PA (ASCP) CERTIFICATION EXAM QUESTIONS
WITH CORRECT ANSWERS 2025
Hypertrophys-sCORRECTsANSWERs-
Increasedscellsandsorganssize,softensinsresponsestosincreasedsworkload:sinducedsbysmechanicalsstresssandsb
ysgrowthsfactors;soccurssinstissuesincapablesofscellsdivision
Hyperplasias-sCORRECTsANSWERs-
Increasedscellsnumberssinsresponsestoshormonessandsothersgrowthsfactors;soccurssinstissuesswhosescellssar
esablestosdivide
Atrophys-sCORRECTsANSWERs-
Decreasedscellsandsorganssize,sassasresultsofsdecreasedsnutrientssupplysorsdisuse:sassociatedswithsdecrease
dssynthesissandsincreasedsproteolyticsbreakdownsofscellularsorganelles
Metaplasias-sCORRECTsANSWERs-
Changesinsphenotypesofsdifferentiatedscells,softensasresponsestoschronicsirritationsthatsmakesscellssbettersa
blestoswithstandsthesstress
Hypoxias-sCORRECTsANSWERs-
Oxygensdeficiencyswhichsinterferesswithsaerobicsoxidativesrespirationssandsissansextremelysimportantsandsc
ommonscausesofscellsinjurysandsdeath
Ischemics-sCORRECTsANSWERs-
Losssofsbloodssupplysinsastissuesduestosimpededsarterialsflowsorsreducedsvenoussdrainage
Coagulativesnecrosiss-sCORRECTsANSWERs-
Asformsofstissuesnecrosissinswhichsthescomponentscellssaresdeadsbutsthesbasicstissuesarchitecturesisspreserv
edsforsatsleastsseveralsdays
Liquefactivesnecrosiss-sCORRECTsANSWERs-
Asformsofsnecrosissseensinsfocalsbacterialsorsoccasionallysfungalsinfectionssbecausesmicrobessstimulatesthes
accumulationsofsinflammatoryscellssandsthesenzymessofsleukocytessdigeststhestissue
,Caseoussnecrosiss-sCORRECTsANSWERs-
Asformsofsnecrosissencounteredsmostsoftensinsfocisofstuberculoussinfections
Fatsnecrosiss-sCORRECTsANSWERs-
Termsreferringstosfocalsareassofsfatsdestruction,stypicallysresultingsfromsreleasesofsactivatedspancreaticslipas
essintosthesperitonealscavity
Fibrinoussnecrosiss-sCORRECTsANSWERs-
Asspecialsformsofsnecrosissusuallysseensinsimmunesreactionssinvolvingsbloodsvessels
Autophagys-sCORRECTsANSWERs-Lysosomalsdigestionsofsthescell'ssownscomponents
Apoptosiss-sCORRECTsANSWERs-
Aspathwaysofscellsdeathsthatsissinducedsbysastightlysregulatedssuicidesprogramsinswhichsthescellssdestinedstos
diesactivatesenzymesscapablesofsdegradingsthescellssownsnuclearsDNA
Steatosiss(fattyschange)s-sCORRECTsANSWERs-
RefersstosanysabnormalsaccumulationsofstriglyceridesswithinsparenchymalscellssItsissmostsoftensseensinsthesli
ver
Dystrophicscalcifications-sCORRECTsANSWERs-Depositionssofscalciumsatssitessofscellsinjurysandsnecrosis
Metastaticscalcifications-sCORRECTsANSWERs-
Depositionsofscalciumsinsnormalstissues,scausedsbyshypercalcemias(usuallysasconsequencesofsparathyroidsh
ormonesexcess)
Inflammations-sCORRECTsANSWERs-
Asprotectivesresponsesintendedstoseliminatesthesinitialscausesofscellsinjurysasswellsassthesnecroticscellssandsti
ssuessresultingsfromsthesoriginalsinsult
Acutesinflammations-sCORRECTsANSWERs-
Asrapidsresponsestosinjurysorsmicrobessandsothersforeignssubstancesthatsissdesignedstosdeliversleukocytessa
ndsplasmasproteinsstossitessofsinjury
,Seroussinflammations-sCORRECTsANSWERs-Fluidsinsasserousscavity
Seroussinflammationsissmarkedsbysfluidstransudates,sreflectingsmoderatelysincreasedsvascularspermeability
.sSuchsaccumulationssinsthesperitoneal,spleural,sandspericardialscavitiessarescalledseffusions;
Effusions-sCORRECTsANSWERs-Fluidsinsasserousscavitys,
Fibrinoussinflammations-sCORRECTsANSWERs-
Inflammationsoccurringsassasconsequencesofsmoresseveresinjuries,sresultingsinsgreatersvascularspermeabilit
ysthatsallowsslargesmoleculess(suchsassfibrinogen)stospasssthesendothelialsbarrier
Abscesss-sCORRECTsANSWERs-
Focalscollectionssofspussthatsmaysbescausedsbysseedingsofspyogenicsorganismssintosastissuesorsbyssecondarys
infectionssofsnecroticsfoci
Ulcers-sCORRECTsANSWERs-
Aslocalsdefectsorsexcavationsofsthessurfacesofsansorgansorstissuesthatsissproducedsbysnecrosissofscellssandsslo
ughingsofsinflammatorysnecroticstissue
Cytokiness-sCORRECTsANSWERs-
Polypeptidesproductssofsmanyscellstypessthatsfunctionsassmediatorssofsinflammationsandsimmunesresponse
s
Chronicsinflammations-sCORRECTsANSWERs-
Prolongedsinflammationsinswhichsactivesinflammation,stissuesinjury,sandshealingsproceedssimultaneously
Granulomatoussinflammations-sCORRECTsANSWERs-
Asdistinctivespatternsofschronicsinflammationscharacterizedsbysaggregatessofsactivatedsmacrophagessthatsa
ssumesansepithelioidsappearance
Repairs-sCORRECTsANSWERs-Thesrestorationsofstissuesarchitecturesandsfunctionsaftersansinjury
, Regenerations-sCORRECTsANSWERs-
Thesprocesssofsreplacingsdamagedstissuescomponentssandsessentiallysreturningstosasnormalsstate
Fibrosiss-sCORRECTsANSWERs-
Thesextensivesdepositionsofscollagensthatsoccurssinstheslungs,sliver,skidneysandsothersorganssassasconsequen
cesofschronicsinflammation
Angiogenesiss-sCORRECTsANSWERs-
Ascriticalsprocesssinshealingsatssitessofsischemiaswheresaspreexistingsvesselssendssoutscapillaryssproutsstospr
oducesnewsvessels
Keloids-sCORRECTsANSWERs-
Asprominentsraisedsscarscausedsbysthesaccumulationsofsexuberantsamountssofscollagen
Edemas-sCORRECTsANSWERs-Significantsincreasedsfluidsinsthesinterstitialstissuesspaces
Anasarcas-sCORRECTsANSWERs-Severesandsgeneralizedsedemaswithsprofoundssubcutaneousstissuesswelling
Hyperemias-sCORRECTsANSWERs-
Aslocalsincreasesinsbloodsvolumesthatsissansactivesprocesssfromsaugmentedsbloodsflowsduestosarteriolarsdila
tion
Congestions-sCORRECTsANSWERs-
Aslocalsincreasesinsbloodsvolumesthatsissaspassivesprocesssresultingsfromsimpairedsvenoussreturnsoutsofsastis
sue
Hematomas-sCORRECTsANSWERs-Thesaccumulationsofsbloodsconfinedswithinsastissuesaftersashemorrhage
Normalshemostasiss-sCORRECTsANSWERs-Astightlysregulatedsprocesssthatsmaintainssbloodsinsasfluid,sclot-
freesstatesinsnormalsvesselsswhilesinducingsthesrapidsformationsofsaslocalizedshemostaticsplugsatsthessitesofs
vascularsinjury
WITH CORRECT ANSWERS 2025
Hypertrophys-sCORRECTsANSWERs-
Increasedscellsandsorganssize,softensinsresponsestosincreasedsworkload:sinducedsbysmechanicalsstresssandsb
ysgrowthsfactors;soccurssinstissuesincapablesofscellsdivision
Hyperplasias-sCORRECTsANSWERs-
Increasedscellsnumberssinsresponsestoshormonessandsothersgrowthsfactors;soccurssinstissuesswhosescellssar
esablestosdivide
Atrophys-sCORRECTsANSWERs-
Decreasedscellsandsorganssize,sassasresultsofsdecreasedsnutrientssupplysorsdisuse:sassociatedswithsdecrease
dssynthesissandsincreasedsproteolyticsbreakdownsofscellularsorganelles
Metaplasias-sCORRECTsANSWERs-
Changesinsphenotypesofsdifferentiatedscells,softensasresponsestoschronicsirritationsthatsmakesscellssbettersa
blestoswithstandsthesstress
Hypoxias-sCORRECTsANSWERs-
Oxygensdeficiencyswhichsinterferesswithsaerobicsoxidativesrespirationssandsissansextremelysimportantsandsc
ommonscausesofscellsinjurysandsdeath
Ischemics-sCORRECTsANSWERs-
Losssofsbloodssupplysinsastissuesduestosimpededsarterialsflowsorsreducedsvenoussdrainage
Coagulativesnecrosiss-sCORRECTsANSWERs-
Asformsofstissuesnecrosissinswhichsthescomponentscellssaresdeadsbutsthesbasicstissuesarchitecturesisspreserv
edsforsatsleastsseveralsdays
Liquefactivesnecrosiss-sCORRECTsANSWERs-
Asformsofsnecrosissseensinsfocalsbacterialsorsoccasionallysfungalsinfectionssbecausesmicrobessstimulatesthes
accumulationsofsinflammatoryscellssandsthesenzymessofsleukocytessdigeststhestissue
,Caseoussnecrosiss-sCORRECTsANSWERs-
Asformsofsnecrosissencounteredsmostsoftensinsfocisofstuberculoussinfections
Fatsnecrosiss-sCORRECTsANSWERs-
Termsreferringstosfocalsareassofsfatsdestruction,stypicallysresultingsfromsreleasesofsactivatedspancreaticslipas
essintosthesperitonealscavity
Fibrinoussnecrosiss-sCORRECTsANSWERs-
Asspecialsformsofsnecrosissusuallysseensinsimmunesreactionssinvolvingsbloodsvessels
Autophagys-sCORRECTsANSWERs-Lysosomalsdigestionsofsthescell'ssownscomponents
Apoptosiss-sCORRECTsANSWERs-
Aspathwaysofscellsdeathsthatsissinducedsbysastightlysregulatedssuicidesprogramsinswhichsthescellssdestinedstos
diesactivatesenzymesscapablesofsdegradingsthescellssownsnuclearsDNA
Steatosiss(fattyschange)s-sCORRECTsANSWERs-
RefersstosanysabnormalsaccumulationsofstriglyceridesswithinsparenchymalscellssItsissmostsoftensseensinsthesli
ver
Dystrophicscalcifications-sCORRECTsANSWERs-Depositionssofscalciumsatssitessofscellsinjurysandsnecrosis
Metastaticscalcifications-sCORRECTsANSWERs-
Depositionsofscalciumsinsnormalstissues,scausedsbyshypercalcemias(usuallysasconsequencesofsparathyroidsh
ormonesexcess)
Inflammations-sCORRECTsANSWERs-
Asprotectivesresponsesintendedstoseliminatesthesinitialscausesofscellsinjurysasswellsassthesnecroticscellssandsti
ssuessresultingsfromsthesoriginalsinsult
Acutesinflammations-sCORRECTsANSWERs-
Asrapidsresponsestosinjurysorsmicrobessandsothersforeignssubstancesthatsissdesignedstosdeliversleukocytessa
ndsplasmasproteinsstossitessofsinjury
,Seroussinflammations-sCORRECTsANSWERs-Fluidsinsasserousscavity
Seroussinflammationsissmarkedsbysfluidstransudates,sreflectingsmoderatelysincreasedsvascularspermeability
.sSuchsaccumulationssinsthesperitoneal,spleural,sandspericardialscavitiessarescalledseffusions;
Effusions-sCORRECTsANSWERs-Fluidsinsasserousscavitys,
Fibrinoussinflammations-sCORRECTsANSWERs-
Inflammationsoccurringsassasconsequencesofsmoresseveresinjuries,sresultingsinsgreatersvascularspermeabilit
ysthatsallowsslargesmoleculess(suchsassfibrinogen)stospasssthesendothelialsbarrier
Abscesss-sCORRECTsANSWERs-
Focalscollectionssofspussthatsmaysbescausedsbysseedingsofspyogenicsorganismssintosastissuesorsbyssecondarys
infectionssofsnecroticsfoci
Ulcers-sCORRECTsANSWERs-
Aslocalsdefectsorsexcavationsofsthessurfacesofsansorgansorstissuesthatsissproducedsbysnecrosissofscellssandsslo
ughingsofsinflammatorysnecroticstissue
Cytokiness-sCORRECTsANSWERs-
Polypeptidesproductssofsmanyscellstypessthatsfunctionsassmediatorssofsinflammationsandsimmunesresponse
s
Chronicsinflammations-sCORRECTsANSWERs-
Prolongedsinflammationsinswhichsactivesinflammation,stissuesinjury,sandshealingsproceedssimultaneously
Granulomatoussinflammations-sCORRECTsANSWERs-
Asdistinctivespatternsofschronicsinflammationscharacterizedsbysaggregatessofsactivatedsmacrophagessthatsa
ssumesansepithelioidsappearance
Repairs-sCORRECTsANSWERs-Thesrestorationsofstissuesarchitecturesandsfunctionsaftersansinjury
, Regenerations-sCORRECTsANSWERs-
Thesprocesssofsreplacingsdamagedstissuescomponentssandsessentiallysreturningstosasnormalsstate
Fibrosiss-sCORRECTsANSWERs-
Thesextensivesdepositionsofscollagensthatsoccurssinstheslungs,sliver,skidneysandsothersorganssassasconsequen
cesofschronicsinflammation
Angiogenesiss-sCORRECTsANSWERs-
Ascriticalsprocesssinshealingsatssitessofsischemiaswheresaspreexistingsvesselssendssoutscapillaryssproutsstospr
oducesnewsvessels
Keloids-sCORRECTsANSWERs-
Asprominentsraisedsscarscausedsbysthesaccumulationsofsexuberantsamountssofscollagen
Edemas-sCORRECTsANSWERs-Significantsincreasedsfluidsinsthesinterstitialstissuesspaces
Anasarcas-sCORRECTsANSWERs-Severesandsgeneralizedsedemaswithsprofoundssubcutaneousstissuesswelling
Hyperemias-sCORRECTsANSWERs-
Aslocalsincreasesinsbloodsvolumesthatsissansactivesprocesssfromsaugmentedsbloodsflowsduestosarteriolarsdila
tion
Congestions-sCORRECTsANSWERs-
Aslocalsincreasesinsbloodsvolumesthatsissaspassivesprocesssresultingsfromsimpairedsvenoussreturnsoutsofsastis
sue
Hematomas-sCORRECTsANSWERs-Thesaccumulationsofsbloodsconfinedswithinsastissuesaftersashemorrhage
Normalshemostasiss-sCORRECTsANSWERs-Astightlysregulatedsprocesssthatsmaintainssbloodsinsasfluid,sclot-
freesstatesinsnormalsvesselsswhilesinducingsthesrapidsformationsofsaslocalizedshemostaticsplugsatsthessitesofs
vascularsinjury