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ASCP Hematology MLS Review 2025/2026 – 400+ Questions with Verified Answers | RBC Morphology, Anemias, Coagulation, Leukemias, Cell ID, Hemostasis & Body Fluids

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This ASCP Hematology MLS Study Guide for 2025/2026 delivers an extensive and focused review with 400+ exam-level multiple-choice questions, each paired with verified correct answers and concise explanations. Designed for Medical Laboratory Scientist (MLS) candidates, this guide equips you to master both foundational principles and high-complexity problem solving in hematology and hemostasis—a critical section of the ASCP BOC exam. The content is structured around real testing scenarios and clinical case interpretations, including: Red and white blood cell morphology (inclusions, poikilocytosis, polychromasia, toxic granulation) Anemias: iron-deficiency, megaloblastic, hemolytic, aplastic, sideroblastic, thalassemia Leukemias & lymphomas: FAB classifications, cell markers, and diagnostic features Coagulation disorders: intrinsic/extrinsic pathways, PT/aPTT, mixing studies, factor deficiencies Special stains and cytochemical markers: MPO, TRAP, TdT, Sudan Black B Automated cell counters & flags, ESR, reticulocyte count, hemoglobinopathy interpretation CSF, synovial, pleural, and peritoneal fluid analysis for cellular and chemical abnormalities This guide supports concept reinforcement, diagnostic thinking, and exam timing strategies. It’s formatted for easy navigation and rapid review, ideal for both first-time test takers and professionals needing recertification. Recommended for: Medical Laboratory Scientist (MLS) ASCP candidates ASCPi international students seeking U.S. equivalency certification Students in Hematology, Clinical Laboratory Science, Medical Technology, or Biomedical Science programs Laboratory professionals working in hematology, oncology, or coagulation units Whether you're deciphering blasts on a smear or interpreting clotting panels, this guide provides the rigorous review needed to succeed. Keywords: ASCP hematology, RBC morphology, anemia classification, leukemias, coagulation, hemostasis, platelet disorders, cell identification, hematology stains, CSF analysis, PT aPTT mixing studies, special stains, reticulocytes, blood smear, cell count, myelodysplastic syndromes, clotting cascade, body fluids, ASCP MLS 2025

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ASCP MLS Hematology 2025/2026 Exam
Questions and Answers | A+ Score
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Insufficient centrifugation will result in:




A. A false increase in hematocrit (Hct) value

B. A false decrease in Hct value

C. No effect on Hct value


D. All of these options, depending on the patient - 🧠ANSWER ✔✔A.

Insufficient centrifugation does not pack down the

red blood cells; therefore, the Hct, which is the

volume of packed cells, will increase.

Variation in red cell size observed on the peripheral smear is described as:

,A. Anisocytosis

B. Hypochromia

C. Poikilocytosis


D. Pleocytosis - 🧠ANSWER ✔✔A. A mature erythrocyte is approximately 7-

8 μm in

diameter. Variation in normal size is denoted by the

term anisocytosis. Hypochromia is a term that indicates increased central

pallor in erythrocytes, and poikilocytosis denotes variation in red cell shape.

Which of the following is the preferable site for bone marrow aspiration and

biopsy in an adult?




A. Iliac crest

B. Sternum

C. Tibia


D. Spinous processes of a vertebra - 🧠ANSWER ✔✔A. The iliac crest is the

most frequently used site for

,bone marrow aspiration and biopsy. This site is the

safest and most easily accessible, with the bone just

beneath the skin, and neither blood vessels nor

nerves are in the vicinity.

Mean cell volume (MCV) is calculated using the following formula:




A. (Hgb / RBC) × 10

B. (Hct / RBC) × 10

C. (Hct / Hgb) × 100


D. (Hgb / RBC) × 100 - 🧠ANSWER ✔✔B. MCV is the average "volume" of

the red cells. This is

obtained by dividing the Hct or packed cell volume

(PCV) by the red blood cell (RBC) count in millions per

microliter of blood and multiplying by 10. The MCV is

expressed in cubic microns (μm3) or femtoliters (fL).




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, What term describes the change in shape of erythrocytes seen on a

Wright's-stained peripheral blood smear?




A. Poikilocytosis

B. Anisocytosis

C. Hypochromia


D. Polychromasia - 🧠ANSWER ✔✔A. Variation in shape of the erythrocytes

on a peripheral

blood smear is poikilocytosis. Anisocytosis refers to a

change in size. Hypochromia is an increase in central

pallor in erythrocytes. Polychromasia describes the bluish tinge of the

immature erythrocytes (reticulocytes) circulating in the peripheral blood.

Calculate the mean cell hemoglobin concentration (MCHC) using the

following values:




Hgb: 15 g/dL (150 g/L)

Hct: 47 mL/dL (0.47)

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