ASCP EXAM 1 QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
The two larger mucus glands with ducts opening near the vaginal orifice are: - ANSWER Bartholin's
glands
The presence of benign appearing columnar epithelium in a lateral vaginal wall scraping is most
consistent with a prior exposure to: - ANSWER Diethylstilbesterol
A culdocentesis from a 35 yr old woman complaining of dysmenorrhea reveals tightly packed clusters of
small uniform cells with uniform nuclei. These are most consistent with: - ANSWER Endometriosis
A cervical smear from a 24 yr old pregnant women contains sheets of cells with:
-enlarged hyperchromatic nuclei
-prominent nucleoli
-scattered mitotic figures
-abundant, pulled out, cyanophilic cytoplasm - ANSWER Reparative Epithelium
A cervicovaginal smear reveals a palisade grouping of cells with eccentric nuclei. Beneath these cells is a
single row of cells with indistinct cytoplasmic boundaries. The lower group of cells most likely
represents: - ANSWER Reserve cells
Macronucleoli in cervicovaginal smears are most prominent in: - ANSWER Repair
A cervical smear contained sheets of cells with:
-eccentric, crowded nuclei
-homogeneous, cyanophilic cytoplasm
-numerous, eosinophilic, hair like structures at the apical surface - ANSWER Tubal metaplasia
A cervicovaginal smear from a 22 yr old pregnant woman revealed several multinucleated cells with:
-cyanophilic cytoplasm with tails
, -overlapping nuclei
-coarse chromatin - ANSWER Syncytiotrophoblasts
Several clusters of cells were seen in a routine cervical smear from a 45 yr old woman on day 8 of her
menstrual cycle. These clusters were made up of two different cell populations. The inner core was
comprised of small, dark tightly packed cells, while the outer rim resembled low cuboidal epithelium.
Findings are consistent with: - ANSWER Exodus pattern
During the last stage in the normal maturation process of the squamous epithelium of the cervix and
vagina, the cells undergo: - ANSWER Nuclear pyknosis
Endometrial stromal cells in the cervical smears may be difficult to distinguish from: - ANSWER Small
histiocytes
the normal endocervical canal is predominantly lined with: - ANSWER Simple columnar epithelium
A cervicovaginal smear contained:
-numerous ovoid, cyanophilic bodies
-elliptical shaped nuclei
-eosinophilic cytoplasmic granules
Associated with what inflammatory pattern? - ANSWER Acute
A multinucleated cell with nuclei arranged single file around the periphery of the cytoplasm and a finely
granular chromatin pattern would be most consistent with: - ANSWER Granulomatous inflammation
A smear from a 65 yr old postmenopausal woman contains many eosinophilic parabasal like cells with
small pyknotic nuclei. The most likely diagnosis is: - ANSWER Atrophic vaginitis
Characteristics of follicular cervicitis in a cervical smear include: - ANSWER Pools of lymphocytes
ANSWERS WITH SOLUTIONS 2024
The two larger mucus glands with ducts opening near the vaginal orifice are: - ANSWER Bartholin's
glands
The presence of benign appearing columnar epithelium in a lateral vaginal wall scraping is most
consistent with a prior exposure to: - ANSWER Diethylstilbesterol
A culdocentesis from a 35 yr old woman complaining of dysmenorrhea reveals tightly packed clusters of
small uniform cells with uniform nuclei. These are most consistent with: - ANSWER Endometriosis
A cervical smear from a 24 yr old pregnant women contains sheets of cells with:
-enlarged hyperchromatic nuclei
-prominent nucleoli
-scattered mitotic figures
-abundant, pulled out, cyanophilic cytoplasm - ANSWER Reparative Epithelium
A cervicovaginal smear reveals a palisade grouping of cells with eccentric nuclei. Beneath these cells is a
single row of cells with indistinct cytoplasmic boundaries. The lower group of cells most likely
represents: - ANSWER Reserve cells
Macronucleoli in cervicovaginal smears are most prominent in: - ANSWER Repair
A cervical smear contained sheets of cells with:
-eccentric, crowded nuclei
-homogeneous, cyanophilic cytoplasm
-numerous, eosinophilic, hair like structures at the apical surface - ANSWER Tubal metaplasia
A cervicovaginal smear from a 22 yr old pregnant woman revealed several multinucleated cells with:
-cyanophilic cytoplasm with tails
, -overlapping nuclei
-coarse chromatin - ANSWER Syncytiotrophoblasts
Several clusters of cells were seen in a routine cervical smear from a 45 yr old woman on day 8 of her
menstrual cycle. These clusters were made up of two different cell populations. The inner core was
comprised of small, dark tightly packed cells, while the outer rim resembled low cuboidal epithelium.
Findings are consistent with: - ANSWER Exodus pattern
During the last stage in the normal maturation process of the squamous epithelium of the cervix and
vagina, the cells undergo: - ANSWER Nuclear pyknosis
Endometrial stromal cells in the cervical smears may be difficult to distinguish from: - ANSWER Small
histiocytes
the normal endocervical canal is predominantly lined with: - ANSWER Simple columnar epithelium
A cervicovaginal smear contained:
-numerous ovoid, cyanophilic bodies
-elliptical shaped nuclei
-eosinophilic cytoplasmic granules
Associated with what inflammatory pattern? - ANSWER Acute
A multinucleated cell with nuclei arranged single file around the periphery of the cytoplasm and a finely
granular chromatin pattern would be most consistent with: - ANSWER Granulomatous inflammation
A smear from a 65 yr old postmenopausal woman contains many eosinophilic parabasal like cells with
small pyknotic nuclei. The most likely diagnosis is: - ANSWER Atrophic vaginitis
Characteristics of follicular cervicitis in a cervical smear include: - ANSWER Pools of lymphocytes
