Flow Cytometry Flashcards

1
Q

Argon ___ electricity heats the argon gas producing light of a single wavelength.This emitted light excites the fluorescent compounds attached to the antibodies. Fluorescent compounds emit light of a higher wavelength which is detected by the instrument.

A

Function of laser

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2
Q

Function of Photomulitplier Tube (PMT)

A

Detects photons. The more photons, the more fluorescence being emitted.

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3
Q

Function of Computer display.

A

Electrical impulses are sent to the computer for storage, analysis, and viewing as histograms

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4
Q

Explain hydrodynamic focusing.

A

Technique that allows cells to pass through the laser beam in a single file. one cell at a time.

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5
Q

Identify the cellular component measured by forward angle light scatter (FALS or FS)

A

Detects particle (cell) size

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6
Q

Identify the cellular component measured by 90 degree light scatter (SS)

A

Detects the granularity or internal composition of cells. Measured by a separate PMT

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7
Q

Be able to identify the cell populations of normal scattergrams

A

Pictures

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8
Q

List the five fluorescent compounds commonly used with an argon laser in flow cytometric analysis.

A
  • FITC-Fluorescein isothiocyanate-green
  • PE-phycoerythrin-orange
  • ECD-Red
  • PeCy5-Deep red
  • PeCy7
  • PI-propidium iodide-red
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9
Q

List three different types of samples that are acceptable for flow cytometric analysis

A

Peripheral blood, BM, tissue, fine needle aspirate, lavage specimen

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10
Q

List two methods of preparing a single cell suspension from a peripheral blood sample.

A
  • Sample is mixed with a hypotonic solution to lyse RBCs, and centrifuged, incubated for 30 mins, and run on flow cytometer
  • automated instrument: T-Q prep
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11
Q

Define gating

A

Electronic isolation of a population of cells for analysis.

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12
Q

List three reasons why immunophenotypic by flow cytometry might be requested on a patient.

A
  • Diagnosis of leukemias and lymphomas
  • Detection of minimal residual disease before the overt relapse of acute leukemia
  • T-cells subset enumeration in HIV patients
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13
Q

Define helper: suppressor (H:S) ratio

A

?

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14
Q

State the adult normal range for Helper:suppressor ratio

A

?

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15
Q

Define CD and explain the purpose of CD numbers

A

CD: Cluster of differentiations; cell surface membrane receptors or markers used to characterize cells by their functions. used to identify cell clones associated with lymphatic and myelogenous leukemias & lymphomas

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16
Q

List CD markers for granulocytic/monocytic

A

CD13, CD14, CD15, CD33, CD34

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17
Q

List CD markers for Erythroid

18
Q

List CD markers for megakaryocytes

A

CD41, CD42, CD61

19
Q

List CD markers for B cell

A

CD19, CD20, Kappa and lambda light chains

20
Q

List CD markers for T cell

A

CD3, CD4, CD5, CD7, CD8

21
Q

What is normal myeloid:erythroid ratio (M:E)?

A

1.5:1-3.3:1

22
Q

Calculate the cellularity in an adult using the normacellular formula and determine if it is normal, hyperplasia,or hypoplasia.

A

(100-Age) +/- 10

23
Q

Review Cytochemistry lecture for case studies

24
Q

Calculate an LAP score and normal range

A

Score times # cells. Then add up all to get LAP score

Normal range: 20-100

25
Decreased LAP score is associated with____
untreated CML
26
Normal to increased LAP score is associated with _____
Leukemoid reaction
27
Increased LAP score is associated with______
Pregnancy, polycythemia vera (PV)
28
Reed-sternbergy and Hodgkin cells are seen in___
Classical Hodgkin Lymphoma
29
Sezary cells are seen in ___
Cutaneous T-cell lymphoma/Mycosis fungoides
30
Mott cells and Flame cells are seen in____
Plasma cells
31
Smudge cells are seen in ___
CLL-Chronic Lymphocytic leukemia/SLL
32
Hairy cells are seen in ____
Hairy cell Leukemia
33
Genetics mutations with of Mantle cell lymphoma
t(11;14)
34
Genetics mutations with of Follicular lymphoma
t(14;18)
35
Genetics mutations with of Hairy cell leukemia
BRAF-V600E
36
Genetics mutations with of Burkitt lymphoma
t(8;14)
37
Genetics mutations with of Large granular lymphocyte leukemia.
STAT3 gene mutation
38
Genetics mutations found in PV (polycythemia vera), ET (Essential thrombocythemia), PMF (primary myelofibrosis)
JAK2 V617F
39
Genetic mutation associated with Chronic myelogenous leukemia (CML)
t(9;22)
40
Genetics mutations associated with Acute Promyelocytic Leukemia (APL)
t(15;17)
41
Genetics mutations associated with AML-with maturation
t(8;21)
42
Genetics mutations associated with AML with abnormal marrow eosinophils
inv(16) or t(16;16)