histap Flashcards

1
Q

what does a histopathologist deal with

A

tissue

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2
Q

what does a cytopathologist deal with

A

cells

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3
Q

what is a biopsy

A

small sections of tissues that are removed from the patient

primarily used to make diagnoses

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4
Q

how to preserve them

A

typically placed in a formalin solution which preserves the tissues by cross-linking proteins

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5
Q

then how to prepare them for microscopy

A

embedded in paraffin wax to allow very thin sections (2-3μm thick) to be cut by an instrument known as a microtome. These are mounted on a glass microscope slide for further preparation prior to analysis.

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6
Q

which stain to use for staining cytoplasm and nuclei

A

h and e

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7
Q

which stain to use for acid fast bacteria

A

Ziehl-Neelsen
red
aiding in the diagnosis of tuberculosis infection

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8
Q

function of a fine needle

A

used to get into a lesion and suck out (aspirate) the cells which can then be analysed as for a smear

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9
Q

benefits of a fine needle

A

penetrate relatively inaccessible tissues e.g. a thyroid nodule and assess the suspect mass without the need for surgery.

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10
Q

bad part of fine needle

A

only looking at cells and is unable to comment upon the likely architecture of the tissue.

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11
Q

name the process in which manufactured antibodies specifically detect moleclus

A

histochemistry

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12
Q

where do many of the attachtemnts of on the enzyme take place

A

fc region

called conjugations

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13
Q

name the conjunctions

A

enzymes
fluorescent probe
magnetic beads
drugs

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14
Q

what does the Fluorescent probes do

A

These can allow the rapid measurement of the levels of molecules within a sample.

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15
Q

what is multiplexing

A

sevreal antibodies with differnt fluorescent

so you can detect moleculues in a sample

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16
Q

when is it important

A

precious and in small volume

17
Q

what does Magnetic beads do

A

the purification of cell types.

18
Q

what can Drugs do

A

kadcyla, an anti-HER2antibody linked to the cytotoxic chemicalemtansine.

19
Q

what does kadylca trear

A

metastatci bc

20
Q

do antigens only test for protien

A

no,

carb and lipids

21
Q

what are the 2 methods of detection

A

direct - primary antibody

indirect - secondary antibody

22
Q

uses of manafactured antibodies

A

blood group seroly
immunoassays- detection of hormone or circulating antibodies/antigen
immunodiagnosis - infectious disease

determine levels of molecules in clincial sample

23
Q

whats elisa

A

enzymw linked immuno sorbent assay

24
Q

what happens in it

A

Clinical samples (e.g. adheres to a plastic plate

Probe with specific antibody raised against the molecule of interest.

Enzyme conjugation generates a coloured product.

Reference to standard curve (MBC - Haemoglobin) determine precise concentrations of the molecule in the sample.

25
Q

what is flow cytometry

A

detection of specific cells mainly lymphcoytes

26
Q

how it working

A

has flurocesnt conjagated antibodies
specific for antigen of luekocyte
in diff colours
Run as a stream of single cells through a laser beam (s).

Colour of light emitted and the forward or side scatter of the laser beam denotes theidentityof the cell surface molecules expressed and thesizeandgranularityof the cells.

27
Q

what are R​esection specimens

A

taken from tissue that has been removed as part of a surgical procedure and can be processed as for a biopsy.

28
Q

what are they used to look for

A

look at the stage the disease

29
Q

what is a frozen section

A

taken during surgical procedures and are are examined by pathologists in real time

30
Q

what happens in a frozen section

A

The freshly taken tissue is frozen by a machine known as a cryostat, cut then mounted on glass slides and stained as for biopsies. The procedure can give a rapid diagnosis in minutes which can be relayed back to the surgeon to inform the surgery