ASCP ASCP-MLT Exam Overview:
| Certification Vendor: | American Society for Clinical Pathology Board of Certification (ASCP BOC) |
| Exam Name: | Medical Laboratory Technician |
| Exam Number: | MLT(ASCP) |
| Real Exam Qty: | Approximately 100 |
| Exam Duration: | 150 minutes |
| Related Certifications: | MLS(ASCP) Medical Laboratory Scientist PBT(ASCP) Phlebotomy Technician |
| Exam Price: | Application fee (USD 235–250, varies by region and international discounts) |
| Certificate Validity Period: | Certification maintenance required (completion of ongoing continuing education every 3 years) |
| Exam Format: | Computer Adaptive Testing (CAT), Multiple-choice questions (one best answer) |
| Passing Score: | Scaled score of ≥ 400 (on 100–999 scale, CAT scoring) |
| Available Languages: | English |
| Sample Questions: | ASCP ASCP-MLT Sample Questions |
| Exam Way: | Computer-based testing delivered at Pearson VUE test centres |
| Pre Condition: | Completion of accredited MLT program or equivalent education/training OR relevant clinical experience following ASCP BOC eligibility routes |
| Official Syllabus URL: | https://www.ascp.org/boc/explore-credentials/view-all-credentials/MLT |
ASCP ASCP-MLT Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Laboratory Operations | 5–10% | - Quality assessment and safety - Instrumentation and laboratory mathematics |
| Microbiology | 15–20% | - Virology and parasitology testing - Bacteriology and mycology procedures |
| Blood Banking | 15–20% | - Transfusion practice and testing - Blood group systems and immunology - Blood products and components |
| Urinalysis and Other Body Fluids | 5–10% | - Physical and chemical testing - Microscopic analysis and disease correlation |
| Immunology | 5–10% | - Principles of immunology - Serologic procedures and immune diseases |
| Chemistry | 20–25% | - Carbohydrates, lipids, and enzymes - Electrolytes, acid-base, and toxicology |
| Hematology | 20–25% | - Laboratory testing and hemostasis - Physiology and disease states |
ASCP MEDICAL LABORATORY TECHNICIAN - MLT(ASCP) Sample Questions:
1. If Kappa or Lambda is predominant and CD5 is co-expressed with CD19 (CD19/CD5 dual positive lymphocyte population), and CD23 is expressed, chronic lymphocytic leukemia is a probable diagnosis. CD19 is normally found on normal B cell populations and CD5 is normally found on mature T cell populations.
However, CD5 is present on B cells in B-chronic lymphocytic leukemia or Mantle Cell Lymphoma, both abnormal B cell malignant processes.
CD23 expression is not consistent with Mantel cells as shown on the decision tree on the right.
A monoclonal B-cell population (Kappa or Lambda predominant) with expression of CD19, CD20, CD23, and co-expression of CD5 is consistent with which of the following?
A) Mantle cell lymphoma
B) A normal B cell
C) Chronic lymphocytic leukemia
D) A mature T cell
2. A dilution commonly used for a routine sperm count is a 1:20.
A dilution commonly used for a routine sperm count is:
A) 1:2
B) 1:400
C) 1:200
D) 1:20
3. Shigella and Salmonella are not found as normal flora in the gastrointestinal tract.
Which of the following are not considered normal flora of the gastrointestinal tract:
A) Lactobacillus
B) Shigella
C) Peptostreptococcus
D) Clostridium
4. Provide the equivalent measurement for one pint.
A) 0.1 liter
B) 0.474 liters
C) 4.2 liters
D) 0.25 liters
5. PCT usually rises within 3-6 hours of infection. CRP also increases rapidly following infection, but is not as specific for infection as PCT. A rise in CRP could also occur with SIRS. Lactic acid is usually used to detect and monitor impaired circulation and tissue oxygenation in critically ill patients.
Chemistry
Of the three laboratory tests that are listed, which has proven to be most effective for early differentiation of systemic inflammatory response syndrome (SIRS) from sepsis due to its increase following infection and higher specificity?
A) Lactic acid
B) Procalcitonin (PCT)
C) C-reactive protein (CRP)
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: B |
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