ACE ASCP EXAM 2025/2026 QUESTIONS
AND ANSWERS 100% PASS.
Which of the following condition is the most common cause of increase anion gap?
A.Metabolic alkalosis
B. Metabolic acidosis
Respiratory acidosis
Respiratory alkalosis - ANS B. Metabolic acidosis
High anion gap metabolic acidosis is caused generally by the body producing too much acid or
not producing enough bicarbonate. This is often due to an increase in lactic acid or ketoacids, or
it may be a sign of kidney failure. More rarely, high anion gap metabolic acidosis may be caused
by ingesting methanol or overdosing on aspirin.
Which of the following enzymes has the longest elevation after Myocardial Infarction (MI)?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,CK-MB
Myoglobin
Troponin
AOTA - ANS C. Troponin
Troponin is elevated up to 10-14 days after Myocardial Infarction.
Lactic acid specimen:
Chilled and separated from cells
Heated
Room temperature
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Request EDTA sample only - ANS A. Chilled and separated from cells
Feedback Special Handling: No tourniquet. Place on ice immediately and deliver to lab or
aliquot within 15 minutes. DO NOT FREEZE WHOLE BLOOD SPECIMEN.
Specific gravity measured by refractometer: 1.035. Protein and glucose both trace in reagent
strip:
Presence X-ray medium
Albuminuria
Glucosuria
Normal - ANS A. Presence X-Ray medium
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Feedback Xray medium/Radiographic dye can cause erroneous results in urine specific gravity
measurement.
A patient with walking pneumonia is being treated with penicillin. State one possible condition
why the patient is not recovering:
The organism produces beta lactamase
The organism has no cell wall
The organism has capsule
The organism produces an enzyme that neutralizes the antibiotic - ANS B. The organism has
no cell wall.
Feedback Pneumonia caused by Mycoplasma pneumoniae is routinely treated with antibiotics,
although the disease is usually self-limiting. The disease is treated with macrolide, tetracycline,
or fluoroquinolone classes of antibiotics. All mycoplasmas lack a cell wall and, therefore, all are
inherently resistant to beta-lactam antibiotics (e.g., penicillin).
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
AND ANSWERS 100% PASS.
Which of the following condition is the most common cause of increase anion gap?
A.Metabolic alkalosis
B. Metabolic acidosis
Respiratory acidosis
Respiratory alkalosis - ANS B. Metabolic acidosis
High anion gap metabolic acidosis is caused generally by the body producing too much acid or
not producing enough bicarbonate. This is often due to an increase in lactic acid or ketoacids, or
it may be a sign of kidney failure. More rarely, high anion gap metabolic acidosis may be caused
by ingesting methanol or overdosing on aspirin.
Which of the following enzymes has the longest elevation after Myocardial Infarction (MI)?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,CK-MB
Myoglobin
Troponin
AOTA - ANS C. Troponin
Troponin is elevated up to 10-14 days after Myocardial Infarction.
Lactic acid specimen:
Chilled and separated from cells
Heated
Room temperature
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Request EDTA sample only - ANS A. Chilled and separated from cells
Feedback Special Handling: No tourniquet. Place on ice immediately and deliver to lab or
aliquot within 15 minutes. DO NOT FREEZE WHOLE BLOOD SPECIMEN.
Specific gravity measured by refractometer: 1.035. Protein and glucose both trace in reagent
strip:
Presence X-ray medium
Albuminuria
Glucosuria
Normal - ANS A. Presence X-Ray medium
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Feedback Xray medium/Radiographic dye can cause erroneous results in urine specific gravity
measurement.
A patient with walking pneumonia is being treated with penicillin. State one possible condition
why the patient is not recovering:
The organism produces beta lactamase
The organism has no cell wall
The organism has capsule
The organism produces an enzyme that neutralizes the antibiotic - ANS B. The organism has
no cell wall.
Feedback Pneumonia caused by Mycoplasma pneumoniae is routinely treated with antibiotics,
although the disease is usually self-limiting. The disease is treated with macrolide, tetracycline,
or fluoroquinolone classes of antibiotics. All mycoplasmas lack a cell wall and, therefore, all are
inherently resistant to beta-lactam antibiotics (e.g., penicillin).
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
