2S [LAB]: Serologic Tests (secondary) Flashcards
Principle of TPHA
Indirect Hemagglutination
Carrier particles used in TPHA
Red cells (Avian, but Bovine may also be used)
Non-virulent strain of Treponema used in TPHA
Reiter
Pathogenic strain of Treponema
Nichol
In TPHA, the setups are mixed for how long and is left undisturbed for how long?
2 mins
45 mins
Principle of VDRL
Flocculation
Aggregation of non-cellular particulate matter
Flocculation
IgM isotype formed after interaction of phospholipid from spirochetes interacting with immune system of the host
Non-treponemal antibodies
Principle of RPR
Flocculation
Source of antigen used in RPR
Cardiolipin
Alcoholic extract of beef’s heart
Cardiolipin
Positive result of RPR
Black aggregates
Negative control of VDRL
NSS
Rotation condition when doing VDRL
180 rpm for 4 mins
Rotation condition when doing RPR
100 rpm for 8 mins
Widal test is used in which infection?
Salmonella
Weil-Felix test is used in which infection?
Rickettsia
Antigen detected in Widal test
Somatic flagellar antigen (from Salmonella)
Delayed procedure in Weil-Felix test causes what effect?
Fake agglutination
Interpret:
OX-19 (+)
OX-2 (Weak)
Typhus
Interpret:
OX-19 (-)
OX-2 (-)
OX-K (+)
Tsutsugamushi fever/ disease
In Brucella test, a titer above ___ denotes an active infection
1/80
Etiologic agent of syphilis
Treponema pallidum subsp. pallidum
Etiologic agent of Yaws
T. pallidum subsp. pertenue
Etiologic agent of non-venereal disease
T. pallidum subsp. endemicum
Motility of T. pallidum
Corkscrew
Also known as the “great imitator”, French disease, Italian disease
Syphilis
Lesions present in primary syphilis
Hard chancre
Body parts affected by the chancre
Glans penis (male)
Labia (female)
Lesions present n secondary syphilis
Condylomata lata
Phase in syphilis infection mistaken as recovery
Latent phase
Degeneration of lower spinal cord that is a common manifestation of tertiary syphilis
Tabes dorsalis
Lesions present in tertiary syphilis
Gummas
Microscope used in the direct detection of syphilis
Dark field
The direct method of detection of syphilis is only advisable for which phase?
Primary/ secondary
Phospholipid released that will react to the immune system of the host following tissue destruction
Reagin
The main antigen in VDRL
Cardiolipin
Reagent in VDRL that enhances reagin reactivity
Cholesterol
Reagent in VDRL that removes anti-complementary substances of cardiolipin
Lecithin
Qualitative serum VDRL uses what size of needle? How much of the Ag suspension per mL will be delivered?
18 g
60 drops
Quantitative serum VDRL uses what size of needle? How much of the Ag suspension per mL will be delivered?
19 g
75 drops
Conditions of the water bath used in VDRL
56C for 30 mins
VDRL is done at what temperature?
23-29 C
The VDRL result is observed under what magnification?
LPO
RPR reagent that makes the reaction more visible
Charcoal
RPR reagent that prevents lipid peroxidation
EDTA
RPR reagent that preserves the suspension
Thimerosal
RPR reagent that acts as a chemical inactivator
Choline chloride
Source of live treponeme antigens used in the T. pallidum immobilization test (TPI)
Rabbit testes
Causative agent of Lyme disease
Borrelia burgdorferi
Titer that is usually considered as positive for lyme disease screening
1:256
Antigen used in TPHA
Avian (turkey) RBCs fixed w/ glutaraldehyde and tannic acid
The control cell in TPHA are coated with ___
Reiter’s strain
The test cell in TPHA are coated with ___
Nichol’s strain
The Ag suspension in VDRL appears to be ___
Milky white