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Certified Histocompatibility Specialist (CHS) Guide: Exam Review, Certification & HLA

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Become a Certified Histocompatibility Specialist (CHS). This guide covers the HLA exam, including immunogenetics, transplant compatibility testing, solid organ & hematopoietic stem cell protocols, and lab procedures.

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1|Page



Certified Histocompatibility Specialist - CHS Exam
2025 Preparation Test Bank With 230 Questions and
Correct Answers/ ASHI CHS Exam Practice Test


Peripheral whole blood contains five general cell types -
...ANSWER...✓✓ * lymphocytes (WBC)*
* monocytes (WBC)* largest white blood cell* can
differentiate into macrophages or dendritic cells
* granulocytes*
* erythrocytes*
* platelets*


FLOW: CD3 monoclonal antibody is directed against the -
...ANSWER...✓✓ CD3- antigen (T3-antigen), which is
expressed on human T lymphocytes. The monoclonal
antibody does not react with
* B-cells
* monocytes
* granulocytes
* platelets.

,2|Page



FLOW: CD19 monoclonal antibody is directed against the -
...ANSWER...✓✓ CD19- antigen (B4-antigen), which is
expressed on human B lymphocytes (all stages:
precursors, pre-pre, pre, intermediate, mature)


FITC = - ...ANSWER...✓✓ Fluorescein conjugated goat
anti-human IgG (Fc-specific)


MESF = - ...ANSWER...✓✓ Molecular Equivalents of
Soluble Fluorochrome


ΔMESF = - ...ANSWER...✓✓ MESF value for test serum -
MESF value for NHS control serum


LABScreen EDTA Treatment - ...ANSWER...✓✓ * EDTA
chelates CA which precludes complement binding
* Without EDTA, complement can bind which precludes Ab
from binding


= PROZONE

,3|Page



PROZONE - ...ANSWER...✓✓ false negatives or
inaccurately low results
(LABScreen = no EDTA treatment = complement binding =
block Ab binding)


Pronase - ...ANSWER...✓✓ FLOW = removes Fc receptors
or molecules bearing Fc receptor-like domains from the
surface of cells.
Irrelevant immunoglobulins may bind to Fc receptors,
their presence on the cell surface may interfere when
interpreting FLOW XM results


Fc receptors are found on - ...ANSWER...✓✓ some T-
cells, all B-cells, NK cells, and monocytes


CD3 is specific for - ...ANSWER...✓✓ T lymphocytes


CD4 is specific for - ...ANSWER...✓✓ Helper T cells


CD8 is specific for - ...ANSWER...✓✓ Cytotoxic T cells


CD19 is specific for - ...ANSWER...✓✓ B lymphocytes

, 4|Page




CD33 is specific for - ...ANSWER...✓✓ Myeloid cells


CD56 is specific for - ...ANSWER...✓✓ NK cells


A9 Vs A23 / A24: what are each - ...ANSWER...✓✓ A9 is
the broad antigen that was identified early on
A23 / A24 are splits of the broad antigen that were
identified later when better specificities were developed


Bw4 and Bw6 are - ...ANSWER...✓✓ public epitopes


Amino Acid Positions 80 81 82 83
Bw4 I A R L
TARL
A23, 24, 25, 32 A R L
Bw6 N L R G


LABType is - ...ANSWER...✓✓ rSSO


* Amp HLA exons with biotinylated primers

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