Part 1 Flashcards

1
Q

The first and most critical step in histotechnology is

A

Fixation

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2
Q

A process that preserves tissues from decay, thereby preventing autolysis or putrefaction.

A

Fixation

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3
Q

If fixation is not adequate, these other processes that follow will be affected

A

Dehydration, Clearing, infilatration, Embedding, Microtomy and Staining

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4
Q

T/F: Fixation should be carried out as soon as possible after removal of the tissues (in the case of surgical pathology) or soon after death (in the case of autopsy) to prevent autolysis.

A

TRUE

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5
Q

This stabilize the fine structure, both inside and between cells, by making macromolecules resistant to dissolution by water and other liquids

A

Lysosomal enzymes

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6
Q

Primary goal of fixation

A

Preserve the morphologic and chemical integrity of the cell in as life-like a manner as possible

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7
Q

T/F: All vital cellular processes stop when the tissue is placed in a fixative.

A

TRUE

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8
Q

Second goal of fixation

A

To harden and protect the tissue from the trauma of further handling, so that it is easier to cut and process for microscopy

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9
Q

Results from tissue digestion by intracellular enzymes that are released when organelle membranes rupture.

A

Autolysis

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10
Q

brought about by microorganisms which may already be present in the specimen.

A

Bacterial Decomposition or putrefaction

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11
Q

Processes that must be prevented in fixation

A

Autolysis and putrefaction

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12
Q

Fixation in __ will initially cause slight swelling of tissue specimen

A

10% buffered formalin

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13
Q

Specimen may shrink or lose how many percent during processing?

A

20-30% of its volume

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14
Q

Leaving the tissue in water (a hypotonic solution) will cause the cell to

A

Swell

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15
Q

Leaving the tissue in a strong salt (hypertonic sol’n) will cause the cell to

A

Shrink

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16
Q

Cell structure also called as “suicide sac” that contains hydrolytic enzymes that are released when the integrity of the cell is destroyed

A

Lysosome

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17
Q

occurs due to the action of these hydrolytic enzymes

A

Postmortem decomposition (autolysis)

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18
Q

This method include heating, microwaving and cryo-preservation (freeze drying)

A

Physical Method

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19
Q

A type of physical method rarely used on tissue specimens, its application being confined to smears of microorganisms

A

Heat fixation

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20
Q

Physical method which can be regarded as a form of heat fixation, is now widely practiced in routine laboratories.

A

Microwave fixation

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21
Q

Physical method usually in the form of freeze drying, has some applications in histochemistry but is not usually applied to diagnostic tissue specimens.

A

Cyropreservation

22
Q

Fixation method that is usually achieved by immersing the specimen in the fixative solution (immersion fixation) or, in the case of small animals or some whole organs such as a lung, by perfusing or injecting the vascular system with fixative (perfusion fixation)

A

Chemical Fixation

23
Q

Can be used to vapor-fix freeze-dried tissues.

A

Paraformaldehyde and osmium tetroxide

24
Q

Mechanism involved in fixation whereby the chemical constituent of the fixative is taken in and becomes part of the tissue by forming cross-links or molecular complexes and giving stability to the protein.

A

Additive fixation

25
Example of additive fixation
Formalin, Mercury, Osmium tetroxide
26
Mechanism involved in fixation whereby the fixing agent is not incorporated into the tissue, but alters the tissue composition and stabilizes the tissue by removing the bound water attached to H-bonds of certain groups within the protein molecule.
Non-additive fixation
27
Fixative solutions may contain a single fixative agent dissolved in a solvent such as water or alcohol or more commonly __ to stabilize pH
Buffer solution
28
counter the shrinkage caused by other agents such as ethanol.
Acetic acid
29
Benefits of fixation
- Allows thin sectioning of tissue by hardening tissue - Prevents autolysis and inactivates infectious agents (except prion diseases) - Improves cell avidity for special stains
30
How many hour specimens should be transferred to fixative?
<1 hour after surgery
31
Deterioration will commence with the __
Loss of blood supply
32
Tissues should be fixed in a sufficient volume of solution
Ratio of 20:1 or at least 10:1 fixative to specimen
33
Fixatives diluted and/or contaminated by bodily fluids (e.g. bile, blood, feces) will be __ in concentration and must be replaced
Reduced
34
T/F: Prolonged fixation may be more difficult to reverse and may also result in loss of immunohistochemical antigenicity.
TRUE
35
T/F: Pinning specimens to a corkboard or inserting a paper or gauze “wick” into tubular structures CANNOT improve fixation and reduce tissue distortion.
FALSE; Pinning spx CAN improve fixation
36
The amount of fixative used has been __ times the volume of tissue to be fixed
10-20x
37
This also enhance fixation of the specimen.
Agitation
38
The most common error in histotechnology is __
ratio of tissue volume to fixative volume
39
Fixation is best carried out close to neutral pH, in the range of
6-8
40
Favors formation of formalin-heme pigment that appears as black, polarizable deposits in tissue.
Acidity
41
Common buffers include
phosphate, bicarbonate, cacodylate and veronal
42
Commercial formalin is buffered with phosphate at what pH
7
43
Temperature for regular tissue processing
40degC
44
Temperature for electron microscopy and some histochemistry, the ideal temperature is
0-4degC
45
Cell that are best fixed at room temp even for electron microscopy
Mast cells
46
Is used to slow down decomposition if the tissue needs to be photographed and cannot be fixed immediately.
Refrigeration
47
Continues to undergo mitosis (growth) up to 30 minutes after death when refrigerated.
Bone marrow
48
The use of __ for fixation in bacteriology and for blood films is well known.
Heat
49
Formalin heated to __ is sometimes used for the rapid fixation of very urgent biopsy specimens, although the risk of tissue distortion is increased.
60degC
50
T/F: An increase in temperature can increase the rate of fixation but can also increase the rate of autolysis
TRUE