Chapter 14: Cytoprepatory Techniques Flashcards

1
Q

What is the the microscopic examination of individual cells and their morphology known as?

A

Cytology.

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2
Q

What is an example of a gynecologic cytology specimen?

A

Endocervical cells, cervical cells or vaginal cells.

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3
Q

What nongyn specimen deteriorates quickly (within 24 hours) and should either be brought to the lab immediately for cytoprep or placed in a solution?

A

Urine.

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4
Q

What fixative causes a different chromatin pattern for cytology fixation, making diagnosis difficult?

A

Formalin fixation should be avoided because it makes different chromatin patterns.

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5
Q

For best fixation/ preservation of cyto smears, fixation should occur within what timeframe?

A

2 seconds or the slide will begin to airdry rapidly.

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6
Q

To prevent cells from drying after fixation, some commercial cytology spray fixatives add:

A

Polyethylene glycol can be added to provide a protective coating for the slide.

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7
Q

A sputum sample was obtained, homogenized and then centrifuged into a pellet. The best method of smear preparation from that pellet is:

A

Pull-apart smears.

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8
Q

Before staining, remove the Carbowax on slides that were fixed with a commercial fixative by soaking the slide in:

A

Alcohol, usually about a 10 minute soak in 95% alcohol will remove the Carbowax.

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9
Q

To collect as many cells as possible from sparsely cellular urine, what should you do with the urine?

A

Spin it in the centrifuge to collect a pellet.

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10
Q

A method for obtaining specimens from superficial or deep organs is:

A

Fine Needle Aspiration (FNA).

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11
Q

After smears are prepared from the first drops of cellular material from an FNA, any residual material can be removed by rinsing the needle in what?

A

The initial drops from an FNA needle can be used to make pull part smears, the needle then can be rinsed in physiologic saline to recover any residual specimen.

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12
Q

The pathologist wants to determine if enough cells were collected during FNA. The air dried slide can be stained with:

A

Diff-Quik staining can be used to determine specimen adequacy. The toluidine blue wet film method can be also used to determine cellularity during procedures.

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13
Q

What cytoprep technique could have an IHC stain done on it without having to change IHC protocols?

A

Cell blocks because they can be processed as normal.

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14
Q

What are cell blocks usually fixed in?

A

Formalin for processing as normal tissue.

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15
Q

Loose cellular material can usually be held together to make a cell block except for what kind of material?

A

Resin.

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16
Q

What dyes are commonly found in the EA counterstain of the PAP stain”

A

Bismarck brown, Eosin Y and Light green SF yellowish.

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17
Q

What kind of hematoxylin does the PAP stain use?

A

Harris or Gill hematoxylin.

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18
Q

What is the mordant in the OG-6 counterstain in the PAP stain?

A

Phototungstic acid.

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19
Q

Orange G in the PAP stain will demonstrate which component of the epithelial cells.

A

Tonofilaments in keratin.

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20
Q

What cells will stain pink in the PAP stain?

A

Superficial squamous epithelial cells.

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21
Q

Metabolically inactive epithelial cells will be what color in the PAP stain?

A

Various shades of pink while the metabolically active epithelial cells will be blue-green.

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22
Q

The light green in the various EA formulations for PAP staining is very sensitive to:

A

Light.

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23
Q

What stain will show a metachromatic staining of cytology cells?

A

Toluidine blue will show this effect in unfixed cells.

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24
Q

T/F: A false negative diagnosis can result from poor preparation of slides to be stained for cytology.

A

True.

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25
Q

T/F: Most fresh nongyn specimens for cytological examination can be stored in a refrigerator for 24 to 48 hours without fixation.

A

True, except for urines.

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26
Q

T/F: Fixation of cytology cells while they are in liquid state produces flat cells that are spread out.

A

False, the cells will appear smaller and more dense.

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27
Q

T/F: Cotton swabs should NOT be used to collect and smear cytology slides.

A

True.

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28
Q

T/F: Conventional PAP tests provide good quality preparations for use with automated computer image analysis.

A

False, specimens that have been fixed in ThinPrep or Surepath should be used for computer analysis.

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29
Q

T/F: Hematoxylin used in PAPs can only be used regressively.

A

False, they can be either progressive or regressive must like with routine H&E.

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30
Q

T/F: Orange G stains keratinized cells.

A

True.

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31
Q

A cytology smear shows cells that have nuclear swelling, loss of chromatin pattern and very pink cytoplasm. What happened?

A

The smears weren’t fixed immediately before staining.

32
Q

A smear prepared for cytological examination is obscured by RBCs. What can be added to the fixative to lyse RBCs?

A

Acetic acid.

33
Q

The edges of a cytology smear show cells that were distorted due to it being air dried. This is common if the smear technique was:

A

Feathered edge smears should be avoided because the diagnostic cells are pushed to the edge of the smear.

34
Q

A specimen of cyst fluid was centrifuged. The resulting sediment at the bottom of the tube had cells that were packed very dense. How could this have been prevented?

A

Decrease the speed of the centrifuge.

35
Q

A slide of breast fluid had the cells wash off during staining. To help the cells stay on next time:

A

A direct smear should have been made and sprayed quickly to avoid air drying.

36
Q

On a PAP stain, no cells are seen with pink cytoplasm, instead, the cytoplasm is all blue-green. How can this be corrected in the future?

A

Decreasing the time in the rinse water.

37
Q

After staining smears with the PAP stain, the cells do not look crisp pink and blue green, but rather a dirty blend of colors. What happened?

A

The alcohols in the stain line need to be changed more often.

38
Q

What is the primary dye used in a rapid, non-silver staining procedure to demonstrate H. Pylori?

A

The azure eosin used in the Rowanovsky procedure.

39
Q

What are the EA solutions used in cytologic staining?

A

Light green, eosin Y and phosphotungstic acid.

40
Q

In the Bodian technique, Protargol impregnates both neurofibrils and connective tissue. Subsequently, connective tissue is rendered colorless by the replacement of silver with:

A

Copper (this is called the copper stain at work).

41
Q

In the Feulgen reaction for nucleic acids, why are slides placed in 1N Hcl?

A

To promote Hydrolysis.

42
Q

What is the GMS silver method used to demonstrate?

A

Urates.

43
Q

How are Avidin-biotin methods used?

A

ICH staining.

44
Q

What color will the Schmorl method stain reducing substances?

A

Blue as a result of the Turnbull blue reaction.

45
Q

Microscopic evaluation of a Giemsa stained bone marrow reveals very poor nuclear staining and very little cytoplasmic differentiation. This is most likely the result of:

A

An improper pH.

46
Q

What is the component in the nucleus that stains very strongly with basic dyes?

A

Chromatins.

47
Q

What is the nerve process that carries electrical impulses away from the cell body?

A

Axons.

48
Q

What are the differentiating agents in the Luxol fast blue procedure for myelin?

A

Lithium carbonate and 70% alcohol.

49
Q

What color are muscle fibers stained in the Masson trichrome method?

A

Muscle fibers are stained red.

50
Q

What is the most sensitive solution for detecting copper in tissue?

A

The rhodanine method.

51
Q

What is the molecule that produces an immune response in animals?

A

Ag.

52
Q

What chemical functions as an oxidizer?

A

Potassium permanganate.

53
Q

What is the most commonly used dye solution for staining Mycobacterium tuberculosis?

A

Basic fuchsin and phenol.

54
Q

Ammonia water, lithium carbonate solution and Scott tap water substitute are all examples of:

A

Bluing agents. We use Ammonia water in at work.

55
Q

What are the two cytoplasmic stains used in the Pap stain?

A

The OG-6 and the EA.

56
Q

What is the differentiating solution in the Brown-Hopps stain?

A

Gallego solution.

57
Q

What color do elastic fibers stain in the VVG stain?

A

Blue-black to black.

58
Q

What is the most commonly used chemical for reducing absorbed silver to a visible metallic state in argyrophil procedures such as the Warthin-Starry or Steiner?

A

Hydroquinone.

59
Q

When excessive melanin deposition interfered with examination of cellular morphology, melanin pigment can be removed by bleaching a section with:

A

Potassium permanganate.

60
Q

The term “agentaffin” denotes a reaction wherein cells have the ability to reduce a salt of:

A

Silver.

61
Q

How can the selectivity by Harris hematoxylin be increased?

A

By adding aluminum salts.

62
Q

A stained section mounted with a synthetic resin appears cloudy. What happened?

A

The mounting medium has become too thick from the evaporation of solvent.

63
Q

Filamentous structures known as “hyphae” are associated with what microorganism?

A

Some types of fungi.

64
Q

What is the light chain found in some types of Ab?

A

Lambda.

65
Q

What kind of bone is characterized by a network of bony trabeculae separated by interconnecting bone marrow spaces?

A

Cencellous bone.

66
Q

What is the oxidizer in Snook and Laidlaw methods for demonstrating reticulin?

A

Potassium permaganate.

67
Q

What is the main property of “Acid-fast” bacteria?

A

The acid fastness of some bacteria seems to be related to the lipid content of their cell wall.

68
Q

What is a method sometimes used for increasing the diffusion rate of dye molecules and thereby increasing the rate of staining.

A

Increasing the dye solution’s temperature, like with the Iron.

69
Q

What connective tissue component is considered sudanophilic?

A

Adipose cells.

70
Q

How is alkaline phosphate used in some IHC stains?

A

The enzyme label.

71
Q

What is a technique for demonstrating calcium wherein sections immersed in silver nitrate are exposed to bright light?

A

The Von Kossa technique, you have to cook it in the sun for several hours.

72
Q

What are glial fibers stained with in the Holzer method?

A

Crystal violet.

73
Q

What are nissl substances predominately composed of?

A

Rough endoplasmic reticulum.

74
Q

How long is aldehyde fuchsin to be used for elastic stained generally stable for?

A

3 to 4 weeks if stored at 4C.

75
Q

What is a possible cause for poor Gomori aldehyde fuchsin staining?

A

the dye was not the correct color index.