ASCP RECALLS PRACTICE EXAM 190 QUESTIONS &
CORRECT ANSWERS LATEST 2025
Which increases first after an MI
Myoglobin
Which of the following causes antibody against TSH?
Graves Disease = TSHR antibody
increase T3 and T4
decrease TSH
Which of the following causes antibody against Thyroglubulin and Thyroid cells?
Hashimotos = Anti-thyroglobulin
decrease T3 and T4
increase TSH
Which of the following analytes is cofactor for most of 300 enzymes?
Magnesium (Zinc too)
reference range: 1.7-2.4 mg/dl
Which of the following condition is the most common cause of increase anion gap?
Uremia (Renal failure), Lactic acidosis, Ketoacidosis, Hypernatremia, ingestion of
Methanol, Ethylene Glycol or Salycilate (SLUMPED)
HTLV- confirmatory test
Western blot
Positive RPR negative FTA for Syphilis
False positive
,Biggest problem with PCR?
Contamination with nucleotides.
Quantitative (real time) PCR is useful in detecting ...
EBV
What HBV disease marker is found in individuals with a past infection? life time
marker?
Anti-HBc
Positive anti-HBe, anti-HBc IgG, and Anti-HBs indicates what stage of hepatitis?
Immunity to Hep B due to previous infection
Iatrogenic anemia is due to what?
to excessive blood draws.
In which case is Magesium monitored?
Pre-eclampsia (eclampsia)
Patient taking primidone showing toxicity, but blood levels normal. What do you
do next? -
Test phenobarbital level.
Sperm count can be done on semen sample when
Liquefaction is complete (30-60 minutes)
Tumor marker seen in pancreatic cancer
CA 19-9
Fasting glucose 120. What's the diagnosis?
Impaired fasting glucose.
0-50 mg/dl = hypoglycemia
50-100 mg/dl = normal
100-125 mg/dl = impaired
>126 mg/dl = diabetes
What increase in Pheochromocytoma ?
, Metanephrines in urine (24 hours collection)
sensitivity is
TP/TP +FN X 100
specificity is
TN/TN+TP X 100
Increased Alkaline Phosphatase in
Obstruction Jaundice (post hepatic)
Chronic hepatitis
anti-smooth muscle antibody (not sure)
HgbA1c decrease in
Chronic Hemolysis (hemolytic anemia)
Lipoprotein that transport the majority of cholesterol into cells
LDL
Procainamide metabolite that need to be measured along with Procainamideis
NAPA
Main metabolite of cocaine
Benzoylecgonine
Blood product that has highest capability of transmitting hepatitis
Needle stick during a procedure
the action of Caffeine for Diazo reaction.
to measure unconjugated bilirubin
Enzyme that uses p-Nitrophenylphosphate (pnp) as substrate @ pH of 9.6
Alkaline Phosphatase (ALP)
Enzyme that uses p-Nitrophenylphosphate (pnp) as substrate @ pH of 9.6 is
highest at what disease
Paget disease (bone destruction disease)
CORRECT ANSWERS LATEST 2025
Which increases first after an MI
Myoglobin
Which of the following causes antibody against TSH?
Graves Disease = TSHR antibody
increase T3 and T4
decrease TSH
Which of the following causes antibody against Thyroglubulin and Thyroid cells?
Hashimotos = Anti-thyroglobulin
decrease T3 and T4
increase TSH
Which of the following analytes is cofactor for most of 300 enzymes?
Magnesium (Zinc too)
reference range: 1.7-2.4 mg/dl
Which of the following condition is the most common cause of increase anion gap?
Uremia (Renal failure), Lactic acidosis, Ketoacidosis, Hypernatremia, ingestion of
Methanol, Ethylene Glycol or Salycilate (SLUMPED)
HTLV- confirmatory test
Western blot
Positive RPR negative FTA for Syphilis
False positive
,Biggest problem with PCR?
Contamination with nucleotides.
Quantitative (real time) PCR is useful in detecting ...
EBV
What HBV disease marker is found in individuals with a past infection? life time
marker?
Anti-HBc
Positive anti-HBe, anti-HBc IgG, and Anti-HBs indicates what stage of hepatitis?
Immunity to Hep B due to previous infection
Iatrogenic anemia is due to what?
to excessive blood draws.
In which case is Magesium monitored?
Pre-eclampsia (eclampsia)
Patient taking primidone showing toxicity, but blood levels normal. What do you
do next? -
Test phenobarbital level.
Sperm count can be done on semen sample when
Liquefaction is complete (30-60 minutes)
Tumor marker seen in pancreatic cancer
CA 19-9
Fasting glucose 120. What's the diagnosis?
Impaired fasting glucose.
0-50 mg/dl = hypoglycemia
50-100 mg/dl = normal
100-125 mg/dl = impaired
>126 mg/dl = diabetes
What increase in Pheochromocytoma ?
, Metanephrines in urine (24 hours collection)
sensitivity is
TP/TP +FN X 100
specificity is
TN/TN+TP X 100
Increased Alkaline Phosphatase in
Obstruction Jaundice (post hepatic)
Chronic hepatitis
anti-smooth muscle antibody (not sure)
HgbA1c decrease in
Chronic Hemolysis (hemolytic anemia)
Lipoprotein that transport the majority of cholesterol into cells
LDL
Procainamide metabolite that need to be measured along with Procainamideis
NAPA
Main metabolite of cocaine
Benzoylecgonine
Blood product that has highest capability of transmitting hepatitis
Needle stick during a procedure
the action of Caffeine for Diazo reaction.
to measure unconjugated bilirubin
Enzyme that uses p-Nitrophenylphosphate (pnp) as substrate @ pH of 9.6
Alkaline Phosphatase (ALP)
Enzyme that uses p-Nitrophenylphosphate (pnp) as substrate @ pH of 9.6 is
highest at what disease
Paget disease (bone destruction disease)
