Practice Test 2 - Pre-Analytical Procedures Flashcards

1
Q

Which glassware is used to measure 24-hour urine volume?

a) Beaker
b) Erlenmeyer Flask
c) Graduated cylinder
d) Volumetric flask

A

c) Graduated cylinder

Graduated cylinders are used to measure 24-hour urine volumes because they are designed to make accurate measurements of large volumes of liquids. They typically come in three sizes (500 mL, 1000 mL, and 2000 mL) and can measure in 5 mL, 10 mL or 20 mL increments.

Erlenmeyer flasks and beakers are used for mixing and transporting liquids. They are not used for making accurate measurements.

Volumetric flasks are used to measure very precisely one specific volume of liquid (100 mL, 250 mL, etc., depending on which flask you use). They cannot be used to measure unknown volume of liquid, such as a 24-hour urine sample.

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1
Q

A laboratory has an autoclave rule stating “Do not fill containers more than half full with liquids”. If a lab technician has to prepare 220ml of media for autoclaving, then which of these volume containers would be most appropriate?

a) 100 mL
b) 300 mL
c) 400 mL
d) 500 mL

A

d) 500 mL

2 X 220 mL = 440 mL.
This means only 500 mL container can contain 220 mL without becoming more than half-full.

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2
Q

Buffered commercial formalin is approximately ______ formaldehyde gas by weight/volume.

a) 4%
b) 10%
c) 40%
d) 70%

A

b) 10%

Buffered commercial formalin is typically a 10% solution of formaldehyde gas by weight/volume. This means that for every 100 millilitres of buffered formalin, there are 10 grams of formaldehyde gas present. The remaining volume is made up of water and a buffering agent.

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3
Q

Which clearing agent does NOT make tissues transparent/translucent?

a) Benzene
b) Cedarwood oil
c) Chloroform
d) Xylene

A

c) Chloroform

Tissues placed in chloroform do not become translucent.

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4
Q

Why do clearing agents need to be miscible with alcohol?

a) So they can dehydrate tissues completely
b) So they can remove dehydrating agents from tissues
c) To prevent damage to the clearing agent
d) To prevent damage to the tissue

A

b) So they can remove dehydrating agents from tissues

Clearing agents should be miscible (mixable) with alcohol to promote the rapid removal of the dehydrating agent from the tissue.

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5
Q

What happens if tissue is left in xylene for more than three hours?

a) The tissue becomes a milky colour
b) The tissue becomes brittle
c) The tissue becomes red
d) The tissue swells in size

A

b) The tissue becomes brittle

Xylene is a common solvent used in histology to remove thee water from tissue samples, making them more transparent and allowing for easier processing and embedding in paraffin wax. However, if tissue is left in xylene for too long, the tissue can become over-dehydrated and brittle.

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6
Q

What is the purpose of tissue filtration?

a) To give structural support to the tissue
b) Too keep the cells alive
c) To rehydrate the tissue
d) To remove bacteria from the tissue

A

a) To give structural support to the tissue

The role of the infiltration agent is to remove the clearing agent from the tissue and to completely permeate the tissue with paraffin wax. This will allow the tissue to harden and produce a wax block from which thin histological sections can be cut.

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7
Q

Infiltration is the:

a) permeation of the tissue with ethanol
b) permeation of the tissue with wax
c) removal of calcium from tissue
d) removal of water from tissue

A

b) permeation of the tissue with wax

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8
Q

Which freezing technique is the coldest?

a) Aerosol sprays
b) Carbon dioxide gas
c) Carbon dioxide ‘cardice’
d) Liquefied nitrogen

A

d) Liquefied nitrogen

Nitrogen is a liquid at around -195.8°C, making liquid nitrogen the coldest freezing technique.

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9
Q

What is the most common type of microtome in laboratories?

a) Cryostat
b) Rotary microtome
c) Sledge microtome
d) Ultramicrotome

A

b) Rotary microtome

The rotary microtome is a device that uses a motor to rotate the specimen and a knife to cut thin slices of the tissue sample. This type of microtome is preferred because it can produce thin and uniform sections of tissue, and it is relatively easy to use.

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10
Q

Which Gram stain reagent acts as a mordant to bind the stain to the bacteria?

a) Acetone
b) Ethanol
c) Iodine
d) Safranin

A

c) Iodine

Out of the four basic reagents used in Gram staining - crystal violet, iodine, ethanol or acetone, and safranin - iit is iodine that acts as a mordant that binds the stain to the bacteria.

Ethanol and acetone are wrong answers as these are the decolourizing agents.

Safranin is the wrong answer as this is the counter-stain.

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11
Q

Which element does Perls Prussian blue detect?

a) Iron
b) Lead
c) Mercury
d) Potassium

A

a) Iron

Perls Prussian blue colours iron blue, making it easily visible.

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12
Q

Amyloid staining uses which red dye?

a) Biebrich scarlet
b) Congo red
c) Eosin
d) Xylidine ponceau

A

b) Congo red

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13
Q

When a smear is too red, neutrophil graranules look:

a) blue-red
b) brilliant red
c) indistinct
d) light blue

A

b) brilliant red

Neutrophil granules normally stain pink or red. If too much red dye is used, the rarndules appear bright bred.

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14
Q

Which of these could cause stain precipitate when performing a stain?

a) Excessive humidity in the air
b) The staining procedure was too short
c) Too much buffer
d) Use of aged staining solutions

A

d) Use of aged staining solutions

Stain precipitate usually results from the use of aged staining solutions and inadequate rinsing of slides following the application of the stain.

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15
Q

What is the H&E staining method use as a dewaxing agent?

a) Eosin
b) Formalin
c) Hematoxylin
d) Xylene

A

d) Xylene

16
Q

What is the correct order of reagents used for Gram staining?

a) Crystal violet, iodine, acetone-alcohol, safranin
b) Crystal violet, safranin, acetone-alcohol, iodine
c) Iodine, crystal violet, acetone-alcohol, safranin
d) Safranin, iodine, crystal violet, acetone-alcohol

A

a) Crystal violet, iodine, acetone-alcohol, safranin

First, crystal violet is used to dye all the bacteria blue-purple. Then, Gram’s iodine is used to fix the dye to the bacteria, preventing the dye from being easily removed from the bacteria. After this, a decolourizing agent is used to remove the crystal violet dye from the gram-negative bacteria, leaving the gram-negative bacteria colourless. Finally, safranin is added to dye the gram-negative bacteria pink-red. The final result is that the gram-negative bacteria appear pink-red and the gram-positive bacteria appear blue-purple.

17
Q

Which of these dyes is alkaline?

a) Acid fuchsin
b) Carbol fuchsin
c) Eosin
d) Orange G

A

b) Carbol fuchsin

Carbol fuchsin is an alkaline dye. Other alkaline dyes include methylene blue, crystal violet, malachite green, basic fuchsin, and safranin.

18
Q

What colour is hematoxylin?

a) Blue-purple
b) Orange
c) Pink-purple
d) Red

A

a) Blue-purple

Hematoxylin binds to acidic structures, staining them blue to purple.

19
Q

What is the usual temperature for an incubator used for C&S?

a) 15-17°C
b) 25-27°C
c) 35-37°C
d) 45-47°C

A

c) 35-37°C

Human pathogens form best at body temperature (37°C). This is why incubators for C&S are kept at 37°C.

20
Q

What are the basic ingredients of all agar media?

a) Agar, distilled water, and electrolytes
b) Agar, gelatin, and sugar
c) Agar, pH indicators, and gelling properties
d) Agar, vitamins, and blood

A

a) Agar, distilled water, and electrolytes

21
Q

After Gram staining, what colour are gram-negative organisms?

a) Dark blue
b) Light blue
c) Purple or brown
d) Red or pink

A

d) Red or pink

In Gram staining, a primary stain stains gram-positive organisms purple and a counterstain stains the gram-negative organisms red or pink. You can remember this by “keeping your P’s together”: Purple is Positive

22
Q

Identify the false statement about plating bacteria?

a) The Petri lid is placed upright on the bench to prevent contamination
b) The loop is sterilized before inoculation
c) The media is brought to room temperature before use
d) The media selected depends ono the type of specimen

A

a) The Petri lid is placed upright on the bench to prevent contamination

Placing the lid of the Petri upright on the bench could cause contamination by mould spores. Most mould spores are very light and easily transported by air. Even opening the lid of a Petri dish for a few seconds may allow contaminating organisms to enter the Petri dish.

23
Q

What is the term for bacteria cells used to start a new culture on a streak plate?

a) Colonies
b) Inoculum
c) Prime culture
d) T cells

A

b) Inoculum

The purpose of the streak plate is to obtain isolated colonies from an inoculum. The inoculum is bacterial cells that start the new culture.

24
Q

Which kind of centrifuge has good cellular morphology preservation?

a) Angle head
b) Cytocentrifuge
c) Microhematocrit
d) Refrigerated

A

b) Cytocentrifuge

A cytocentrifuge is a special centrifuge that concentrates cells in fluid specimens onto a microscope slide so that they can be stained and examined. Itt has better preservation of cell morphology than other centrifuges.

25
Q

Which of these could cause a thick blood smear?

a) Holding the spreader at a very high angle
b) Spreading the blood too quickly
c) Using a drop of blood that is too small
d) Using blood with clots in it

A

a) Holding the spreader at a very high angle

Thick blood films are caused by using a big drop of blood, by spreading too slowly, or by holding the spreader at a high angle.

26
Q

Which of these is a sign of blood film that has been prepared poorly?

a) Consistent thickness throughout
b) Covers the majority of the slide
c) Feathered edges
d) Half to three-quarters the length of the slide

A

a) Consistent thickness throughout

In a good blood film, the thickness of the blood smear should decrease progressively along the slide.

27
Q

Blood smears made using EDTA specimens should be prepared within ________ of specimen collection.

a) 10 minutes
b) 1 hour
c) 6 hours
d) 12 hours

A

b) 1 hour

Blood smears prepared from ETA specimens should be made within 1 hour of collection to eliminate cell distortion caused by anticoagulants.

28
Q

When preparing a urine specimen for microscopic analysis, which of these steps comes first?

a) Add one drop of stain to the tube
b) Centrifuge the urine sample
c) Place a coverslip over the sample
d) Transfer one drop of the sediment to a microscope slide

A

b) Centrifuge the sample

The steps to prepare a urine specimen for microscopic analysis are:
1. Centrifuge the urine
2. Remove the supernatant (the clear fluid at the top of the sample)
3. If required, add one drop of stain to the tube
4. Resuspend the sediment in the supernatant by gently swirling the tube.
5.Using a pipette, transfer a drop of the resuspended sediment to a microscope slide.
6. Place a coverslip over the sample.