Cytopreparatory Techniques Flashcards

1
Q

How many dyes and how many solutions make up the Papanicolaou (Pap) stain protocol?

From Self Instruction textbook, notes & etc

A

Five dyes: Hematoxylin, orange G, light green SF yellowish, eosin Y, & Bismarck bown Y

3 Solutions: Gill (or Hariss) Hematoxylin, OG-6, & EA

The last two solutions have phosphotungstic acid as mordants

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2
Q

EA solutions used in cytologic staining contain:

A. fast green, eosin Y and phosphomolybdic acid
B. Orange G, phosphomolybdic acid, and eosin Y
C. Light green, orange G, and phosphomolybdic acid
D. Light green, eosin Y, and phosphotungstic acid

BOC 2021 HTL Question Pool

A

D. Light green, eosin Y, and phosphotungstic acid

EA solutions contain light green, eosin Y, and phosphotungstic acid. Some formulas also contain Bismarck brown.

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3
Q

What is the purpose of the Pap stain?

From Self Instruction textbook, notes & etc

A

To distinguish cellular components by obtaining highly detailed chromatin, differential counterstaining, and cytoplasmic transparency.

The differential counterstaining of cells at diff metabolic states

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4
Q

What cellular components do each of the three solutions in the Pap stain demonstrate?

From Self Instruction textbook, notes & etc

A

Hematoxylin [Blue]: Crisp & distint nuclear detail

OG-6 [Orange]: tonofilaments of keratin (distinguish keratinizing neoplasms)

EA: Cytoplasm spectrum of color
-Metabolically inactive cells= pinkish
–>Eosin stains superficail squamous cells, nucleoli, erithrocytes, & cilia

-Metabolically active cells= blue-greenish
–>light green stains intermedial squamous, parabasal & columnar cells; histiocytes, leukeocytes, large & small cell undifferentiated carcinomas & adenocarcinomas

Phosphotungstic acid acts as a dye excluder in EA

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5
Q

Troubleshooting

A Papanicolaou stained smear shows only blue-green cytoplasm in all cells. No pink cytoplasm is noted.

From Self Instruction textbook, notes & etc

A

The cytology prepartory tech should be cautione about:
1. Over-rinsing the PAP slides
2. Staining in EA for too short a time

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