CHAPTER 13: Flow Cytometry and Laboratory Automation Flashcards

1
Q

Flow cytometry characterizes cells on the basis of which of the following?
a. Forward and 90-degree side scatter of an interrupted beam of light
b. Front-angle scatter only of an interrupted light beam
c. Absorbance of light by different types of cells
d. Transmittance of light by cells in solution

A

a. Forward and 90-degree side scatter of an interrupted beam of light

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2
Q

Forward-angle light scatter is an indicator of cell
a. granularity.
b. density.
c. size.
d. number.

A

c. size.

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3
Q

What is the single most important requirement for samples to be analyzed on a flow cytometer?
a. Whole blood is collected into a serum-separator tube.
b. Cells must be in a single-cell suspension.
c. Samples must be fixed in formaldehyde before processing.
d. Blood must be kept refrigerated while processing.

A

b. Cells must be in a single-cell suspension.

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4
Q

Which statement represents the best explanation for a flow cytometer’s ability to detect several cell surface markers at the same time?
a. The forward scatter can separate out cells on the basis of complexity.
b. One detector can be used to detect many different wavelengths.
c. For each marker, a specific fluorochrome-antibody combination is used.
d. Intrinsic parameters are separated out on the basis of the amount of side scatter.

A

c. For each marker, a specific fluorochrome-antibody combination is used.

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5
Q

Which of the following cell surface markers would be present on a population of T helper (Th) cells?
a. CD3 and CD4
b. CD3 and CD8
c. CD3 only
d. CD4 only

A

a. CD3 and CD4

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6
Q

If an analyzer consistently indicates a positive test when the analyte in question is not present, this represents a problem with
a. sensitivity.
b. specificity.
c. reportable range.
d. precision.

A

b. specificity.

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7
Q

All of the following are clinical applications for flow cytometry except
a. fetal hemoglobin.
b. immunophenotyping of lymphocyte subpopulations.
c. HIV viral load analysis.
d. enumeration of stem cells in a peripheral blood mononuclear cell product.

A

d. enumeration of stem cells in a peripheral blood mononuclear cell product.

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8
Q

The various signals generated by cells intersecting with a flow cytometry laser are captured by
a. bandwidth waves.
b. wave channels.
c. photomultiplier tubes.
d. flow cells

A

c. photomultiplier tubes.

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9
Q

Analysis of flow cytometer data of cells can be filtered in many ways by using a method of
a. “gating” in a dot plot.
b. banding of a histogram.
c. single-parameter histogram monitoring.
d. automatic sampling.

A

a. “gating” in a dot plot.

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10
Q

A newer flow cytometry technology that has the potential to detect over 500 analytes from one sample of blood is called a/an
a. RBC fragmentation assay.
b. Dihydrorhodamine 123.
c. sucrose test.
d. cytometric bead array.

A

d. cytometric bead array.

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11
Q

Many flow cytometry laboratories now use the CD45 marker in combination with SSC in differentiating various populations of WBCs to replace which of the following combinations?
a. CD4 + SSC
b. CD4 + FSC
c. FSC + SSC
d. FSC + CD45

A

c. FSC + SSC

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12
Q

Which cell surface marker is present on cells seen in hairy cell leukemia?
a. CD138
b. CD33
c. CD103
d. CD34

A

c. CD103

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13
Q

CD45 is a pan-leukocyte marker expressed on WBCs in varying levels or amounts of expression, based on
a. size of a cell.
b. granularity of a cell.
c. maturity and lineage of a cell.
d. malignancy of a cell.

A

c. maturity and lineage of a cell.

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14
Q

Which of the following statements best describes a single-parameter histogram?
a. Each event is represented by a dot.
b. Data is distributed in four quadrants.
c. Positive and negative events are plotted on the x and y axis.
d. A chosen parameter is plotted versus the number of events.

A

d. A chosen parameter is plotted versus the number of events.

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15
Q

How many fluorochromes (colors) are current clinical flow cytometers capable of detecting?
a. 2
b. 6
c. 8
d. 10

A

d. 10

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16
Q

Which type of analyzer allows one to measure multiple analytes from numerous samples, loaded at any time?
a. Batch analyzer
b. Random access analyzer
c. Front-end loaded analyzer
d. Sequential access analyzer

A

b. Random access analyzer

17
Q

Operational considerations when selecting automated analyzers for your laboratory include all of the following except
a. reagent stability.
b. test menu.
c. STAT capability.
d. purchase cost.

A

d. purchase cost.

18
Q

Analyzers use different methods for mixing, including magnetic stirring, rotation paddles, forceful dispensing, and vigorous lateral shaking. Whichever method used, it is imperative that
a. reagents always be kept refrigerated.
b. there is no splashing or carry-over between samples.
c. samples are kept at room temperature.
d. multiple methods are not used simultaneously.

A

b. there is no splashing or carry-over between samples.

19
Q

All of the following are benefits of automation except
a. greater accuracy.
b. increased turnaround time.
c. savings on controls.
d. less disposal of outdated reagents.

A

b. increased turnaround time.

20
Q

If an analyzer gets different results each time the same sample is tested, what type of problem does this represent?
a. Sensitivity
b. Specificity
c. Accuracy
d. Precision

A

d. Precision