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ASCP SCYM Certification 2025/2026 – 300+ Flow Cytometry Q&A | CD Markers, Immunophenotyping, Leukemia/Lymphoma Panels, HIV Monitoring & Transplant Analysis

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This comprehensive study guide features 300+ expertly structured practice questions and detailed answers tailored for the ASCP SCYM (Specialist in Cytometry) Certification Exam 2025/2026. It covers all core domains of flow cytometry, including instrumentation, antibody panels, lymphocyte subset enumeration, leukemia/lymphoma immunophenotyping, transplant monitoring, and diagnostic immunophenotyping of hematologic malignancies. Learners will gain mastery over: CD marker expression patterns across T, B, NK, and myeloid cells Use of flow cytometry in clinical applications (e.g., HIV CD4/CD8 counts, stem cell enumeration, and MRD analysis) Leukemia/lymphoma panel configuration and diagnostic implications Instrument setup, fluorescence compensation, gating strategies, and quality control Applications in organ transplantation, immunodeficiencies, and plasma cell disorders This guide also includes insights into next-generation flow cytometry (NGF), regulatory standards (CLIA, CAP, FDA), and technical QC for both beginner and advanced learners. Best suited for: Cytometry professionals pursuing ASCP SCYM certification Medical Laboratory Scientists (MLS) and Technologists working in flow cytometry labs Clinical immunology and hematopathology trainees Students in Biomedical Science, Clinical Laboratory Science, and Molecular Diagnostics programs Researchers and clinicians preparing for flow cytometry-based diagnostic work Keywords: SCYM, ASCP SCYM exam, flow cytometry, CD markers, leukemia immunophenotyping, lymphoma panels, HIV CD4 count, transplant monitoring, CD3 CD4 CD8 CD45, stem cell enumeration, hematologic malignancy diagnosis, T cells B cells NK cells, fluorochromes, flow cytometer quality control, gating strategies, MRD flow cytometry, CLIA guidelines, CAP proficiency testing

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ASCP SCYM Study 2025/2026 Exam
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Sample Processing - 🧠ANSWER ✔✔Optimized antibody concentration


Defined range of cell #

Define sample handling, time and temperature

Define acceptable time of delay for acquisition


CD2 - 🧠ANSWER ✔✔T cells: NK cells


CD3 - 🧠ANSWER ✔✔T cells


CD4 - 🧠ANSWER ✔✔T helper cells, monocytes (dimly expressed)


CD5 - 🧠ANSWER ✔✔T cells; Some B Cells


CD8 - 🧠ANSWER ✔✔T cytotoxic cells, macrophages

,CD10 - 🧠ANSWER ✔✔Immature T, B Cells, PMN's


CD13 - 🧠ANSWER ✔✔Monocytes, PMN's


CD14 - 🧠ANSWER ✔✔Monocytes, PMN's (dimly expressed)


CD16 - 🧠ANSWER ✔✔NK cells, PMN's, monocytes


CD19 - 🧠ANSWER ✔✔B Cells


CD20 - 🧠ANSWER ✔✔B Cells


CD25 - 🧠ANSWER ✔✔Activated T Cells


CD33 - 🧠ANSWER ✔✔Monocytes


CD34 - 🧠ANSWER ✔✔Stem/Progenitor Cells


CD45 - 🧠ANSWER ✔✔Leukocytes


CD56 - 🧠ANSWER ✔✔NK cells, monocytes (dimly expressed)


Anti-Kappa - 🧠ANSWER ✔✔B Cells


Anti-Lambda - 🧠ANSWER ✔✔B Cells


Tdt - 🧠ANSWER ✔✔Immature Lymphocytes

,Monoclonal Antibody Staining Direct Staining - 🧠ANSWER ✔✔Rapid single

step staining

Can use multiple antibodies from the same host


Monoclonal Antibody Staining Indirect Staining - 🧠ANSWER ✔✔Secondary

amplifies single

A few labeled secondaries can detect many primaries


Clinical Applications of Flow - 🧠ANSWER ✔✔-Instrument Performance


-Integrity of the Specimen

-Quality in Processing of Specimens

-Appropriate Reagents and Controls

-Qualified Technical Staff

-Regulatory requirements from CAP, TJC, CLIA, and the FDA exist to

ensure the accurate reporting of flow cytometric results.

Lymphocytes Subset Enumeration (Immunophenotyping) - 🧠ANSWER

✔✔2 Tubes: 1- CD3/CD4/CD8/CD45


2- CD3/CD19/CD16&CD56/CD45



3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED

, -May include analysis of CD4 and CD8 T Cells, B Cells and NK Cells.

-Results reported as proportion (%) of total lymphocyte population.


CD4 Counts in HIV Infection - 🧠ANSWER ✔✔-Asses degree of

immunodeficiency

-Diagnose of AIDS

-Institution of Anti-Retroviral (ARV) therapy and opportunistic infection (OI)

prophylaxis

-Monitoring immune reconstitution


CD4 Immunophenotyping Panels - 🧠ANSWER ✔✔


2 color - 🧠ANSWER ✔✔Isotype Ctrl


CD45/CD14

CD3/CD4

CD3/CD8

CD3/CD19

CD3/CD16 + 56


3 Color - 🧠ANSWER ✔✔CD3/CD4/CD45

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