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Medical Technologist Knowledge Flashcards

7 cards from real Medical Technologist Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Which anticoagulant is used in the light blue (sodium citrate) tube and what is the correct blood-to-anticoagulant ratio?

    Answer: Sodium citrate at 9:1

    Light blue tubes contain sodium citrate at a 9:1 blood-to-anticoagulant ratio, critical for accurate coagulation testing.

  2. A patient's peripheral blood smear shows hypersegmented neutrophils (>5 lobes). Which deficiency is most likely?

    Answer: Vitamin B12 or folate deficiency

    Hypersegmented neutrophils are a classic hallmark of megaloblastic anemia caused by vitamin B12 or folate deficiency.

  3. In urinalysis, a positive nitrite result on a dipstick indicates:

    Answer: Gram-negative bacterial infection

    Nitrite is produced when gram-negative bacteria reduce dietary nitrate to nitrite in the bladder.

  4. The QC rule that flags a run when two consecutive control values exceed the same 2s limit on the same side of the mean is:

    Answer: 2-2s Westgard rule

    The 2-2s rule is a warning rule indicating systematic error when two consecutive controls fall beyond ±2s on the same side.

  5. Which hepatitis B serologic marker is FIRST to appear after acute infection and is used to detect the window period?

    Answer: Anti-HBc IgM

    Anti-HBc IgM appears early and persists through the window period when HBsAg has cleared but Anti-HBs is not yet detectable.

  6. A sample showing hemolysis would most likely cause a falsely ELEVATED result for which analyte?

    Answer: Potassium

    Hemolysis releases intracellular potassium from red blood cells into serum, causing spuriously elevated potassium results.

  7. The Gram stain procedure step that differentiates gram-positive from gram-negative bacteria is:

    Answer: Decolorization with acetone-alcohol

    Acetone-alcohol decolorization removes crystal violet from gram-negative organisms (thin peptidoglycan) but not gram-positive ones (thick peptidoglycan).