GROSSING

Question 1

grossing often referred to as

Answer 1

cut up

Question 2

grossing involves a careful examination and description of the specimen of it’s ____

Answer 2

appearance, number of pieces, and dimensions

Question 3

the most important processes in which the pathologist arrives at a diagnosis

Answer 3

grossing examination of specimens

Question 4

things to consider in identification of the specimen

Answer 4

patient’s name and surname, birthday, hospital number.

the container must bear the same name and account number

check the number in the request form

Question 5

criteria for rejection of the gross specimen

Answer 5

discrepancies between the requisition and specimen label

specimen with no labels or mislabeled

leaking specimen container

absent clinical data or history

inappropriately identified specimen

Question 6

orientation markers used in describing specimen

Answer 6

inks, nicking, suturing

Question 7

used to identify and orient the spec component

Answer 7

ink

Question 8

for indicating laterally

Answer 8

nicking

Question 9

sutures are represented as

Answer 9

long lateral and short superior

Question 10

after describing the specimen using orientation marker, what is next

Answer 10

the specimen is then cut into representative sections and put in small plastic cassette to hold the tissue

Question 11

size of the cassette

Answer 11

3 X 2.5 X 0.4 cm

Question 12

the specimen should not be more than how many mm in thickness

Answer 12

0.3 mm

Question 13

purposes of inking

Answer 13

resection margins
embedding instructions
orientation
distinguish between samples
identify the cut surface
acetic acid

Question 14

responsibility of a technician

Answer 14

specimen preservation
specimen labeling, logging and identification
preparation of the specimen to facilitate their gross and microscopy
record keeping

Question 15

tissues are classified based on the type of specimen received. for what purpose?

Answer 15

for the purpose of easy identification, ease in handling, and fast retrieving of results in case of future reports are needed

Question 16

tissue specimens are prepared by the medical technologist for the pathologist to

Answer 16

describe and cut

Question 17

specimens received in the laboratory, whether tissue or smear, are numbered upon receipt for ease in handling and easy retrieval when further reports or investigations are needed

true or false

Answer 17

true

Question 18

materials for grossing

Answer 18

tissue specimen
pencil
sharp knife
cutting board
ruler
dental floss
filter paper
scissors

Question 19

procedure (,manual) of grossubf

Answer 19

cut a 1/2 X 2 inch piece of filter pate
using a pencil, write the number corresponding to the number assigned to you by your instructor
cut a 2.5 X 2 x 0.5 cm tissue
tie the tissue using one end of a dental floss
on the other end of the floss, tie the prepared filter paper containing the specimen number

Question 20

first and most important step in the pre-analytic phase of histopath section

Answer 20

numbering and accessioning

Question 21

identify properly all the specimen received without the need of writing the patient’s name to the accompanying specimen tag

Answer 21

numbering and accesioning

Question 22

in numbering the specimen, numbering is preceded by either

Answer 22

S surgical
A autopsy
C cytology

and year must be indicated

Question 23

entering details in the log book is part of

Answer 23

numbering and accesioning

Question 24

recommended steps in tissue grossing

Answer 24

check fixation status
prepare thin slices
avoid specimen trauma
avoid cross contamination
take care with biopsy pads
choose appropriate cassete
avoid overloading cassettes
clearly label cassettes

Question 25

why do we need to check the fixation status

Answer 25

specimens are dealt with promptly especially large specimens that may otherwise be inadequately fixed

Question 26

how thin we need to prepare the tissues

Answer 26

3-4 mm maximum thickness. This is particularly important with dense tissues

Question 27

how do we avoid specimen trauma

Answer 27

handle carefully
do not crush
always use sharp blades

Question 28

how to avoid cross contamination

Answer 28

each specimen is handled on a clean surface avoiding the possibility of a specimen-to-specimen contamination

Question 29

what are the specimen that are not placed in biopsy pads

Answer 29

needle core specimens

Question 30

what are seen in a section that result from local pressure caused by the cellular structure of the foam pads when applied to fresh or briefly fixed tissues

Answer 30

triangular spaces

Question 31

why do we need to choose appropriate cassettes

Answer 31

tissue fragments shrink during processing, if cassette perforations are too large, fragments may escape into processing reagents, or worse still, transfer over to another specimen

Question 32

cassettes with fine perforations are available for small tissue fragments

t or f

Answer 32

true

Question 33

why do we need to prevent overloading cassettes

Answer 33

allowing ready access to processing reagents and preventing distortion of specimens

Question 34

if the volume of tissue is too great __ is used

Answer 34

second cassette

Question 35

__ is of paramount importance

Answer 35

accurate identification of specimen

Question 36

specimen pathology number

Answer 36

accession number

Question 37

entries in biopsy register

Answer 37

accession number

Question 38

requisition form as well as the container

Answer 38

accession number

Question 39

following considerations

Answer 39

check if the specimen is properly labeled with name, age, hospital registration no

the nature of tissue to be exami8ned and the requisition form is also duly filled

check if the specimen is in proper fixative