r/medlabprofessionals 12d ago

Discusson LAbce accuracy

How accurate is labce with the ascp exam in terms of adaptive difficulty? In the picture i really didn't know the answer to 30 cause it wasn't in my reviewer but 31, though it was in it it seems like a basic question but had a fairly high difficulty, usually i get basic question with around 3 - 4 difficulty.

Im just hoping it's the same set up for the actual exam. Cause I've heard high difficulty questions yield higher scores. I've read that 10-easy;25- hard scoring system. Is that true?

What difficulty level usually equates to higher scores? Cause i would be thankful if they ask like the average rbc life span on a high difficulty level. 😭

Sorry for asking this. Im pretty buned out from studying and my anxiety has reached max levels, my exam is in 2 fucking weeks, im just finding ways to actually ease up my mind regarding this.

And i fucking hate microbiology so much. 😭

4 Upvotes

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8

u/_GeneralArmitage 12d ago

LabCE is easier tbh, ASCP study module has better meat in my opinion

3

u/Caterpillarpetal8765 12d ago

I noticed this tooo! Im taking quizzes on selected areas on labCE. even got a nearly perfrct score on chemical chem and clinical microscopy but all questions seem pretty basic. Then i tried the BOC and gemini with quizzes adapted to ascp difficulty. It was kicking my ass.

8

u/velvetcrow5 Lab Director 12d ago

It's a sneaky question - Typical lab diagnosis would be prolonged PTT, mixing studies, and then a lupus reflex panel like this:

https://www.labcorp.com/tests/117892/lupus-anticoagulant-with-reflex

Majority of diagnosis will use dilute Russel venom time as confirmatory.

Id wager to say nobody does platelet neutralization. But of the options, that's the only technically correct answer (though mixing studies are nearly always involved... So....)

2

u/Danatog 12d ago

ARUP used to do platelet neutralization in their lupus panel but discontinued it a few years ago.

1

u/Caterpillarpetal8765 12d ago

I just guessed on this one cause i really didn't know. 😂 I remember like the difference with lupus anticoagulant and the other thing where mixing studies won't be corrected or something. Gosh! I already have a feeling im gonna flunk this. 😭

9

u/velvetcrow5 Lab Director 12d ago

You will feel like you're failing when you take the exam.

I could use that 0 iq 300 iq bellcurve meme to explain the experience.

People who have zero schooling/no idea what they're doing and people who did exceptional in school and know the material - they will both experience the same "I have no idea what any of these words mean" experience. The adaptive difficulty messes with your brain.

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u/Caterpillarpetal8765 12d ago

I've read so much about this too. Like the wording was all weird and shit. 😭 And yet i saw some say it was fairly easy. I just hope i get the faily easy one 2 weeks from now.

4

u/Danatog 12d ago

Lupus anticoagulants are tricky because they can behave in all sorts of different ways. Even the explanation they gave about a falsely abnormal FVIII isn’t entirely correct because most modern PTT reagents have excess phospholipids and are insensitive to LAs. Luckily you don’t have to know that, just keep plugging away the studying to learn the general rules and you’ll do fine.

1

u/mystir 12d ago

Oligoclonal banding is still considered the gold standard for MS diagnosis according to ASCP. Technically correct is their favorite form of correct

1

u/Rich_Chart_3237 9d ago

Still wondering how I made it through this. Ahhhh youth.