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Free HT Practice Questions

10 free, exam-style ASCP BOC Histotechnician (HT) practice questions with answers and explanations. No signup required. Work through them below, then take the full free HT practice test to study every exam domain.

Question 1

A frozen section is requested to demonstrate fat within a tissue specimen. Which combination of techniques is required to obtain a valid result?

  1. Cryostat sectioning of unprocessed tissue, then an Oil Red O stain
  2. Routine paraffin processing, then an Oil Red O stain
  3. Cryostat sectioning of unprocessed tissue, then a PAS stain
  4. Routine paraffin processing, then a Sudan Black stain
Show answer & explanation

Correct answer: A - Cryostat sectioning of unprocessed tissue, then an Oil Red O stain

Question 2

A pathologist suspects amyloid in a renal biopsy and asks for confirmation. A Congo red stain is performed. Which finding confirms the presence of amyloid?

  1. Magenta staining of the deposits in brightfield
  2. Apple-green birefringence under polarized light
  3. Metachromatic purple staining in brightfield
  4. Black granular deposits after silver impregnation
Show answer & explanation

Correct answer: B - Apple-green birefringence under polarized light

Question 3

A Harris hematoxylin is used in a regressive H&E protocol. Which step is ESSENTIAL to a regressive method but NOT required when using a progressive hematoxylin such as Mayer's?

  1. Bluing in a weakly alkaline solution
  2. Counterstaining with eosin Y
  3. Differentiation in acid alcohol
  4. Clearing in xylene before coverslipping
Show answer & explanation

Correct answer: C - Differentiation in acid alcohol

Question 4

A gastric biopsy is submitted to rule out Helicobacter pylori infection. Which special stain is the MOST appropriate to demonstrate this organism?

  1. Grocott methenamine silver (GMS)
  2. Ziehl-Neelsen
  3. Periodic acid-Schiff with diastase
  4. Warthin-Starry
Show answer & explanation

Correct answer: D - Warthin-Starry

Question 5

A specimen fixed in 10% neutral buffered formalin shows brown-black granular pigment scattered throughout the tissue, heaviest where blood is abundant. What is the MOST likely cause and the correct removal method?

  1. Formalin pigment; remove with alcoholic picric acid
  2. Mercury pigment; remove with Lugol's iodine, then sodium thiosulfate
  3. Melanin; remove by bleaching with potassium permanganate
  4. Chrome pigment; remove with acid alcohol
Show answer & explanation

Correct answer: A - Formalin pigment; remove with alcoholic picric acid

Question 6

Tissue is being fixed in 10% neutral buffered formalin for routine paraffin sections. Which set of conditions provides the MOST appropriate fixation?

  1. Sections about 2 cm thick with a 20:1 ratio of fixative to tissue
  2. Sections about 1 cm thick with a 1:1 ratio of fixative to tissue
  3. Sections about 4 mm thick with a 10:1 ratio of fixative to tissue
  4. Sections about 4 mm thick with a 1:1 ratio of fixative to tissue
Show answer & explanation

Correct answer: C - Sections about 4 mm thick with a 10:1 ratio of fixative to tissue

Question 7

While sectioning a paraffin block on a rotary microtome, the technician observes alternating thick and thin sections (chatter) in the ribbon. Which corrective action addresses the MOST common cause?

  1. Tighten the block holder and knife to eliminate vibration
  2. Lower the temperature of the flotation water bath
  3. Increase the clearance angle to 15 degrees
  4. Soak the block face in warm water to soften the tissue
Show answer & explanation

Correct answer: A - Tighten the block holder and knife to eliminate vibration

Question 8

A renal biopsy is received with a request to evaluate glomerular basement membranes in fine detail. Compared with a routine 4-5 micron section, how should the sections be cut?

  1. Thicker, at approximately 8-10 microns
  2. At the routine thickness of 4-5 microns
  3. Thinner, at approximately 2 microns
  4. As frozen sections at approximately 6 microns
Show answer & explanation

Correct answer: C - Thinner, at approximately 2 microns

Question 9

A batch of processed blocks is soft, crumbly, and difficult to section, and the tissue appears poorly infiltrated with paraffin. Which processing error is the MOST likely cause?

  1. Excessive time in the clearing agent
  2. Paraffin held at too high a temperature
  3. Use of a freshly filtered xylene bath
  4. Incomplete dehydration leaving water in the tissue
Show answer & explanation

Correct answer: D - Incomplete dehydration leaving water in the tissue

Question 10

Under the OSHA formaldehyde standard (29 CFR 1910.1048), what is the permissible exposure limit (PEL) measured as an 8-hour time-weighted average (TWA)?

  1. 0.5 ppm
  2. 0.75 ppm
  3. 2 ppm
  4. 5 ppm
Show answer & explanation

Correct answer: B - 0.75 ppm

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