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2026 Statistics

Key Facts: ASCP PA Exam

100

Exam Questions

ASCP PA exam page

2.5 hrs

Exam Time

ASCP PA exam page

400

Minimum Passing Score

ASCP examination procedures

$240

Application Fee

ASCP BOC

~85%

First-Time Pass Rate

ASCP BOC data

30-35%

Surgical Pathology Weight

ASCP PA content guideline

The ASCP PA examination tests pathologists' assistants on surgical pathology (specimen accessioning, fixation, frozen sections), organ-specific grossing protocols (margin assessment, lymph node dissection), autopsy procedures (evisceration methods, organ examination), laboratory management (SOPs, turnaround times), and quality/safety (OSHA compliance, chemical safety). The exam uses CAT format with 100 questions in 2.5 hours.

About the ASCP PA Exam

The ASCP PA exam certifies pathologists' assistants in gross examination, surgical pathology, autopsy procedures, grossing techniques, laboratory management, and safety. Passing earns the PA(ASCP) credential.

Questions

100 scored questions

Time Limit

2 hours 30 minutes

Passing Score

Scaled score 400 (100-999)

Exam Fee

$240 (ASCP BOC / Pearson VUE)

ASCP PA Exam Content Outline

30-35%

Surgical Pathology

Specimen accessioning, tissue fixation, frozen sections, processing, biomarker requirements, and tissue triage

25-30%

Grossing Techniques

Specimen orientation, inking, margin assessment, lymph node dissection, and organ-specific grossing protocols

20-25%

Autopsy Procedures

Evisceration methods, organ examination, brain and spinal cord examination, cause of death determination

10-15%

Laboratory Management

SOPs, turnaround times, synoptic reporting, specimen retention, process improvement, biobanking

5-10%

Quality and Safety

OSHA compliance, PPE, formaldehyde safety, infection control, specimen identification, waste disposal

How to Pass the ASCP PA Exam

What You Need to Know

  • Passing score: Scaled score 400 (100-999)
  • Exam length: 100 questions
  • Time limit: 2 hours 30 minutes
  • Exam fee: $240

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

ASCP PA Study Tips from Top Performers

1Master organ-specific grossing protocols — know required sections and margins for each specimen type
2Study AJCC/CAP staging requirements and minimum lymph node counts for common cancers
3Review all autopsy evisceration methods (Virchow, Rokitansky, Letulle, Ghon) and their differences
4Know OSHA formaldehyde exposure limits (0.75 ppm TWA, 2 ppm STEL) and required safety measures
5Practice tissue fixation timing requirements, especially ASCO/CAP guidelines for breast specimens
6Use our AI tutor to work through grossing protocol questions you find challenging

Frequently Asked Questions

How many questions are on the ASCP PA exam?

The ASCP PA exam contains 100 multiple-choice questions delivered in computer adaptive testing (CAT) format with a 2 hour 30 minute time limit.

What score do I need to pass the ASCP PA exam?

ASCP reports scores on a 100-999 scale, and 400 is the minimum passing score for the PA certification exam.

What is the ASCP PA exam fee?

The ASCP PA application fee is $240. This fee is non-refundable and covers one examination attempt.

What topics are covered on the PA exam?

The PA exam covers surgical pathology (fixation, frozen section, processing), grossing techniques (inking, margins, lymph nodes), autopsy procedures (evisceration, organ examination), laboratory management, and quality/safety (OSHA, PPE).

How should I prepare for the ASCP PA exam?

Focus on organ-specific grossing protocols and surgical pathology fundamentals (largest domains), master margin assessment and lymph node dissection guidelines, review autopsy evisceration methods, and study OSHA formaldehyde regulations.

What career does ASCP PA certification lead to?

The PA(ASCP) credential qualifies you to work as a pathologists' assistant performing gross examination of surgical specimens, assisting with autopsies, preparing frozen sections, and managing gross room operations.