Laboratory: HCG Flashcards
A glycoprotein hormone secreted by the trophoblast of the developing embryo that rapidly increases in urine or serum during early stages of pregnancy
Human Chorionic Gonadotropin (HCG)
Composition of HCG
Alpha and Beta subunit
The alpha subunit of HCG is similar to LH, FSH, and TSH. True or False?
True
Beta-hCG helps maintain the ovaries and stimulate the production of progesterone. True or False?
False, it helps maintain the corpus luteum
Detectable amount of Beta-hCG in normal pregnancy
25 mIU/mL
In normal pregnancy, Beta-hCG is secreted 8-10 days after implantation and approx. 2-3 days after conception. True or False?
False, it is secreted 2-3 days after implantation and 8-10 after conception
Peak levels of hCG is reached approximately ____ after the last ____ ____
2-3 months
Menstrual period
Serum hCG levels rise rapidly in early gestation. True or False?
True
This is the disappearance of HCG from blood after removal, characterized by implanted fertilized egg outside the womb
Ectopic Pregnancy
Monthly shedding of uterine lining in women when ovary is not fertilized within duration.
Menstruation
Normal cycle of menstruation before starting
28-day cycle
Menstruation can last for __
4-5 days
Occurs when a fertilized egg attaches to the lining of the uterus.
Pregnancy
Supports the developing embryo by thickening the wall of uterine lining
Progesterone
A test to detect the presence of Beta-hCG
Pregnancy Test
A male patient can possibly have a __ __ if __ on a pregnancy test
Malignant condition
Positive
Pregnancy Test can also determine trophoblastic diseases such as __, __, __ and __ (__)
Hydatidiform mole
Choriocarcinoma
Chorioepithelioma
Teratoma (Testicular tumor)
Urine sample collected for pregnancy test is ___
First morning
Intake of ____ and ___ should be restricted before pregnancy test
Fluid
Sedatives
Samples for pregnancy can be stored at _ to _ degrees Celsius for __ hours
2-8
48
If sample is refrigerated, place at room temperature for __ minutes before examination
30
If two lines appear in the C and T area of test kit, it is positive for pregnancy. True or False?
True
One line in the T area indicates negative for pregnancy. True or False?
False, one line in T area indicates that test is invalid
Negative for pregnancy is characterized by __ __ in _ area in test kit
One line
C area
A recommendation for collection of new sample after 48 hours using another test kit happens when there is the presence of __ __
Faint band
False-positive result for pregnancy test can caused by increased ___, trophoblastic diseases and incomplete ___
Protein
Abortion
Toxic urine can cause false negative result in pregnancy test. How do you detoxify urine?
Cellophane dialysis (addition of 0.1 NHCl)
Other causes of false-negative result besides toxic urine in pregnancy test:
Dilute urine
Undetectable levels of HCG
Toxic urine can be caused by either __ or __
Bacterial contamination
Excessive electrolyte content
Home-Based HCG Pregnancy Test Kit is based on what principle?
Enzyme Immunoassay
Urine samples for pregnancy testing should have an SG of ___ or higher
1.015
What is the source of anti-HCG?
Rabbit
In Home-Based HCG PT, anti-HCG is impregnated on the membrane strip. True or False?
True
This refers to the use of experimental animals to identify the presence of HCG
Biological Assay
Animal used in Ascheim-Zondek
Immature female mice
Animal used in Friedman
Mature virgin female rabbit
Animal used in Hogben
Female toad
Animal used in Galli-Mainini
Male Frog or Male Toad
Animal used in Frank-Berman
Immature female rats
Animal used in Kupperman
Female rat
Specific specie of female toad in Hogben
Xenopus laevis
Specific specie of male frog in Galli-Mainini
Rana pipiens
Rana clamitans
Specific specie of male toad in Galli-Mainini
Bufo bufo
Bufo americanus
Subcutaneous mode of injection is used in what biological assays?
Ascheim-Zondek
Galli-Mainini
Frank-Berman
Marginal ear vein injection is used in what test?
Friedman Test
Lymph sac injection is used in what test?
Hogben Test
Intraperitoneal injection is used in what test?
Kupperman Test
Positive result for Frank-Berman and Kupperman Test indicates what?
Ovarian hyperemia
Positive result for Hogben Test indicates?
Oogenesis
Positive result for Galli-Mainini Test indicates?
Spermatogenesis
Formation of hemorrhagic follicles and corpora lutea is characterized by positive result in what test?
Ascheim-Zondek
Hyperemic uterus and corpora hemorrhagica is characterized by positive result in what test?
Friedman Test
Types of Immunologic Assay for HCG:
Complement fixation
Hemagglutination-inhibition
Latex particle agglutination inhibition
Direct agglutination
Enzyme immunoassay
This test identifies the presence of progesterone
Pregnandiol Test
Positive Pregnandiol Test forms what color?
Deep orange or dark brown
Negative Pregnandiol Test forms what color?
Amber
This test identifies the presence of epinephrine
Iodine Test / Lugol’s reaction test
Positive Iodine Test forms what color?
Deep orange or dark brown
How many weeks of waiting before results for Prostigmen Withdrawal Bleeding Test?
2 weeks
Bleeding in PWBT indicates?
Not pregnant
Rationale: No bleeding indicates pregnancy
In Skin Colostrum Test, what is injected and where it is injected?
Breast milk
Forearm
No swelling or redness in SCT indicates?
Pregnancy
Rationale: Swelling indicates pregnancy
How many days of waiting before result in SCT?
3 days
How many tablets is given in Primodos Oral Test?
5 tablets
The tablets in Primodos Oral induce bleeding. No bleeding after 5 days indicates?
Pregnancy
Rationale: Bleeding within 5 days indicates no pregnancy