6.6 Treponemal Tests Flashcards
Also known as Nelson and Mayer (Reference test)
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microocapsule test for T. pallidum
a
Recommended confirmatory test for syphilis by CDC
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microocapsule test for T. pallidum
b
Specimen for Treponema Pallidum Immobilization test?
Serum
Principle: Indirect Fluorescent antibody test
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microocapsule test for T. pallidum
b
Principle: Indirect hemagglutination
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microocapsule test for T. pallidum
c
Similar to TPHA that uses Glutaraldehyde fixed avian RBC
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microocapsule test for T. pallidum
d
Uses Live treponemes from infected rabbits and Guinea pig
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microocapsule test for T. pallidum
a
What is the strain of live treponemes in Treponema Pallidum Immobilization test?
a. Reiter Strains
b. Nichol’s Strain
a
What is the analyte determinant for FTA-ABS?
Ab
Specimen for FTA-ABS
Serum
Reagent:
- Treponemal antigen
- FITC Labelled AHG (Fluorescent Ab)
- FTA ABS test Sorbent
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microocapsule test for T. pallidum
b
What is the strain for Treponemal antigen in FTA-ABS
a. Reiter Strains
b. Nichol’s Strain
b
Which of the following includes washing?
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microcapsule test for T. pallidum
b
Includes Control cells and Test cells
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microcapsule test for T. pallidum
c
Uses Colored Gelatin particles with antigen
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microcapsule test for T. pallidum
e
Uses a carrier Capsule
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microcapsule test for T. pallidum
f
Principle: Semi-quantitative Particle agglutination assay
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microcapsule test for T. pallidum
e
This is used for resolving inconclusive FTA-ABS results
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microcapsule test for T. pallidum
e
In TPHA/MHA-TP:
Reagents:
Control cells: Avian RBCs coated with Treponemal Antigen (_______ Strains)
Test Cells: _______ RBCs coated with Treponemal antigen (______ Strain)
Reiter
Avian
Nichol’s
Process:
- Sample binds to you reagent (Ag-Ab)
- Washing is done to remove excess
- Add FITC labelled AHG that is specific to the antibody from serum
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microcapsule test for T. pallidum
b
Eliminates the instability of RBC in TPHA
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microcapsule test for T. pallidum
f
In Treponema Pallidum Immobilization test:
Results:
(____): >50% or more Immobilization
(____): 20-50%
(____): <20%
+
Doubtful
-
In FTA-ABS:
Heterogenous test:
- (+): __________________
Fluorescence
In TPHA/MHA:
Results:
(+) Total/Partial ______ mat of cells
(-) Formation of _____________
Agglutination
Cell Buttom with w/ or w/o small hole
In TPHA/MHA:
What is the Remedy for Negative with a cell button formed?
Repeat test due to interfering substances
In TPHA/MHA:
MHA-TP: Same with TPHA but uses formalinized tanned sRBC with T. pallidum
T or F
T
FTA-ABS is more sensitive than MHA-TP
T or F
T
Uses positive and Negative control
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microcapsule test for T. pallidum
c
In Microcapsule test for T. pallidum,
What is the carrier capsule being used?
a. Urea
b. Polyurea
c. Uric acid
d. Latex
b
What is the first serologic test for Syphilis
Wasserman Test
Evolution of TPHA
a. Treponema Pallidum Immobilization test
b. Fluorescent Treponema Pallidum Antibody Adsorption Test (FTA-ABS)
c. TPHA/MHA-TP
d. HATTS (Hemagglutination Treponemal Test)
e. TP-PA (Treponema Pallidum Particle Agglutination
f. Microcapsule test for T. pallidum
f