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Boards Prep > DIagnostic Methods > Flashcards

DIagnostic Methods Flashcards

1
Q

Why is PCR for diagnosis of dermatophytosis not confirm active infection?

A

PCR detection of dermatophyte DNA can be helpful, however a positive PCR does not necessarily indicateactive infection, as dead fungal organisms from a successfully treated infection will still be detected on PCR, as will non-infected fomite carriers.

Negative PCR in a treated cat is compatible with cure. Negative fungal culture from a cat with no lesions and a negative Wood’s lamp (except for glowing tips) is compatible with cure

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2
Q

What is the fluorescence length of Wood’s lamp?

A

It is transparent in the violet/
ultraviolet band between 320 and 400 nm with a peak at 365 nm and a broad range of infrared and the longest, least visible red wavelengths

The original glass filter material has been replaced by
newer materials (e.g. barium-sodium-silicate glass incorporating 9% nickel oxide) that coat the inside of glasstubes.
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3
Q

What causes the fluorescence of hair shafts under Wood’s lamp?

A

The characteristic green fluorescence observed on M. canis-infected hair shafts is due to a water-soluble chemical metabolite (pteridine) located within the cortex or medulla of the hair. The fluorescence is due to a chemical interaction that occurs as a result of the infection and is not associated with spores or infective material.

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4
Q

How do you test for D-Dimers in a vasculitis case?

A

A monoclonal antibody-based assay is available to detect D-dimers in the blood. Using a cutoff of greater than 500 ng/ml - there was a specificity of 100% and sensitivity of 64%.

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5
Q

Congo Red is used to stain for what in histopathologic sections?

A

Staining with Congo Red (CR) is a qualitative method used for the identification of amyloids in vitro and in tissue sections.

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6
Q

CD3

A

T cells (alpha-beta and gamma-delta)

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7
Q

CD79a

A 
B cell (component of B  cell antigen receptor)
Minimally expressed in plasma cells
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8
Q

CD20

A 
B cells (regulates B cell  activation /proliferation)
Not expressed in plasma cells
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9
Q

CD18

A

All leukocytes

Histiocyte marker in combination with CD3 and CD79a

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10
Q

CD90 (Thy-1)

A

Interstitial dendritic cells

NOT expressed by Langerhans cells

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11
Q

c-Kit

A

Mast cells (and hematopoietic progenitor cells)

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12
Q

E-cadherin

A

Langerhans cells (used to indicate cutaneous histiocytoma) Also expressed by epithelial cells and some leukocytes

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13
Q

Granzyme B

A

A serine protease most commonly found in the granules of natural killer cells (NK cells) and cytotoxic T cells.
CD8+ T cells and NK cells

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14
Q

Ki67

A

Cell proliferation marker (determines growth fraction of cell population)

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15
Q

MUM1/IRF4

A

Plasma cell marker (transcription factor)

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16
Q

Melan-A

A

Melanoma indicator

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17
Q

Pancytokeratin

A

Marker for squamous cell carcinoma

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18
Q

Myeloperoxidase (MPO)

A

Neutrophils and monocytes (lysosomal protein stored in granules)

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19
Q

Ziehl-Neelson Stain

A

Acid Fast Bacteria = RED

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20
Q

Masson Trichrome

A

Mature Collagen = Blue

Immature collagen, keratin, muscle and nerves = Red

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21
Q

Oil red O

A

Lipids = Red

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22
Q

Verhoeff’s Stain

A

Elastin and Nuclei = Black

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23
Q

Sudan Black B

A

Lipids = Green or Black

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24
Q

Periodic Acid-Schiff (PAS)

A

Fungi, glycogen, mucopolysaccharides and tissue debris = Red

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25
Q

Alcian Blue

A

Acid mucopolysaccharides = Blue

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26
Q

Toluidine Blue

A

Acid mucopolysaccharide and mast cell granules = purple

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27
Q

Gomori’sMethenamine Silver (GMS)

A

Fungi and melanin = Black

28
Q

Gram Stain

A

Gram positive = Purple/Blue

Gram negative bacteria = Red (Safranin)

29
Q

Brown-Brenn Stain

A

Gram positive = Purple/Blue

Gram negative bacteria = Red (Safranin)

30
Q

Fite’s Modified Acid-Fast Stain

A

Acid Fast Bacteria = Red

31
Q

Ziehl-Neelson Stain

A

Acid Fast Bacteria = Red

32
Q

Giemsa Stain

A

Granules = Basophilic (important for mast cell ID)
Organisms = Basophilic (Differentiates it from GMS-Positive Histoplasmosis)
Most blood cells show red/pink cytoplasm and blue-purple nucleus.

33
Q

Luna Stain

A

The most popular specific staining technique for eosinophils

34
Q

What stain is effective in visualizing the Cryptococcus capsule?

A

Mayer mucicarmine is a useful special stain because it stains the organisms capsule red.

GMS, AS and Fontana will also work.

35
Q

CD 1 (a,b,c)

A

Langerhans’ cells, dendritic cells

36
Q

CD3

A

T cells (differentiates between B and T cell lymphoma)

37
Q

CD4

A

Helper T cells, activated dendritic cells

38
Q

CD11b

A

Myeloid cells (macrophages), NK cells

39
Q

CD11c

A

Dendritic cells, NK Cells

40
Q

CD11d

A

Macrophages identified in the splenic red pulp and bone marrow

41
Q

CD18

A

Broad staining of leukocytes (prominent in histiocytic tumors)

42
Q

CD45RA

A

B cells and naïve T cells

43
Q

CD79a

A

B cells, (differentiate between B and T cell lymphoma)

44
Q

MHC II

A

Broad expression in cells functioning in antigen presentation

45
Q

Thy-1 (CD90)

A

CD34+ hematopoietic cells (specifically interstitial dendritic cells)

46
Q

E-cadherin

A

Specific to epidermal Langerhans cells, epithelial cells

47
Q

Vimentin

A

Mesenchymal cells

48
Q

CD25

A

IL-2 receptor

49
Q

What is the IHC for macrophages?

A

CD45, CD18, CD11b, MHCII, CD68

50
Q

What is the IHC for APC dendritic cell?

A

CD45, CD18, CD1, CD11c, MHCII, CD11b, ICAM-1

51
Q

What is the IHC marker for LC?

A

E-cadherin

52
Q

Interstitial (dermal) DC

A

CD90

53
Q

Activated dermal DC

A

CD4

54
Q

Fontana-Masson

A

Premelanin and melanin – black (hemosiderin can be positive too, but less intense)

55
Q

Giemsa (Wright-Giemsa)

A

Metachromatic staining of mast cell granules; may also help demonstrate donnovan bodies & Leishmania; parasites.

Donovan bodies are rod-shaped, oval organisms that can be seen in the cytoplasm of mononuclear phagocytes or histiocytes in tissue samples from patients with granuloma inguinale. They appear deep purple when stained with Wright’s stain.

56
Q

Van Gieson’s

A

Mature collagen – red

Immature collagen, keratin, muscle, and nerves – yellow

57
Q

Warthin–Starry stain (WS)

A

Used for the visualization of spirochetes but also for the detection of Helicobacter pylori and microsperediates. This stain is also used to confirm the presence of Bartonella henselae, the microorganism responsible for cat scratch disease.

Spirochetes are argyrophilic, that is to say they absorb the silver contained in a solution, but it is necessary to add a reducing agent in the solution to reduce the silver absorbed silver which will form silver. deposits and thus a coloring.

58
Q

What is Gimenez stain used to identify?

A

Rocky Mountain Spotted Fever

59
Q

What is the difference between Kinyoun and ZN stain?

A

The fundamental difference between the two carbolfuchsin-based methods is whether heat is used during the primary staining process. The Ziehl-Neelsen method uses heat to infuse the carbolfuchsin into the acid-fast cells, whereas the Kinyoun method does not use heat.

60
Q

What is the best stain for Atypical mycobacterium and Leprosy?

A

Though modified Fite-faraco is more sensitive than Ziehl Neelsen method in detection of Mycobacterium leprae in tissue sections, it is tedious, time consuming and leads to observer fatigue.

61
Q

CD45

A

is used as a marker of all hematopoietic cells (blood cells), except for mature erythrocytes (red blood cells) and platelets.

62
Q

IBA1

A

that is specifically expressed in macrophages / microglia and is upregulated during the activation of these cells. Iba1 expression is up-regulated in microglia following nerve injury, central nervous system ischemia, and several other brain diseases.

63
Q

Von Kossa

A

widely used in histology to detect the presence of abnormal calcium deposits in the body. The principle of this coloration is based on the transformation of calcium salts into silver salts: calcium ions, bound to phosphates, are replaced by silver ions brought by a solution of silver nitrate.

64
Q

Summary of Stains

A

Toluidine blue: acid mucopolysaccarides and mast cells - purple
Gomori Methenamine silver: fungi and melanin - black
Periodic Acid-Schiff: neutral mucopolysaccarides, fungi - red
Ziehl-Nielson/Acid Fact: lipochrome, lipid walls of mycobacterium - red/pink
Von Kossa: calcium deposition - dark bue/purple
Oil-Red O: lipids - dark red
Mayer’s Mucicarmine: mucin and capsule of cryptococcus - red/pink

65
Q

India Ink Stain

A

India ink capsule stain is used to demonstrate cell capsules through microscopic examination. This procedure is used to detect presence of encapsualted species, e.g. Cryptococcus neoformans, which causes cryptococcosis in humans.

Boards Prep (22 decks)

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