Histopathology - Fundamentals of histology Flashcards

1
Q

What type of cell is predominant in the inflammatory process in acute appendicitis/gastritis/mastitis?

A

Neutrophils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the 4 main causes of eosinophilia?

A
  1. Allergic reactions
  2. Parasitic reactions
  3. Tumous eg Hodgkin’s disease (not a neoplasm of eosinophils but a reaction to the neoplastic process)
  4. Eosinophilic oesophagitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

If ‘feline contractions’ are observed in the oesophagus, what is the pathology?

A

Eosinophilic oesophagitis - probably due to a food allergen (“asthma of the oesophagus”)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which cells are most associated with LATE acute inflammation and granulomas

A

Macrophages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a granuloma?

A

Organised collection of activated macrophages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 2 most likely causes of granulomas?

A

Sarcoid
TB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a carcinoma?

A

Malignant tumour of epithlial cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the 2 key histological features of a squamous cell carcinoma?

A

Keratin production
Intercellular bridges

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the 2 key histological features of an adenocarcinoma?

A

Mucin production
Glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the basic principle of how immuno-histochemistry works?

A

Use an antibody to a particular antigen in a tumour and then use stains that detect those antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How do histochemical stains work?

A

Chemical reaction between chemicals added in the stain and the tissue that causes a change in colour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is used to stain amyloid?

A

Congo red stain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How does amyloid appear under polarised light?

A

Apple green birefringeance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which polymorphs have a bilobed nucleus?

A

Eosinophils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is cytokeratin a marker of?

A

Epithelial cells - so can identify carcinomas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is CD45 a marker of?

A

Lymphoid cells - so can identify lymphomas

17
Q

What stain can be used to detect melanin?

A

Fontana

18
Q

What stain can be used to detect iron (eg in haemachromatosis)?

A

Prussian Blue (think Prussia hated on both sides of IRON curtain)

19
Q

what stain for TB

A

Ziehl-neelson

20
Q

what stain for SCC of lung

A

p40 stain
distinguishes from adenocarcinoma of lung

21
Q

what stain for adenocarcinoma to differentiate from SCC

A

mucin stain

(SCC has no mucin production)

22
Q

what stain for adenocarcinoma of lung specifically

A

TTF-1 stain

thyroid transcription factor 1

23
Q

give another stain used in adenocarcinoma

A

fontana stain for melanin

24
Q

what stain used in cervical screening

A

Papanicolaou
its a general stain

25
Q

what stain for copper

A

rhodanine
used in Wilsons

26
Q

what stain for brucellosis

A

Castaneda medium

27
Q

periodic acid-Schiff (PAS) stain used in what 2 conditions

A

A1AT
candidiasis

28
Q

what’s a neuroendocrine marker/stain

A

chromogranin stain
used for MEN 1, insulinomas, Phaeochromocytoma