Help Please log in to determine if you are eligible to purchase PT Programs. CAP/ACMG CYTOGENETICS, ONLINE IMAGES - CY Analytes/procedures in bold type are regulated for proficiency testing by the Centers for Medicare & Medicaid Services (CMS). Analyte/Procedure Challenges per Shipment Number of Activities Chromosome abnormality 6 Two online activities per year Karyotype nomenclature 6 Educational challenge, ungraded 1 per year Additional Information Each challenge includes a case history and images of metaphase cells that are representative of each case. Each mailing will include three constitutional and three neoplastic challenges. Program Information Online images of metaphase cells Your CAP shipping contact will be notified via email when the activity is available Shipping Schedule Shipment A: March 29 Shipment B: November 1 Guest Log in/Register