147 Responses to QUESTIONS

  1. crystal says:

    can you mark the correct answers

  2. Carol says:

    What type of Micro questions should I expect?

    • wordsology says:

      very straightforward questions (this rxn is pos while this rxn is neg – deduce the organism, etc). The micro charts should be all you would need to answer most such questions on the exam.

  3. Sandra McHugh says:

    Hey there, I was just going through the questions and q16 about HIV, I just cant seem to find the answer in my notes, I understand that additional testing is needed, is the correct response to do the CD4 count? Also q27 about the casts, I just cant seem to find the answer anywhere!! Sorry, usually I wouldn’t be so lazy and go look it up myself but can’t find it anywhere!!!

    • wordsology says:

      Hey Sandra,
      With regards to #16, you would run a western blot for HIV-2. The positive ELISA tells you the pt has either HIV 1 or 2. To confirm and determine which one, you need to run a western blot which is more specific. The Western blot for HIV 1 was negative so run one for HIV 2.
      With regards to #27, the answer is ‘hyaline casts’. Fiber strands from diapers may appear in urine and sometimes be mistaken for hyaline casts.
      Thanks for the questions and feel free to ask any time. I probably should have put the answers up anyway.

    • baby says:

      q27 is hyaline cast I think

  4. T says:

    I am sorry to be a bother but could you put up the answers tonight for each question,taking exam on Monday and just want to ensure I have the correct answers. Thanks.

  5. Sumer says:

    I was wondering if you were willing to include the answers to your questions above? Thanks, this has been a lot of help.

  6. Hi, would you mind, if ever you have time to give all the answers to questions… Im beginning to write down all your notes a couple days ago, thank you and it helps a lot, now im feeling better, a little bit worries sometimes…. THANKS…

  7. Hi, would you mind to give all the answers to the questions if ever you have time? Im beginning to wrote it down your notes a couple days ago, thank you and it helps a lot, im feeling better now, sometimes a little worries when I dont understand some of your notes in micro coz of difficulty to understand your handwriting and not clear enough to read… Thank you and I really appreciate your big help…

  8. Kidnkatmom says:

    Took the test today and Passed! I got some of the same questions. I got #14 and one similar to 15. Mine was that enzyme controls were 3 standard deviations below the mean and non enzyme samples were only 2 SD below. I answered temperature of machine too low (enzyme activity is dependent on temperature and increases when temps increase).I also got 16 (or one very similar), 23 and 25. Lots of Coag questions but most were not disease states, they had to do with with QC/troubleshooting or contaminated specimens. I had many (8 or more) of QC troubleshooting on different analyzers (coagulation, blood gas analyzer and spectrophotometer).
    The materials I used were: this site, Harr book, Bottom Line approach, Polansky cards and LabCe

  9. Patrick says:

    the answer for #23 should be.. rule out K and confirm the presence of C (which isnt in the choices)
    Patient has anti-c so C is present.

    • wordsology says:

      the answer is actually D) rule out c but cannot confirm the presence or absence of K on the patient red cells

      The question is asking about the ANTIGENIC makeup of the patients red cells – not their antibodies. The fact that the patients serum reacts with c antigen does tell you that the patient has anti-c antibody circulating in their blood. Therefore, the patient must not have c antigen on their red cells. In addition, it is clear that the patient is not producing antibodies against K. Unfortunately, this does not tell you whether the patient does or does not have K antigen on their red cells.

  10. Patrick says:

    #16 says HIV-1 Western Blot is inconclusive. I’d go for the CD4 count since CD4 is decreased in HIV patients. Great and helpful site btw man.

    • wordsology says:

      This is a tricky question Patrick and i’m really happy that you tried to answer it here because it’s going to help a lot of people. Actually, the answer is supposed to be D) do an HIV-2 Western Blot, and i’ll explain why.

      You are PRETTY SURE that the person has EITHER HIV-1 or HIV-2 b/c the combination ELISA test tells you so. This is a cheap, catch-all test so it’s run first. However, this test can give you false positives and you don’t want to go around telling someone they have this disease unless you’re sure they have it.

      Thus, a more expensive, time consuming and sure confirmation for the ELISA test is a Western Blot. This test is specific so it can differentiate btwn HIV-1 and HIV-2. Since the Western Blot for HIV-1 came back as inconclusive, there’s a good chance that when you run the Western Blot for HIV-2 it will come back positive. Thus, you would run an HIV-2 western blot. I hope that helps.

      • Kidnkatmom says:

        I think one needs to really read the questions carefully. I had a questions similar to #16 but it wasn’t a combined ELISA. It was two screening tests that were positive then the Western Blot was negative. I can’t remember all the choices ( CD4 count and HIV-2 were NOT possibilities) but the only one that made sense to me was to rerun the Western Blot.
        Just a caution for those who have not taken the test that questions they get may have very subtle differences in questions and to not automatically assume the questions are identical.

      • wordsology says:

        great advice – thank you so much for contributing

  11. hou says:

    Hi wordsology,
    Thank you for this great website,I am going to take ASCP chemistry in about 3 weeks but I am lost. I don’t know if I will make it.especialy I am not working in the lab field anymore what do you advice me ?I have the Polansky cards and LabCE
    Thank you

    • wordsology says:

      3 weeks out – absolutely do 50-100 chemistry questions every day on labce. Look at the explanations and understand the “why” or “why not” for each answer. Refer to Polansky cards as a reference if you need to do so but answer these questions on your own once you’re 2 weeks out. It’s very important to make mistakes and learn from them. Good luck hou

  12. ferasha says:

    In regards to question 22 – what would the answer be?

    • ferasha says:

      My thought process for question 22 was that to confirm the presence of Syphilis you would use TP-PA, whereas VDRL is used more for screening/or monitoring of treatment?

      Also, one other question I had was in regards to number 1. I am struggling between answer b and d. Could you please explain to me the rationale behind this.

      One other thing. How do you feel the scores of Labce correlate with the actual ASCP exam. For example, what scores should you be getting before heading in to take the exam.

      Thanks for your help as it is greatly appreciated. 🙂

  13. tm89 says:

    hi I started my mls program this past January ill be done next may and I want to start studying now, do you know if charts like the levey Jennings charts and rules are on the exam? lol I hate those

    • wordsology says:

      yes! Know the basic Levy-Jennings charts. Come to think of it, i’m pretty sure I had one on my exam. It’s super basic though – only a few kinds of common errors that you ought to be aware of. Good luck

  14. rosy says:

    The answer to number 27 is fine granular cast. I looked this up . Please wordsology double check your response. Thanks

    • wordsology says:

      I am pretty certain it’s a hyaline cast – I say this because I remember someone actually teaching me this – diaper strands, for example, look like hyaline casts under the microscope. If you have found a reputable source that says otherwise, do refer me to it.

  15. rosy says:

    Look up Scroll down to the fiber verses fine granular casts. It’s hard to find some of the answers but check it out and get back to me. This website is pretty good, are you a mlt or cls? Is this website based on cls or mlt? I know the test are similar thanks

  16. rosy says:

    Under search type in urine casts……

  17. Scott Bates says:

    Hi! Interested in what the correct answers are 🙂

  18. John Paul Bartolome says:

    Thanks for the answer. :)) by the way. Im still underage. And still cant get my license number. Is it ok if i will send my notarized TOR? Can i send it thru email or fax??

  19. LF says:

    Your site is awesome!!! Can you email me the answers? I take the test next week but I am freaking out because I keep getting 54 on the Adaptive Mode 😦 Should I postponed my test? Thanks for any advice.

  20. James says:

    Just passed my MLS ASCP thanks for your help!

  21. Jun3BuG says:

    Hello wordsology! Took the ASCP MLS exam and passed!!!! Good luck to everyone studying in the future. Here are my own personal tips of things to focus on.

    Hematology/Coag: Make sure you definitely understand coagulation and interpreting problems related to it (reagents used in PT, aPTT, know what other tests would mean i.e. TT, bleeding time), know inhibitors and how to correlate lab data. Know everything mentioned on this site for Hemo.

    Blood Bank sample problems similar to those seen on my exam:
    1. A patient has anti-K. You need 8 units of blood. How many units would you need to screen? (It did not provide antigen frequencies so get a good idea of some of these in order to solve the problem).
    2. Mother: O, Rh = Antibody screen was negative
    Baby: A, pos Dat: 2+
    What antibodies would be found on the babies cells?
    • Anti-A,B
    • Anti-D
    • Anti-E
    ***Additionally, know when to perform elutions and resolve issues with type and screens.***

    Chemistry/UA: Unconjugated prehepatic v hepatic jaundice v conjugated hepatic jaundice etc. Everything about bilirubin! Know how to correlate UA microscopic with chemistry and identify discrepancies.
    Definitely know sensitivity v specificity and be able to solve if given data for these. Anyway, good luck folks!
    This website definitely helps but study hard! Success and Polansky cards are super helpful.

  22. Mike says:

    Unfortunately I did not pass. I was surprised no glucose related questions/diabetes questions. No sensitivity or specificity question, no acid/base questions. I wouldve killed for half of the questions here. I was getting 54% on LabCe adaptive test and 80% on the MT exam. Im guessing it was just bad luck of the draw. I had a bunch micro, and quite a few mycology and paristology.

    • wordsology says:

      It really is luck of the draw. If you had so many questions from mycology then you had a more difficult exam in my opinion. I’m not certain if 54% on the adaptive mode is great though – over 60% is probably more indicative of a decent grasp of the material.

      • Mike says:

        Yeah I got some higher in the 60’s but my early tests were low 50’s, but for some reason I always got the same repetitive questions for level 9, Immunoassay for monitoring drug therapy and another one so when I got higher scores I really didnt think much of it because I knew the questions. I also got a lot of spectrophotometer questions on my ASCP test. No formulas which I thought was odd, I forgot a non programmable calculator, but didnt matter. Either way your notes did help a lot. The coagulation diagram is so easy to remember with the little tips. Hopefully i beef up my parasites and mycology and should be ok.

  23. Jess says:

    I just took the MLT test and did not pass either. About 75% of the questions were micro and bloodbank, well it seemed like it anyway.

    • says:

      Hello wordsology,
      Thank you for putting this together. I am planning to take AMT exam in the next two weeks or so and had been studying LabCE. I am currently BB (ASCP) and MLT (ASCP) and would like to take the AMT exam. Please advise me on this.
      Thank you

    • Jen says:

      I have taken the MLT exam twice and failed both times! I am very discouraged at this point. I have studied the Bottom Line Approach book, the Polansky review cards, and labce. I do not know what else to do to prepare myself for this exam. The questions they ask are so confusing! Anyone have any ideas to help?

      • jesse says:

        the Labce website it did it for me, I passed my exam 2 weeks ago and studied Labce, and the ‘Bottom line ‘Book, also used the Harr lab review book Labce is worth it, it lets you keep track of your progresss and to study your problem areas, I did a 100 exam everyday for the last week or so leading up my exam and use the bottom line book to give me fun little ways of rembering things. The Harr review is good for giving you the answers in good detail , the correct one, as well as, why the others are wrong…..
        O, and what i did when I took my exam, the computer will let you review your answer at the end of the exam, and change a answer if you choos, I suggest not to,, in my case, I went with my first answer .. Good Luck

  24. jsp132 says:

    How are you studying?

    When you got your results back did it say your weakness?

  25. Mike says:

    I just got my results and only failed by 8 points. I know I changed about 8 answers that I know now were originally right. My best advice is stick with your gut. You spent 4-5 years doing the schooling, have confidence in yourself. I let the whole process freak me out and second guessed myself. I graduated Magna Cum Laude so I dont know why I didnt trust my first instinct.

  26. Jing says:

    Hi wordsology,
    If you have time can you mark the correct answers please. thank you so much really appreciate…:)

  27. Mike says:

    I hope there was more info on #12 that was forgotten. From those results it would be either k. oxytoca or E. coli, but not enough to tell in my opinion. They both appear mucoid from what I remember and both are A/A with gas on TSI and both indole positive.

    • ninkendo says:

      E.Coli while pink usually isn’t described as mucoid in most cases. The answer is definitely K. oxytoca. The question was hoping you could tell the difference between different species of Klebsiella in which case oxytoca is indole positive.

      Anyway I’m taking my ASCP for MLS tomorrow morning. I hope I’m ready.

  28. Jenna says:

    Hi Wordsology,
    I graduated CLS program 7 years ago. I am so out of touch of all my study (work, kids and household chores). Do you think 3 months would be enough for studying ?
    How many times can we take the exam (if I fail)?

    • wordsology says:

      It really depends on you. I can’t answer that question. I believe if you have a basic foundation then 3 months is definitely enough.

    • Job George ASCP MLS + ASCP Hematology says:

      Two months Off from work , LabCE , Avoid Contact from Human Species, Youtube Lecture videos, 7 hours Sleep and the Life Changer High Yield Notes

  29. momOF2princess says:

    Need help on answering this qustion… Exam is next week… THANKZ guys….

    0.1 mL of serum diluted with 1.9 of water in order to resolve above assay range flag. The of this dilution 2.0 mL was taken and added 3 more mL of water and result came out as 120. What is the result that should be reported in the final report on this dilution? A. 600 b. 1200, c. 6000 or c. 12000

  30. Sam says:

    .1ml+1.9ml=2ml 2ml/.1ml=20 dilution factor 2.0ml+3.0ml+=5ml 5ml/2.0ml=2.5 dilution factor

    20*2.5=50 120*50=6,000

  31. Jay says:

    hello my name is Jay I’m going to take the MLS exam on this thursday…. Too nervous right now…
    yesterday and in the morning today… I took computer adapted test 3 times already. the score were
    71,71 and 76 though. am i ready??? hopefully know I’m ready or not….. thanks.

  32. Tiffany says:

    Just pass my MLS yesterday and so excited. Thanks so much wordsology for all advice and micro notes. Study hard everyone. Materials I use just as same as everyone are this site, Harr book, Bottom Line approach, Polansky cards and LabCe. Really need to know the concept instead of memories the questions/answer, they’re all about critical thinking relate question. This is really HARD test ever!!! Good luck everyone and dont give up!

  33. Darlene says:

    Hi! Q#27 Diaper fibers closely resemble waxy casts which can be differentiated with polarized light, diaper fibers are birefringent and will polarize light, but waxy casts will not. Reference: Urinalysis and Body Fluids (Karen Munson Ringsrud, Jean Jorgenson Linne) page 140 & 168. This book is what we currently use in our lab.

  34. Ik says:

    Just took my ascp exam today… For some reason it felt like my whole exam was on Coag and Blood Bank… I need to retake any tips

  35. Roberta says:

    I will be taking my MLS ASCP 2 December, I have been studying almost everyday. I have been taking the LABCE CAT for MT and keep scoring in the 50%. Are there any tips on raising it to 70% to minimize the anxiety.

  36. janessa says:

    hi can anyone tell me the answer for question 10,19 and 26 and 28 please…. thank you..

  37. Roberta says:

    If anyone is having troubles with blood bank anagrams; blood bank guy .org is a great place to begin. There is a step-by-step method that is used. I spent some time and I actually learned some interesting facts. Good Luck!!

  38. nuura says:

    Hello, I am taking MLT exam in 2 weeks and I am only studying from and this website would this be helpful??

    • wordsology says:

      It will help but will it be enough? Your scores on will tell you…

      • nuura says:

        With the help of GOD, I PASSED my ascp mlt exam today! I also wanted to say thanks to worsology your website was realy great and your charts from every subject that you have there are all helpful!!! Thank you very much!!!!

  39. nuura says:

    Hello wordsology! can you email me the answers of this questions please!

  40. fred007 says:

    Hello All and THANK YOU Wordsology !
    I passed ASCP MLS on first try last week and here are the questions I remember :
    1. procaine assay? NAPA I believe so…
    2. cocaine metabolite? Benzoylogoanine
    3. choosing positive and negative reagents for panel? heterogeneous for positive and homogenous for negative
    4. sample for rota virus? stool, blood, …
    5. hair perforation test? differentiation between T.mentogr… & T.rubrum
    6. some picture showing the inappropriate dye or basic and acidic dye effects
    7. picture demonstrating agglutination and asking the cause.
    8. tumor markers? pancreatic cancer? CA19-9, CEA, …

    I think Success and Polanski were enough to pass the test, I studied these 2 and some chapters of Harr and Labce and Passed the test on first attempt.

  41. Lj590 says:

    Are these questions from the MLS exam or MLT?

  42. jing says:

    Would you mind if you put the answers to this questions. thanks for the help…:) much appreciated!

  43. SAra says:


    This website is an excellent tool. Could you please post the answers to the questions.


  44. Sniper says:

    Hi, good day, im about to take my ascp exam very soon, less than 6 days actually, is it possible to have the correct answers on those questions please?

  45. nosa says:

    hi please i want answers of the questions

  46. nosa says:

    hi wordsology I checked my emal didn’t get the answers could you send it again
    thank you

  47. Joy says:

    Hello there, this is an excellent website. I study from this site and this helps me a lot
    Thanks for this website. I was trying this questions, couldn’t find some answers, can you please send me answers for this questions.

    Thanks a lot


  48. Tonia says:

    Hi Wordsology,
    I want to say thank you. This site was so helpful, my second attempt n I pass ASCPi. Use BOC book in my first attempt. I followed ur advice, use labce n was getting avg of 70, use medical lab review forth edition n momerized all ur high yield notes, studies from few text like urinalysis and body fluids fifth edition by Susan king, a beginners guide to blood cells second edition byBarbara Bain and atlas of medical helminthology and protozoology by P.L.Chiondini. Have them in my kindle n willing to give to anyone that want to. I got d exact question u put here, number I, 2,11,17,19 ,22 n 27, though in few they change figure. Got a lot of question from parathyroid , I was ask what is azotomia n option was uric acid, creatinine n BUN. Surface marker for megakaryocte, Sezary syndrome what cell line it affect. Just few I can remember n hope it help somebody. I’m so happy. Thanks a lot n God bless you.

  49. I wish I had checked this website!….I took my first ASCP exam yesterday and the result was “failed”. I admit that I didn’t put my effort to prepare for the exam. I was reading my textbooks and some class notes only and they didn’t help me out. I am working as full Med Tech in the Hospital which I did my clinical rotation, However I must pass the exam to maintain my full time job.
    I know many people get benefited from your valuable suggestion and I need your suggestion to pass this Exam!
    Thank You

  50. Dianne says:

    These are all very helpful and so the other comments! I’ll be taking MLS ASCPi in 3weeks! Hope everything goes well! I’m a Registered Medtech in Philippines btw! 🙂

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