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ASCP BOC 2025/2026 Exam Practice – 500+ Realistic Questions with Verified Answers | Microbiology, Hematology, Blood Bank, Chemistry & More

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This premium exam prep guide contains over 500 carefully curated ASCP BOC practice questions with 100% verified correct answers, designed for candidates preparing for the American Society for Clinical Pathology (ASCP) Board of Certification exams in 2025 and 2026. Covering a wide range of topics tested in the clinical laboratory science field—including Clinical Chemistry, Microbiology, Hematology, Blood Bank (Immunohematology), Immunology, Molecular Diagnostics, and Urinalysis—this document is a high-yield resource tailored for efficient and effective revision. Each question is formatted in real exam style, with concise, accurate explanations and rationales where applicable. This ensures not only memorization but also conceptual understanding for optimal performance on exam day. Whether you're reviewing core concepts or testing your readiness with advanced-level items, this compilation provides the depth, clarity, and coverage you need. This resource is especially valuable for students enrolled in the following programs: Medical Laboratory Science (MLS) Medical Laboratory Technician (MLT) Clinical Laboratory Science Biomedical Science Pathology and Laboratory Medicine It is also highly relevant for international candidates pursuing ASCPi certification or those seeking continuing education and recertification. Ideal for: Students, recent graduates, and professionals preparing for the ASCP BOC MLS or MLT exams, ASCPi candidates, or anyone in the field of clinical pathology and laboratory diagnostics looking to assess and solidify their knowledge with reliable, up-to-date material. Keywords: ASCP BOC 2025, ASCP BOC 2026, clinical laboratory science, ASCP practice questions, medical lab technician, hematology, microbiology, immunohematology, blood bank, clinical chemistry, immunology, urinalysis, molecular diagnostics, ASCP MLS exam, ASCP MLT exam, ASCP exam prep, laboratory certification, board of certification, pathology exam prep

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ASCP BOC 2025/2026 Exam Questions
with 100% Correct Answers | Latest
Update



Which enzyme catalyzes the conversion of starch to glucose and maltose?

- 🧠ANSWER ✔✔Amylase


Nephelometers measure light: - 🧠ANSWER ✔✔Scattered at a right angle to

the light path

A serum sample demonstrates an elevated result when tested with the

Jaffe reaction. This indicates: - 🧠ANSWER ✔✔Renal functional impairment


A vaginal/rectal swab is collected from a pregnant patient to screen for

group B Streptococcus colonization. What is the best medium to use for

specimen inoculation? - 🧠ANSWER ✔✔Lim Broth


When testing a patient for HIV antibody, what is used to confirm a positive

screening test? - 🧠ANSWER ✔✔Western Blot

,An isolate from a stool culture gives the following growth characteristics

and biochemical reactions:




MAC: Colorless colonies

HE agar: Yellow-Orange colonies

TSI: Acid slant/acid butt, no gas, no h2s

Urea: Positive




These screening results are consistent with which enteric pathogen? -

🧠ANSWER ✔✔Yersinia entercolitica. Yersinia produces yellow colonies on

HE because it can ferment sucrose.

When stool examination is negative, the preferred specimen for the

diagnosis of paragonimiasis is: - 🧠ANSWER ✔✔Sputum. Paragonimus

worms live in cystic cavities in the lungs. Ova may be found in sputum, or

swallowed and passed in stool.

A branching gram-positive, partially acid-fast organism is isolated from a

bronchial washing on a 63-year-old woman receiving chemotherapy. The

,organism does not hydrolyze casein, tyrosine or xanthine. The most likely

identification is: - 🧠ANSWER ✔✔Nocardia asteroides. (THINK BECAUSE

OF THE BRANCHING). It is partially acid fast and does not hydrolyze the

substrates casein, tyrosine, or xanthine.

Use of only male donors as a source of plasma intended for transfusion is

advocated to reduce which type of reaction? - 🧠ANSWER ✔✔TRALI.

TRALI is most commonly caused by donor HLA or granulocyte-specific

antibodies that react with recipient antigens, causing damage to the lung

basement membrane and bilateral pulmonary edema within 6 hours of

transfusion. Multiparous females are more likely to have antibodies than

males. Using male donors as the sole source of plasma products is a

strategy for reducing the risk of TRALI.

The result of an anti-nuclear antibody test was a titer of 1:320 with a

peripheral pattern. What best correlates with these results? - 🧠ANSWER

✔✔Anti-dsDNA Titer 1:80. and a high titer of antibodies to Sm. Peripheral

pattern reacts with the antigenic determinants of double strandedness of

DNA.

Abnormalities found in erythroleukemia include: - 🧠ANSWER

✔✔Megaloblastoid development.

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, Which factor will not interfere with the reagent strip test for leukocytes in

urine? - 🧠ANSWER ✔✔Nitrite. Nitrite is produced by bacteria, and WBCs

are found when there is a bacterial infection. If nitrite interfered with the

WBC reaction, then the dipstick would be worthless when testing patients

with UTIs.

Which locus is used to identify the gender of the individual from whom a

DNA sample is obtained? - 🧠ANSWER ✔✔Amelogenin. Amelogenin gives

different sized amplicons based on whether it is amplified from the X or Y

chromosomes, so males would have 2 bands on a gel at the amelogenin

locus, while females would have only 1.

Penicillium species is isolated from a bone marrow culture of a patient that

travelled to southeast Asia. After 7 days the isolate produces a red pigment

that diffuses into the medium. The technologist should: - 🧠ANSWER

✔✔Transfer a colony to BHI at 35 degrees. C. Penicillium marneffiei is a

dimorphic fungi that produces a diffusible red pigment.

An elevated serum iron with normal iron binding capacity is most likely

associated with: - 🧠ANSWER ✔✔Pernicious anemia. Ineffective

erythropoiesis. High iron turnover.

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