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ASCP Hematology Exam 2025 | Verified Questions & Answers | Complete Study Guide with Explanations | 100% Updated

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The ASCP Hematology Exam 2025 Study Guide provides a complete collection of verified questions and answers covering all key topics tested on the ASCP and MLS (Hematology section) board exams. This updated review is designed to help laboratory professionals, MLTs, and MLS candidates master diagnostic interpretation, RBC and WBC morphology, hematologic disorders, and molecular associations found on the latest certification exams. This comprehensive resource includes real exam-style questions with verified correct answers and explanations on topics such as anemias, leukemia classification, hemoglobin variants, bone marrow analysis, enzyme deficiencies, and genetic translocations. It’s ideal for exam revision, quick recall practice, and professional reference during ASCP board preparation. Get familiar with clinical correlations, lab findings, and diagnostic principles — including reticulocyte response patterns, oxygen-dissociation shifts, abnormal cell morphology, and key chromosomal abnormalities (e.g., t(9;22), t(15;17), 11q23) associated with hematologic malignancies. Highlighted Topics: Leukemia classification: Acute vs chronic; cytogenetic markers (t(9;22), t(15;17), t(8;21), 11q23) Hemoglobin & oxygen shifts: Right vs left curve, effects of CO₂, pH, 2,3-DPG Anemia testing: Reticulocyte production index, Schilling test interpretation, PK & G6PD deficiency Morphologic findings: Heinz bodies, target cells, acanthocytes, Alder-Reilly anomaly Blood bank & metabolic correlations: Cold agglutinin screen, ESR factors, liver disease patterns Fetal and hereditary disorders: α-thalassemia (hydrops fetalis), Hb F influence, mucopolysaccharide disorders

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ASCP Hematology Exam Questions and
answers 2025



>20% .defines .what .type .of .leukemia? .- .ANS✓✓-acute

4 .deleted .alpha .genes .can .result .in .the .development .of? .- .ANS✓✓-
hydrops .fetalis, .nonviable .fetus

A .cold .agglutinin .screen .determines? .- .ANS✓✓-
the .presence .of .a .cold .autoantibody

A .falsely .decreased .ESR .can .be .attributed .to? .- .ANS✓✓-
QNS .specimen, .decreased .temperature

A .falsely .elevated .ESR .can .be .attributed .to? .- .ANS✓✓-
tilting .tube, .standing .too .long, .increased .temperature, .excess .EDTA

A .G6PD .deficiency .is .characterized .by .what .lab .findings? .- .ANS✓✓-
decreased .G6PD, .heinz .bodies

A .heinz .body .prep .can .indicate .what .conditions? .- .ANS✓✓-
G6PD .deficiency, .unstable .hemoglobins, .HbH

A .kleihauer-betke .acid .elution .measures? .- .ANS✓✓-
the .resistance .of .fetal .hemoglobin .to .acid .elution

A .left .shift .in .the .hemoglobin-
oxygen .dissociation .curve .causes .what .changes .in .the .following .substances: .C
O2, .pH, .2,3-DPG? .- .ANS✓✓-increased .pH, .decreased .CO2, .decreased .2,3-DPG

A .normal .schilling .test .with .IF .indicates .what .type .of .problem .or .anemia? .- .AN
S✓✓-pernicious .anemia

A .PK .deficiency .is .characterized .by .what .lab .findings? .- .ANS✓✓-decreased .PK,
.no .heinz .bodies


A .positive .Ham's .test .and .a .positive .sucrose .hemolysis .test .helps .to .diagnose .
what .condition .- .ANS✓✓-PNH

A .reticulocyte .production .< .2 .indicates? .- .ANS✓✓-
inadequate .bone .marrow .response .to .anemia

,A .reticulocyte .production .> .2 .indicates? .- .ANS✓✓-
adequate .bone .marrow .response .to .anemia

A .right .shift .in .the .hemoglobin-oxygen .dissociation .curve .causes .what .changes
.in .the .following .substances: .CO2, .pH, .2,3-DPG? .- .ANS✓✓-
decreased .pH, .increased .CO2, .increased .2,3-DPG

A .sickle .cell .screen .measures? .- .ANS✓✓-
the .reduced .solubility .of .deoxygenated .hemoglobin .S

A .t(15;17) .genetic .aberration .is .associated .with .what .condition? .- .ANS✓✓-
M3 .AML

A .t(8;21) .genetic .aberration .is .associated .with .what .condition? .- .ANS✓✓-
M3 .AML

A .t(9:22) .Philadelphia .chromosome .is .associated .with .what .condition? .- .ANS✓
✓-CML

A .WBC .differential .is .performed .on .a .bone .marrow .in .order .to .do .what? .- .ANS
✓✓-determine .the .type .of .leukemia .present .if .diagnosed

Acanthocytes .are .commonly .seen .in .what .condition(s)? .- .ANS✓✓-
severe .liver .disease, .abetalipoproteinemia

Alder-Reilly .is .an .anomaly .which .is .characterized .by? .- .ANS✓✓-
large .azurophilic .granules .
(due .to .the .increased .presence .of .mucopolysaccharides)

All .non-
embryonic .hemoglobin .types .are .comprised .of .what .type .of .globin .chain? .- .AN
S✓✓-alpha

An .11q/23 .genetic .aberration .is .associated .with .what .condition? .- .ANS✓✓-
M5 .AML

An .abnormal .schilling .test .with .or .without .IF .indicates .what .type .of .problem .or .
anemia? .- .ANS✓✓-malabsorption .problem

An .increase .in .hemoglobin .F .can .cause .what .kind .of .shift .in .the .hemoglobin-
oxygen .dissociation .curve? .- .ANS✓✓-left .shift

An .increase .in .liver .enzymes, .target .cells, .and .round .macrocytes .can .indicate .
what .conditions/problems? .- .ANS✓✓-liver .disease, .alcholism

An .increase .in .the .ESR .value .is .see .in .conditions .involving? .- .ANS✓✓-
the .presence .of .abnormal .plasma .proteins .(inflammatory .conditions)

, An .increased .MCV .with .MCHC .and .decreased .RBC .is .associated .with .what .con
dition? .- .ANS✓✓-cold .agglutinin .disease

Another .name .for .helmet .cells .is? .- .ANS✓✓-keratocyte

Another .word .for .sickle .cells .is? .- .ANS✓✓-drepanocyte

Anti-malarial .drugs .and .fava .beans .can .exacerbate .what .condition? .- .ANS✓✓-
G6PD .deficiency

Are .Dohle .bodies .present .in .a .leukemoid .reaction .or .CML? .- .ANS✓✓-leukemoid
.reaction


Auer .rods .are .diagnostic .for .what .condition? .- .ANS✓✓-AML

Basophil .counts .are .increased .in .what .conditions? .- .ANS✓✓-
immediate .hypersensitivies

Bone .marrow .biopsies .are .performed .to .in .order .to .evaulate .what? .- .ANS✓✓-
overall .cellularity .of .the .bone .marrow

Burkitt's .lymphoma .falls .under .which .classification .of .ALL? .- .ANS✓✓-L3

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

Dohle .bodies .are .associated .with .what .condition(s)? .- .ANS✓✓-
bacterial .infections, .burns, .May-Hegglin

Dry .bone .marrow .taps .are .associated .with .what .pathological .condition(s)? .- .AN
S✓✓-myelofibrosis, .aplastic .anemia

Echinocytes .are .commonly .seen .in .what .condition(s)? .- .ANS✓✓-uremia .
(can .also .be .an .artifact)

Elliptocytes .are .commonly .seen .in .what .condition(s)? .- .ANS✓✓-
hereditary .elliptocytosis, .iron .deficiency, .thalassemia

Eosinophil .counts .are .increased .in .what .conditions? .- .ANS✓✓-
allergies, .parasites

Excess .Iron .is .stored .where? .What .does .this .cause? .- .ANS✓✓-
tissues .and .body .organs, .hemosiderosis, .hemochromatosis

Gaucher's .disease .is .characterized .by .an .increase .in .what? .- .ANS✓✓-
glucocerebroside

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