6.4 Venereal Disease Research Laboratory Test Flashcards
Standard and Classical tests for detction of Reagin
VDRL
What is the immunologic principle of VDRL
Microscopic Flocculation
What is the analyte being detected in VDRL?
Reagin
What are the components of Antigen Suspension?
Ca_________
L___________
Ch___________
1%_____________
B_________
Cardiolipin
Lecithin
Cholesterol
1% Benzoic Acid
Buffer
Dissolving medium
a. Cardiolipin
b. Lecithin
c. Cholesterol
d. 1% Benzoic Acid
e. Buffer
b
Center pg absorption
a. Cardiolipin
b. Lecithin
c. Cholesterol
d. 1% Benzoic Acid
e. Buffer
c
Beef heart, Main antigen
a. Cardiolipin
b. Lecithin
c. Cholesterol
d. 1% Benzoic Acid
e. Buffer
a
Preservative
a. Cardiolipin
b. Lecithin
c. Cholesterol
d. 1% Benzoic Acid
e. Buffer
d
What is the pH of the buffer?
6 +/- 0.1
What is the apperance of Ag suspencion?
milky and turbid
Ag suspension are stored in ________ bottle because it is _______ sensitive
Amber
Sensitive
What syringe is used for calibration or Testing of a Delivery needle?
Hamilton syringe
What is the bevel for Hamilton syringe?
No bevel
What is the needle gauge for:
VDRL (Qualitative)
Vol: 17 ul or 1/60ml
Drops: 60 +/- 2 drops per mL
18
What is the needle gauge for:
VDRL (_________)
Vol: 14 ul or 1/75ml
Drops: 75 +/- 2 drops per mL
19
Quantitative
What is the needle gauge for:
VDRL (_________)
Vol: 10 ul or 1/100ml
Drops: 100 +/- 2 drops per mL
21 or 22
CSF
What is the needle gauge for:
_____________
Vol: 17 or 16 ul; 1/60ml
Drops: 60 +/- 2 drops per mL
20
RPR
What is the specimen for VDRL? Volume?
Serum (50uL)
Inactivating the serum for VDRL:
56C for ______
_______ for 2-3 mins
30 mins
60-62
What is the reason for heating the serum?
Inactivation of complement
If Serum is inactivated for more than 4 hours previously, it should be re-inactivated for ___mins at ___ C
10
56
CSF requires heating for complement
T or F
F
no heating since no complement
CSF sample is for what complication in syphilis?
Neurosyphilis
In CSF, if traumatic tap, Centrifuge and obtain supernatant
T or F
T
Specimen used is CSF
a. VDRL slides
b. Boerner’s Slide
b
Specimen used is serum
a. VDRL slides
b. Boerner’s Slide
a
Test Ring: 14mm
a. VDRL slides
b. Boerner’s Slide
a
Test ring is 16 mm
a. VDRL slides
b. Boerner’s Slide
b
Depth: 1.75
a. VDRL slides
b. Boerner’s Slide
Both
Serum VDRL test:
Rotate for ___ mins at ____rpm
4
180
Serum VDRL test examines for flocculation under what Objective power?
LPO
What is the working temp when examining flocculation in VDRL?
23-29 C or 75-85 F
Patient has Systemic Lupus erythematosus , what happens in VDRL test?
False positive
What are other complication may lead to False positive in VDRL
Rheumatic Fever
IM
Malaria
Preg
SLE
(SM RIP)