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ASCP Practice Exam 1 – 2025/2026 | 200+ Exam-Level Questions with Answers | Hematology, Microbiology, Blood Bank, Urinalysis, Chemistry, Lab Safety & More

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This ASCP Practice Exam 1 (2025/2026 edition) features over 200 carefully structured multiple-choice questions with verified correct answers, specifically designed to mirror the format, difficulty, and subject distribution of the ASCP Board of Certification (BOC) exam. Whether you're pursuing certification as a Medical Laboratory Scientist (MLS), Medical Laboratory Technician (MLT), or an ASCPi international candidate, this practice exam provides realistic preparation aligned with current BOC outlines. The content spans across core laboratory science domains: Hematology: RBC/WBC morphology, anemia classification, coagulation pathways, special stains Microbiology: bacterial ID, Gram stain reactions, culture media, biochemical testing Immunohematology (Blood Bank): ABO/Rh typing, antibody screening, compatibility testing Clinical Chemistry: analytes, instruments, reference ranges, QA/QC Urinalysis & Body Fluids: crystals, casts, chemical testing, synovial/CSF interpretation Immunology & Serology: ELISA, agglutination reactions, autoimmune testing Lab Operations & Safety: QA, QC, CLIA/OSHA compliance, specimen processing, preanalytical errors Each question is paired with the correct answer and many include brief reasoning or recall cues, making this an excellent tool for self-assessment, timed simulations, or group review. Ideal for: ASCP MLS & MLT certification candidates ASCPi international applicants Students in Clinical Laboratory Science, Medical Technology, or Biomedical Science Allied health professionals preparing for licensure or CE Instructors seeking realistic exam-style assessments Whether you’re preparing for a diagnostic hematology vignette or need to recall the correct tube for trace metals, this resource helps you build the confidence and accuracy required to pass the ASCP exam. Keywords: ASCP practice exam, hematology, microbiology, blood bank, urinalysis, clinical chemistry, immunology, ASCP MLS, ASCP MLT, ASCPi, lab safety, CLIA, QA QC, ABO Rh, antibody screen, culture media, Gram stain, body fluids, laboratory science review, 2025 BOC exam

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ASCP Practice Exam 1 2025/2026 Exam
Questions and Answers | 100% Solved



1. Star activity refers to - 🧠ANSWER ✔✔over-digestion


2. PCR products may be identified by the following methods EXCEPT: -

🧠ANSWER ✔✔Running on an agarose gel


3. A cosmid or cloning vector allows insertion of DNA fragments up to ____

kilobases in size. - 🧠ANSWER ✔✔40


4. Amplification infidelity is due to - 🧠ANSWER ✔✔Running on an agarose

gel

5. HPLC analysis of heteroduplexes is still being evaluated as a _______

_________ method in the clinical laboratory. - 🧠ANSWER ✔✔mutation

screening

,6. In light chain reaction production, the B-cell first attempts to generate the

kappa light chain. If unsuccessful, the cell then generates the lambda light

chain. True or False? - 🧠ANSWER ✔✔True


7. Which of the following are signal amplification methods: - 🧠ANSWER

✔✔Invader


8. Which of the following represents the order of DNA polymerase with

decreasing - 🧠ANSWER ✔✔Klenow -> Sequenase -> Taq


9. Which of the following is the most likely cause of a false positive result

on a Southern Blot for a B/T gene rearrangement? - 🧠ANSWER ✔✔Partial

digestion of genomic DNA with BamHI

10. The most common form of the DNA helix for eukaryotes is: - 🧠ANSWER

✔✔. right handed B form


11. You have just received a 9ng (stock) DNA sample and are asked to

create a 50ul dilution of this sample at 900pg. How many ul of your stock

sample do you need to create this sample? - 🧠ANSWER ✔✔5ul


12. Which polymerase synthesizes the leading strand? - 🧠ANSWER

✔✔epsilon

,13. Which of the following enzymes is best for RT PCR? - 🧠ANSWER

✔✔Reverse transcriptase


14. Which of the following techniques would be suitable for testing a

genetic condition with a large number of potential mutations within a single

gene? - 🧠ANSWER ✔✔a and b-Direct gene sequencing involves single

base resolution of sequence and therefore is best for short sequences

which contain the majority of mutations. For mutations that are not as well

clustered, mutation scanning is a better choice. FISH requires sequence-

specific probes, and therefore the sequence must be known


15. Compression on a sequencing gel is: - 🧠ANSWER ✔✔An indication of a

palindromic sequence

16. All of the following statements regarding the melting temperature of the

nucleic acid duplex are true EXCEPT: - 🧠ANSWER ✔✔Hybridization tends

to be fast at temperatures approaching the Tm of the nucleic acid duplex

17. A sample has an OD ration (260/280nm) of 0.5. This indicative of: -

🧠ANSWER ✔✔. Contamination with proteins or materials used in extraction


18. The derived linear range for a spectrophotometer is 0.0550 to 1.270.

The 260 OD absorbance reading for a sample is 1.35. Which of the


3
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, following actions is the most appropriate? - 🧠ANSWER ✔✔Dilute the

sample slightly and repeat the quantitation

19. Which of the following types of DNA migrates slower than the others in

an agarose gel electrophoresis? - 🧠ANSWER ✔✔Nicked circular


20. Excess glycerol in a restriction digest reaction results in - 🧠ANSWER

✔✔diminished enzyme activity.


21. A TaqMan probes consist of a 6FAM as reporter fluorophore covalently

attached to the 5'-end of the oligonucleotide probe and a TAMRA quencher

at the 3'-end. Which of the following is the best probe considering all the

probes are listed in 5'-3' direction? - 🧠ANSWER ✔✔R-CCTAGTTACTG-Q


22. Exon 4 of the HFE gene from a patient suspected of having hereditary

hemachromatosis was amplified by PCR. The G to A mutation, frequently

found in hemachromatosis, creates an Rsa1 site in exon 4. When the PCR

products are digested with Rsa1, which of the following results would you

expect to see if the patient has the mutation? - 🧠ANSWER ✔✔the patient's

PCR product will yield extra bands upon Rsa1 digestion

23. Individuals of Ashkenazic descent are at an increased risk of all the

following disorders, EXCEPT: - 🧠ANSWER ✔✔hemochromatosis

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