密かつ包括的に評価する試験です。この分野でキャリアアップを目指す個人にとって必須の資格であり、雇用主や規制機関から高い評価を受けています。
ASCP ASCP-MLT試験は、認定医療技師（Medical Laboratory Technician、MLT）になりたい個人のための認定試験です。この試験は、アメリカ臨床病理学会（ASCP）によって実施され、医療業界全体で医療技術の卓越性の証として認められています。
質問 # 128
In DNA complementary base pairing, guanine and cytosine pair and adenine and thymine base pair.
Remembering the phrase "G-CAT" helps one recollect correct pairing.
Which nitrogen base would bind with a guanine nucleotide in forming double-stranded DNA?
- A. Cytosine
- B. Uracil
- C. Thymine
- D. Adenine
正解：A
質問 # 129
Fatty casts contain refractile oval fat bodies or free fat droplets. They are derived from renal tubular cells, and may be seen in nephrotic syndrome.
Identify the urine sediment element:
- A. WBC cast
- B. Granular cast
- C. Waxy cast
- D. Fatty cast
正解：D
質問 # 130
As a general rule, CSF glucose is about two thirds of the serum glucose measured in a normal adult.
Chemistry
Which of the following would be considered a normal cerebrospinal fluid glucose if the serum glucose is 70 mg/dl?
- A. 60 mg/dl
- B. 100 mg/dl
- C. 70 mg/dl
- D. 45 mg/dl
- E. 30 mg/dl
正解：E
質問 # 131
Joint pain is a common early symptom of HH. Cirrhosis of the liver, cardiomyopathy, and diabetes are late symptoms of HH.
What is a common early symptom of hereditary hemochromatosis (HH)?
- A. Cardiomyopathy
- B. Joint pain
- C. Diabetes
- D. Cirrhosis of the liver
正解：B
質問 # 132
One agency that accredits education programs for clinical laboratory personnel is the:
- A. National Accrediting Agency for Clinical Laboratory Sciences (NAACLS)
- B. North Central Association (NCA)
- C. American Society for Clinical Laboratory Science (ASCLS)
- D. American Society for Clinical Pathology (ASCP)
正解：A
質問 # 133
Myoglobin rises typically within 2-4 hours after a myocardial infarction and stay elevated for days, with a peak at the 6-9-hour mark post-MI. After myoglobin, troponin is the next fastest to rise afer a mycardial infarction and can rise within 3-4 hours with a peak around 12 hours post-MI. LD (8-12 hours, 24-48 hour peak) and CK (4-6 hours with peak at 24-36 hours) will also rise after MI, but are not as fast to rise as myoglobin and troponin.
Chemistry
A patient is admitted to the hospital with acute chest pain, but which of the following cardiac markers will be elevated FIRST if the patient had an MI?
- A. LD
- B. CK
- C. Myoglobin
- D. Troponin
正解：C
質問 # 134
The A and B antigens are present on the red cells of an AB patient. H antigen is a precursor to the ABO antigens.
An individual with type AB blood will demonstrate the complete absence of which of the following antigen sites?
- A. A
- B. None of the above
- C. H
- D. B
正解：B
質問 # 135
The red blood cell distribution width (RDW) increases as the severity of alpha thalassemia increases because of changing MCV as the bone marrow produces smaller cells. In addition, if Hemoglobin H bodies are present, they result in the formation of schiztocytes (RBC fragments) that can have an effect on the MCV and RDW.
The Red cell Distribution Width (RDW) in alpha thalassemia is
- A. dependent upon severity
- B. within normal limits
- C. usually increased
- D. usually decreased
正解：A
質問 # 136
Which of the following tubes contains an anticoagulant that does not bind calcium?
Question options:
- A. Green
- B. Gray
- C. Lavender
- D. Light blue
正解：A
質問 # 137
Allergic reactions, bacterial/viral meningitis do not cause the presence of blasts to be noted in the CSF.
Leukemia with CNS involvement will show immature cells, similarly to the peripheral blood smear.
The image is a stained smear of cerebrospinal fluid. The cells present in this field may indicate what condition?
- A. viral meningitis
- B. allergic reaction
- C. bacterial meningitis
- D. leukemia with CNS involvement
正解：D
質問 # 138
The agency within Department of Health and Human Services (DHHS) responsible for implementing CLIA'88 is:
- A. Commission on Office Laboratory Accredition (COLA)
- B. Clinical and Laboratory Standards Institute (CLSI)
- C. Health Insurance Portability and Accountability (HIPPA)
- D. Centers for Medicare & Medicaid Services (CMS)
正解：D
質問 # 139
What two glycoproteins are expressed on the surface of influenza A viruses and are used for subtyping of the viruses?
- A. Glycoprotein41 (gp41)
- B. Glycoprotein120 (gp120)
- C. Neuraminidase
- D. Hemagglutinin
正解：D
質問 # 140
Either immunofixation or immunoelectrophoresis can be used to confirm Bence-Jones proteinuria.
Which of the following methods would be used to confirm the presence of Bence-Jones protein in the urine:
- A. Isoelectric focusing
- B. Immunofixation
- C. Urine protein electrophoresis
- D. Sulfosalicylic acid
正解：B
質問 # 141
The ApoB/ApoA1 ratio has a positive risk marker (ApoB-100) and a negative risk marker (ApoA1). Risk diminishes as ApoA1 goes up (a negative marker) and risk increases in proportion to ApoB concentrations (a positive risk marker). This 'double-edged sword' provides good risk prediction. The other risk markers in question do not have this dual-advantage.
Which risk marker has both positive and negative cardiovascular risk integrated into its measurement?
- A. hs-CRP
- B. Oxidized LDL
- C. LpPLA2
- D. ApoB/ApoA1
正解：D
質問 # 142
Which specimen should be collected last?
Question options:
- A. Specimen requiring special handling
- B. STAT specimen
- C. Fasting specimen
- D. Clotted specimen
正解：B
質問 # 143
Charcot-Leyden crystals in stool are thought to be created from damaged eosinophil byproducts. These crystals have a strong association, although they are rare, with parasitic infections or allergic reactions.
Charcot-Leyden crystals in stool may be associated with an immune response and are thought to be the breakdown products of:
- A. lymphocytes
- B. eosinophils
- C. neutrophils
- D. monocytes
- E. basophils
正解：B
質問 # 144
FFP that has been thawed at 30 - 37oC and maintained at 1 - 6oC must be transfused within 24 hours. In contrast, "Thawed Plasma" can be used for up to 5 days as a replacement therapy for patients requiring stable clotting factors. Keep in mind that these are two different component types and you are asked about FFP.
Blood Bank
FFP that has been thawed at 30 - 37oC and maintained at 1 - 6oC must be transfused within ___________ after it has been thawed.
- A. 24 hours
- B. 5 days
- C. 8 hours
- D. 10 days
- E. 12 hours
正解：A
質問 # 145
Which of the following statements applies to the venipuncture procedure?
- A. all of the above
- B. selecting and preparing the puncture site is part of the procedure
- C. Standard Precautions must be observed
- D. the procedure includes preparation of the patient
正解：A
質問 # 146
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