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ASCP Hematology Certification Review — Verified Questions & Answers (A+ Grade 2026/2027 Edition)

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This study material provides ASCP Hematology review questions with verified answers for exam preparation. It covers important hematology concepts, including blood cell morphology, hematologic disorders, laboratory methods, specimen handling, and quality control.

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ASCP Hematology Review verified questions and answers A+
Grade

Name the locations of active marrow in adults:
- correct answer sternum, skull, ribs, pelvis, vertebrae



Where does hematopoiesis take place during the first 2 months of gestation?
- correct answer yolk sac



Where does the majority of hematopoiesis take place during the 2nd through 7th month of gestation?
- correct answer spleen



When does the bone marrow take over hematopoiesis?
- correct answer after birth



What are the stages in order of the erythrocyte lineage?
- correct answer (1)rubriblast, (2)prorubricyte, (3)rubricyte, (4)metarubricyte, (5)reticulocyte,
(6)erytrocyte



What are the stages in order of the granulocyte (neutrophil, eosinophil, basophil) lineage?
- correct answer (1)myeloblast, (2)promyelocyte, (3)myelocyte, (4)metamyelocyte, (5)band,
(6)segmented (7)eos/baso



What are the stages in order of the macrophage lineage?
- correct answer (1)monoblast, (2)promonocyte, (3)monocyte, (4)macrophage



What are the stages in order of the platelet lineage?
- correct answer (1)megakaryoblast, (2)promegakaryocyte, (3)megakaryocyte, (4)platelet

,What are the stages in order of the lymphocyte lineage?
- correct answer (1)lymphoblast, (2)prolymphocyte, (3)lymphocyte



Which growth factors stimulate the erythrocyte lineage?
- correct answer GM-CSF, EPO, IL-3



Which growth factors stimulate the granulocyte lineages?
- correct answer GM-CSF, IL-3



Which growth factors stimulate the platelet lineage?
- correct answer GM-CSF, IL-3, TPO



Which growth factors stimulate the lymphocyte lineage?
- correct answer IL-2, IL-4, IL-6, IL-7



Which protein functions in the transport of Fe?
- correct answer transferrin



What is the major storage form of Fe?
- correct answer ferritin



What is the long-term (H20) insoluble Fe storage form called?
- correct answer hemosiderin



Excess Iron is stored where? What does this cause?
- correct answer tissues and body organs, hemosiderosis, hemochromatosis



Porphyrias are attributed to?
- correct answer excessive formation of porphrins due to blockages in any enzymatic step in the heme
synthesis pathway.

, Red or port wine colored urine can be seen in which condition related to the build up of heme
precursors?
- correct answer porphyria



Neuropsychiatirc symptoms are seen when a build up of which precursors occurs?
- correct answer early precursors (Delta-aminolevulinic acid/Porphobilinogen)



Cutaneous symptoms such as photo-sensitivity and facial hair are seen when a build up of which
precursors occurs?
- correct answer later precursors (uroporphyrinogen/coproporphyrinogen, protoporphyrin/heme)



Synthesis of heme requires what two components?
- correct answer iron, protoporphyrin



What are the heme precursors in order of synthesis?
- correct answer (1)delta-aminolevulinic acid, (2)porphobilinogen, (3)uroporphyrinogen,
(4)coproporphyrinogen, (5)protoporphyrin, (6)heme



What type of hemoglobin is seen primarily in newborns?
- correct answer Hgb F



What type of hemoglobin is seen primarily in adults?
- correct answer Hgb A2



What type of hemoglobin is rarely seen in adults as well as newborns?
- correct answer Hgb A



What hemoglobin types are seen in embryos but not in adults or newborns?
- correct answer gower I, gower II, portland



All non-embryonic hemoglobin types are comprised of what type of globin chain?
- correct answer alpha

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