Histopathology Flashcards

1
Q

What does a histopathologist do?

A

Studies tissues.

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2
Q

What does a cytopathologist do?

A

Studies cells.

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3
Q

What specimens may a histopathologist deal with?

A

Biopsies, resection specimens, frozen sections and post mortems.

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4
Q

How is a biopsy prepared?

A

Tissue sample is preserved in formalin with cross linking proteins (tissue fixation). It is then embedded in paraffin wax. Cut by microtome. Sample mounted on microscope slide and analysed.

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5
Q

What are resection specimens and what are they used for?

A

Resection are taken from tissues removed in surgery. Used to look at the stage of disease.

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6
Q

What are frozen sections? Advantages of frozen sections?

A

Taken during surgical procedures and examined in real time during operation. Provides quick diagnosis - 30 mins.

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7
Q

How are frozen sections prepared?

A

Fresh tissue is frozen by a cryostat, cut, mounted on slides and stained.

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8
Q

What tissue sample takes the longest to get a result from the histopathology lab?

A

Resection specimens. 5-7 days

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9
Q

How long do biopsies take to get a result from the histopathology lab?

A

2-3 days.

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10
Q

How is a fine needle aspirate performed?

A

Fine needle and syringe is used to take cells.

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11
Q

Pros and cons of a fine needle aspirate?

A

Can penetrate inaccessible tissues. No information on tissue architecture.

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12
Q

What are antibody conjugates?

A

Addition of molecules to Fc region of antibody.

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13
Q

4 types on antibody conjugates?

A

Enzymes, fluorescent probes, magnetic beads, drugs.

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14
Q

Use of fluorescent probe antibody conjugate?

A

Rapid measurement of levels of molecules in a sample.

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15
Q

Use of magnetic bead antibody conjugate?

A

Purify cell types.

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16
Q

Use of drug antibody conjugate?

A

Anticancer antibody with cytotoxic drug.

17
Q

When using manufactured antibodies, what is direct activation?

A

Use of primary antibodies - antibody binds to antigen.

18
Q

When using manufactured antibodies, what is indirect activation?

A

Use of secondary antibodies that bind to an antibody (primary) that is bound to an antigen.

19
Q

What is an immunoassay?

A

Detection of substance (e.g hormone) using a complementary antibody.

20
Q

What is immunodiagnosis?

A

Antibody levels in blood. Useful for infection or myeloma diagnosis.

21
Q

What is ELISA?

A

Enzyme linked immunosorbent assay. Use to workout precise concentration of specific molecule in sample.

22
Q

How is ELISA prepared?

A

Clinical sample mixed with complementary antibody that has conjugated enzyme. Wash away unbound antibody. Enzyme makes coloured product from added colourless substrate. Measure absorbance and refer to standard curve.

23
Q

What is flow cytometry used for?

A

Identity of cell surface molecules, size and granularity of cells.

24
Q

How is flow cytometry done?

A

Cells labelled with differently conjugated antibodies that have a fluorophore. Run a stream of single cells through a laser beam. Colour of light emitted and the forward or side scatter of the laser beam analysed.

25
Q

What immunoglobulins can be used in flow cytometry?

A

Anti CD4, Anti CD8, Anti CD19, Anti CD56.

26
Q

What cell has CD19 on it?

A

B cell.

27
Q

What cell has CD56 on it?

A

Natural killer cells.

28
Q

Stain for diagnosis of tuberculosis?

A

Ziehl-Neelsen stain

29
Q

Stain for leukocytes?

A

Haemotoxylin and eosin.

30
Q

How does Haemotoxylin and eosin work for diagnosis?

A

Hematoxylin has a deep blue-purple color and stains nucleic acids. Eosin is pink and stains cytoplasm.

31
Q

Stain for lipids?

A

Oil red O

32
Q

Stain for ECM components such as elastin and collagen?

A

Congo red