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Last Updated: Sep 15, 2026

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ASCP ASCP-MLT Exam Syllabus Topics:

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

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

Question #1

"Universal donor", (a misnomer) is usually applied to group O, Rh negative blood. Although it may be necessary to use group O, Rh negative blood in an extreme emergency, it is preferable to use type specific blood for emergencies.
In an extreme emergency , if the ABO and Rh type are unknown which of the following should be given to the patient?

  • A. Group O, Rh positive blood
  • B. Group O, Rh negative blood
  • C. Any blood type is OK
  • D. Group AB, Rh negative blood
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #2

All of the following have been an inspection deficiency for CLIA-approved laboratories except:

  • A. The laboratory needs to verify the proper storage for reagents and patient specimens.
  • B. The laboratory needs to verify that written policies and procedures are established for patient testing.
  • C. The laboratory needs to verify that the eyewash stations are properly functioning.
  • D. The laboratory needs to verify the accuracy of any test or procedure it performs.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Question #3

In radioimmunassay, a fixed concentration of labeled antigen is incubated with a constant amount of antiserum such that the concentration of antigen binding sites on the antibody is limiting. If unlabeled antigen is added to this system, there is competition between labeled antigen and unlabeled antigen for the limited and constant number of binding sites on the antibody, and thus the amount of labeled antigen bound to antibody will decrease as the concentration of unlabeled antigen increases.
Which of the following choices is correct when describing the principles of competitive radioimmunoassay procedures?

  • A. antibody will react with labeled antigen only
  • B. antibody will react equally with labeled and unlabeled antigen
  • C. antibody will react directly with radioactive labeled immunoglobulin
  • D. antibody will react preferentially with the labeled antigen
  • E. antibody will react preferentially with the unlabeled antigen
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #4

Limited to blood and body fluids visibly contaminated with blood

  • A. Isolation
  • B. Pathogenic
  • C. Universal Precautions
  • D. Transmission Precautions
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Question #5

Valine substitutes for glutamic acid in the Beta 6 position to produce HbS.
To produce hemoglobin S, glutamic acid that is normally present in the sixth position on the beta globin chain is substituted with which of the following?

  • A. Guanine
  • B. Thyamine
  • C. Cystine
  • D. Valine
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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