ASCP CERTIFICATION EXAM (PART 2)
QUESTIONS WITH CORRECT ANSWERS
2025-2026
What is forward CHF? CORRECT ANSWER diminished cardiac output
What is backward CHF? CORRECT ANSWER accumulation and backup of blood in the venous
system
Whatkare the 4 main causes of left sided heart failure? CORRECT ANSWER 1) Ischemic heart
disease
2) HTN
3) Aortic and mitral valve disease
4) myocardial disease
Whatkare the symptoms and consequences of left sided heart failure? CORRECT ANSWER
Pulmonary congestion, edema, impaired pulmonary outflow, reduced renal perfusion, increased salt, incr
eased volume, ATN, prerenal azotemia, reduced CNS perfusion, hypoxic encephalopathy to coma
Whatkare the four main cause right heart failure? -kCORRECT ANSWER -1) Left sided heart failure
2) Tricuspid or pulmonary valvular disease
3) Pulmonary vascular disease, RV outflow obstruction (cor pulmonale)
Whatkare the symptoms and consequences of right sided heartkfailure? CORRECT ANSWER
1) Portal, systemic and dependent peripheral edema (feet, ankles, and sacrum
2) Hepatomegaly caused by passive congestion
3) Splenomegaly, hemorrhage, hemosiderin deposits and fibrosis
4) Renal congestion from hypoxic injury and ATN
Whatkare the two most common causes of aneurysm? CORRECT ANSWER 1)
Atherosclerosis - expansion of intimal plaque and subsequent medial destruction
2) Cystic medial degeneration
, Where iskthe most common location of aortic aneurysms? CORRECT
ANSWER Abdominal aorta, most frequently between the renal and iliac
bifurcation
Whatkare some less common causes of aneurysm? CORRECT ANSWER
Syphilis, trauma, polyarteritis nodosa, congenital defects, infection
What is a true aneurysm? CORRECT ANSWER
Involves all three vessel layers: intima, media, and adventicia
Whatkis a false aneurysm? CORRECT ANSWER
AKA pseudoaneurysm or pulsating hematoma. Communicates with intravascular space, part of the vessel
wall is missing
Whatkis angina pectoralis? CORRECT ANSWER recurrent chest pain
Whatkdoes a lethal arrhythmia lead to? - CORRECT ANSWERk-sudden cardiac death
Whatkare the two types of asbestos fibers? CORRECT ANSWER 1) Serpentines or
chrysotile - curled flexible fibers
2) Amphiboles or crocidotile - straight brittle fibers
CAP mandates that autopsy reports be completed with how many working days? CORRECT
ANSWER 30 days
What are the 4 liver lobes? CORRECT ANSWER 1) right
2) left
3) caudate
4) quadrate
QUESTIONS WITH CORRECT ANSWERS
2025-2026
What is forward CHF? CORRECT ANSWER diminished cardiac output
What is backward CHF? CORRECT ANSWER accumulation and backup of blood in the venous
system
Whatkare the 4 main causes of left sided heart failure? CORRECT ANSWER 1) Ischemic heart
disease
2) HTN
3) Aortic and mitral valve disease
4) myocardial disease
Whatkare the symptoms and consequences of left sided heart failure? CORRECT ANSWER
Pulmonary congestion, edema, impaired pulmonary outflow, reduced renal perfusion, increased salt, incr
eased volume, ATN, prerenal azotemia, reduced CNS perfusion, hypoxic encephalopathy to coma
Whatkare the four main cause right heart failure? -kCORRECT ANSWER -1) Left sided heart failure
2) Tricuspid or pulmonary valvular disease
3) Pulmonary vascular disease, RV outflow obstruction (cor pulmonale)
Whatkare the symptoms and consequences of right sided heartkfailure? CORRECT ANSWER
1) Portal, systemic and dependent peripheral edema (feet, ankles, and sacrum
2) Hepatomegaly caused by passive congestion
3) Splenomegaly, hemorrhage, hemosiderin deposits and fibrosis
4) Renal congestion from hypoxic injury and ATN
Whatkare the two most common causes of aneurysm? CORRECT ANSWER 1)
Atherosclerosis - expansion of intimal plaque and subsequent medial destruction
2) Cystic medial degeneration
, Where iskthe most common location of aortic aneurysms? CORRECT
ANSWER Abdominal aorta, most frequently between the renal and iliac
bifurcation
Whatkare some less common causes of aneurysm? CORRECT ANSWER
Syphilis, trauma, polyarteritis nodosa, congenital defects, infection
What is a true aneurysm? CORRECT ANSWER
Involves all three vessel layers: intima, media, and adventicia
Whatkis a false aneurysm? CORRECT ANSWER
AKA pseudoaneurysm or pulsating hematoma. Communicates with intravascular space, part of the vessel
wall is missing
Whatkis angina pectoralis? CORRECT ANSWER recurrent chest pain
Whatkdoes a lethal arrhythmia lead to? - CORRECT ANSWERk-sudden cardiac death
Whatkare the two types of asbestos fibers? CORRECT ANSWER 1) Serpentines or
chrysotile - curled flexible fibers
2) Amphiboles or crocidotile - straight brittle fibers
CAP mandates that autopsy reports be completed with how many working days? CORRECT
ANSWER 30 days
What are the 4 liver lobes? CORRECT ANSWER 1) right
2) left
3) caudate
4) quadrate
