Decalcification Flashcards

1
Q

Step in tissue processing that involves removal of calcium (e.g. bones, teeth, etc.).

A

Decalcification

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2
Q

True or False. Decalcification is a routine procedure.

A

False, not all specimens will undergo decalcification because it is not a routine step

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3
Q

Why is decalcification done?

A

For specimens with calcium and other salts, they need to undergo decalcification first to soften hard tissues to facilitate easy cutting.

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4
Q

What is the main purpose of decalcification?

A

Soften hard tissue to facilitate easy cutting

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5
Q

True or False. Calcified tissue may damage disposable blades and microtome knives.

A

True

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6
Q

What will you do if decalcification is done but the the tissue is still hard?

A

Use tissue softeners like Molliflex-Pereyni’s

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7
Q

How long does decalcification take to be done?

A

24 to 48 hours

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8
Q

Temperature range for decalcification (room temperature).

A

18-30degC

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9
Q

Ratio of decalcifying agent to tissue volume.

A

20:1

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10
Q

What are the factors that affect decalcification time?

A

Degree of mineralization, Concentration and volume of the decalcifying agent, Heating & agitation

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11
Q

True or False. If calcium content is high or heavy-mineralized, the process will be shorter.

A

False, it will be longer

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12
Q

If a specimen is bone from an osteoporotic patient, it will have _________(low/high) calcium content, so the process will be _________ (shorter/longer).

A

Low; shorter

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13
Q

Increasing the concentration and volume of the decalcifying agent, the __________(shorter/longer) the decalcification time.

A

Longer

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14
Q

The ratio of decalcifying agent to tissue is ______.

A

20:1

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15
Q

Heating and agitation _______ (accelerates/ retards) the process.

A

Accelerates

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16
Q

Temperature required when performing decalcification.

A

18-30 degrees Celsius (room temperature)

17
Q

True or False. Decalcification can be done through an autotech.

A

False, there is no special equipment to perform decalcification, it must be done manually

18
Q

What are the 4 methods of decalcification?

A

Use of acids, Use of chelating agent, Ion Exchange Resin, Electric Ionization

19
Q

Decalcification method that is commonly used in the laboratory.

A

Use of acids

20
Q

Example of chelating agent that can be used to decalcify.

21
Q

How long does it take to decalcify when using Ion Exchange Resin method?

A

1-14 days or longer

22
Q

Decalcification method that is not suited for urgent biopsies

A

Ion exchange resin

23
Q

Considered as the most rapid method of decalcification because it is thru electric current.

A

Electric Ionization

24
Q

Enumerate the methods to measure the extent of decalcification.

A

Xray/Radiologic, Mechanical/Physical, Bubble test, Chemical Method

25
Most reliable and accurate method of detecting the extent of decalcification.
Xray/Radiologic
26
Can detect the smallest calcium.
Xray/Radiologic
27
Done by bending the tissue, probing or pricking the tissue with a needle.
Mechanical/Physical
28
Method of testing for the completeness of decalcification that uses calcium carbonate.
Bubble test
29
What reagent is being used in bubble test to detect the completeness of decalcification?
Calcium carbonate
30
What does the presence of tiny bubbles signify when CaCO3 is added after decalcification?
specimen is not yet decalcified (EXTEND DECALCIFICATION)
31
Method of measuring completeness of decalcification by using 5mL or 0.5mL decalcifying agent.
Chemical method
32
In chemical method of checking the completeness of decalcification, how is the acidic decalcification agent be converted into alkaline?
By adding strong ammonia.
33
What result signals that decalcification is not yet done when chemical method is utilized?
Turbidity