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100+ Free ASCP SH Practice Questions

Pass your Specialist in Hematology (SH) exam on the first try — instant access, no signup required.

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2026 Statistics

Key Facts: ASCP SH Exam

100

Exam Questions

ASCP BOC SH exam page

2h 30m

Exam Time

ASCP BOC SH exam page

400

Minimum Passing Score

ASCP 100-999 scoring scale

$310

Application Fee

ASCP BOC SH exam page

70%

First-Time Pass Rate

ASCP BOC published data

ASCP BOC lists the SH exam as 100 questions in 2 hours 30 minutes with scores reported on a 100-999 scale and 400 as the minimum passing score. The current SH application fee is $310. ASCP's SH content guideline covers coagulation physiology, laboratory testing, thrombotic and bleeding disorders, anticoagulant monitoring, and quality management.

About the ASCP SH Exam

The ASCP SH exam certifies specialists in hematology covering primary and secondary hemostasis, coagulation cascade, fibrinolysis, thrombophilia and hypercoagulable states, anticoagulant therapy monitoring, coagulation testing, platelet function testing, factor assays, mixing studies, quality assurance, and point-of-care testing. ASCP exams are delivered at Pearson VUE test centers.

Questions

100 scored questions

Time Limit

2 hours 30 minutes

Passing Score

Scaled score 400 (100-999)

Exam Fee

$310 (ASCP BOC / Pearson VUE)

ASCP SH Exam Content Outline

20-25%

Coagulation Physiology

Primary hemostasis, secondary hemostasis, coagulation cascade (intrinsic, extrinsic, common pathways), and fibrinolysis

25-30%

Coagulation Testing

PT, aPTT, fibrinogen, D-dimer, thrombin time, mixing studies, factor assays, inhibitor testing, and algorithmic testing

15-20%

Bleeding Disorders

Hemophilia A and B, von Willebrand disease, platelet function disorders, DIC, and inherited bleeding disorders

15-20%

Thrombotic Disorders

Thrombophilia, hypercoagulable states, lupus anticoagulant, antiphospholipid syndrome, and anticoagulant therapy monitoring

10-15%

Platelet Function Testing

Platelet aggregation, PFA-100/200, flow cytometry, and platelet morphology evaluation

5-10%

Quality Management

QC procedures, proficiency testing, pre-analytical variables, and point-of-care coagulation testing

How to Pass the ASCP SH 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: $310

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 SH Study Tips from Top Performers

1Weight your study plan to the blueprint: coagulation testing and physiology carry the highest combined weight
2Master the coagulation cascade — know the intrinsic, extrinsic, and common pathways cold
3Understand mixing studies and how they differentiate factor deficiencies from inhibitors
4Know all anticoagulant therapies (heparin, warfarin, DOACs) and their monitoring parameters
5Study thrombophilia workups: lupus anticoagulant testing, antiphospholipid antibodies, and factor V Leiden
6Review pre-analytical variables that affect coagulation testing results

Frequently Asked Questions

How many questions are on the ASCP SH exam?

ASCP BOC lists the SH exam at 100 questions with a 2 hour 30 minute testing time. Questions are multiple choice and mapped to the SH content guideline domains.

What score do I need to pass ASCP SH?

ASCP reports exam scores on a 100-999 scale. The minimum passing score is 400.

What topics are tested on ASCP SH?

The SH guideline domains cover coagulation testing (25-30%), coagulation physiology (20-25%), bleeding disorders (15-20%), thrombotic disorders (15-20%), platelet function testing (10-15%), and quality management (5-10%).

How much is the ASCP SH exam fee?

The current ASCP BOC SH application fee is $310 (non-refundable) per the ASCP SH credential page.

How should I study for ASCP SH?

Use blueprint-weighted prep: 1) master coagulation testing methods and interpretation, 2) study coagulation cascade physiology, 3) learn bleeding and thrombotic disorder diagnosis, 4) review platelet function testing and quality management.

What are the ASCP SH eligibility requirements?

Candidates typically need a bachelor's degree in medical laboratory science plus documented experience in hemostasis/coagulation. Multiple eligibility routes exist — verify your specific route on the ASCP BOC SH page before applying.