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ASCP Certification Exam Practice Questions and Answers Latest 2026 Update with complete solution

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A herediatary blood disorder that results in a decreased production of hemoglobin and anemia is: - CORRECT ANSWER-Thalassemia pbt must draw blood for a STAT glucose, BUN, and electrolytes in ER and deliver it to the lab for testing as the I-Stat instrument is not fxning properly. Which type of sample is most appropriate? - CORRECT ANSWER-Plasma (green top tube0 a patient has been diagnosed with anemia and the physician wants to assess how well the bone marrow is producing RBC's. The physician requests which of the following test to be drawn and tested? - CORRECT ANSWER-Reticulocyte another term for WBC is - CORRECT ANSWER-Leukocyte cellular element that plays an impt role in coagulation is - CORRECT ANSWER-Platelet Coagulation testing includes which of the following: - CORRECT ANSWER-PTT pbt has just completed centriuging specimens for the chemistry department and notes that one of the tubes is cloudy and pinkish red. This specimen is - CORRECT ANSWER-lipemic and hemolyzed this test will be delivered to immunology for testing - CORRECT ANSWER-RPR physician calls the lab requesting the procedure for a patient who wishes to donate his own blood before his surgery. this type of donation is knowns as: - CORRECT ANSWER-Autologous donation analysis of the chemical components of blood - CORRECT ANSWER-the basic purpose of the chemistry department: pbt is processing speciments received for lead testing and is preparing them to be delivered to which departments? - CORRECT ANSWER-toxicology health maintenance organization (HMO) - CORRECT ANSWER-functions as a fullservice outpatient clinic pbt returns to lab with a specimen for cross-match or compatibility testing and delivers it to - CORRECT ANSWER-Immunohematology required specimen for the occult blood test is: - CORRECT ANSWER-Feces/DookieA patient is recovering from deep vein thrombosis and the doctor wishes to access the rate of fibrinolysis. The physician orders which of the following tests? - CORRECT ANSWER-ALL of the above impaired blood flow leading to reduced level or lack of oxygen to a tissue is referred to as: - CORRECT ANSWER-Ischemia

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ASCP CG Exam (Classic Cytogenetics)
When should samples be logged in? - CORRECT ANSWER-As soon as they arrive in
the laboratory.

How long do you wait before requesting an amniotic fluid if no cell attachment is
observed? - CORRECT ANSWER-10 days.

All of the following will result in culture failure except: - CORRECT ANSWER-Transport
at room temp.

Which cells would you want to use for long term serial cytogenetic studies? - CORRECT
ANSWER-Fibroblasts.

The following enzymes can be used to dissociate chorionic villus samples except for: -
CORRECT ANSWER-RNAse.

Which of the following is not a necessary ingredient which is added to modified
medium? - CORRECT ANSWER-Antibiotics.

All of the following have buffering capability except: - CORRECT ANSWER-L-
Glutamine.

What type of media is necessary for the culture of Fragile X cases? - CORRECT
ANSWER-Folic acid deficient media.

What are the basics of in situ hybridization? - CORRECT ANSWER-Pretreatment of
slides with acid, extraction of DNA with barium hydroxide, and incubation in 2xSSC to
promote denaturation.

The following are indicators for amniocentesis except: - CORRECT ANSWER-A family
history of an autosomal recessive disorder.

When a bone marrow sample cannot be delivered to the lab within 4 hrs, the sample
should: - CORRECT ANSWER-Be put in media and kept at room temp.

A PB sample is clotted. What do you do? - CORRECT ANSWER-Break up the clot.

All of the following information is required during the specimen set up procedure except:
- CORRECT ANSWER-Infectious agent.

,The most important reason why Biological Safety Caninets are used instead of
Horizontal Laminar Flow Hoods in the handling of human tissues is: - CORRECT
ANSWER-To protect the technologist who is processing the specimen.

In which of the following situations would one suspect bacterial contamination? -
CORRECT ANSWER-The culture media is turbid in appearance.

Which of the following can be used for serial culture from amniotic fluid? - CORRECT
ANSWER-Fibroblasts.

Which of the following chemicals is used for cryopreservation? - CORRECT ANSWER-
Dimethyl sulfoxide (DMSO).

Adding the drug Colcemid to cell cultures can cause all of the following phenomenons to
occur except: - CORRECT ANSWER-Cell swelling.

During slidemaking all of the following factors are important except for: - CORRECT
ANSWER-Slides are 1st being dipped in acetic acid.

A good banding pattern will be expected when we observe chromosomes before
banding under the phase scope with the following appearance: - CORRECT ANSWER-
Dark.

Which of the following factors are not important for chromosome spreading? -
CORRECT ANSWER-Mitotic index.

The best method to process slides for G-banding on the same day that they are
dropped is: - CORRECT ANSWER-Incubate the slide in 90°C for 1-3 hrs before
banding.

You are analyzing a clinical case and discover a small extra marker with satellites. What
staining technique would be most useful in determining the chromosomal origin of this
marker? - CORRECT ANSWER-DAPI/DA.

When using a fluorescein labeled probe during the FISH procedure, the appropriate
counter stain used should be: - CORRECT ANSWER-Propidium iodide.

When doing sequential staining which of the following is used to remove oil from slides?
- CORRECT ANSWER-Xylene.

What is the best banding technique to distinguish between 47,XY,+18 and 47,XYY? -
CORRECT ANSWER-QFQ.

When the identification of paired chromosomes is the primary goal, which if the
following banding techniques should be used? - CORRECT ANSWER-G-banding.

, When the addition of non homologous material to the q-arm of chromosome 16 is
suspected after G-banding, which if the following banding techniques should be used? -
CORRECT ANSWER-C-banding.

Which chromosome is most different between C- and G-banding? - CORRECT
ANSWER-9.

What is not a criteria for G-band identification? - CORRECT ANSWER-Location of the
telomere.

What do quinacrine and acridine orange dyes stain? - CORRECT ANSWER-AT rich
DNA.

What type of container should be used for collecting peripheral blood and bone marrow
specimens? - CORRECT ANSWER-Green top tube coated with sodium heparin.

What type of container should be used for collecting solid tissue samples? - CORRECT
ANSWER-A sterile container containing media, supplemented with antibiotics.

How do you avoid microbial contamination? - CORRECT ANSWER-By using aseptic
technique, sterile containers and antibiotics/fungicides.

How do you avoid cellular contamination of prenatal specimens? - CORRECT
ANSWER-Discard the 1st 1-2 cc of amniotic fluid drawn.

How do you avoid cellular contamination of solid tumor specimens? - CORRECT
ANSWER-Dissect away normal parenchyma and fatty tissue.

How much specimen is required for the successful analysis of a peripheral blood
specimen? - CORRECT ANSWER-5-10 ml for adults and 3-5 ml for children.

How much specimen is required for the successful analysis of a bone marrow
specimen? - CORRECT ANSWER-1-3 ml.

How much specimen is required for the successful analysis of a prenatal specimen? -
CORRECT ANSWER-15-30 ml of amniotic fluid collected in two separate containers.

How much specimen is required for the successful analysis of solid tissues? -
CORRECT ANSWER-5-25 mg of CVS, 1 mm^3 of skin biopsy and 1cm^3 of solid
tumor.

What should the label of each collection container always have? - CORRECT
ANSWER-Patient name and identification number.

What does penicillin/streptomycin treat? - CORRECT ANSWER-Bacterial
contamination.

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