Techniques In Pathology Flashcards

1
Q

What are the commonly used techniques in the examination of tissues in pathology?

A

Light microscopy, histochemistry, immunohistochemistry, electron microscopy, flow cytometry, tissue culture, molecular pathology techniques.

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2
Q

What are the techniques used to overcome the limitations of light microscopy?

A

Dark field illumination and phase contrast microscopy.

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3
Q

What is the purpose of tissue fixation in histopathology

A

To preserve biological tissues from decay due to autolysis or putrefaction

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4
Q

Name two common methods for tissue processing before staining in histopathology

A

Paraffin section technique and frozen section technique.

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5
Q

What are the properties of an ideal fixative

A

Prevents autolysis, hardens tissue, inactivates infectious agents, stabilizes tissue components, enhances avidity for dyes.

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6
Q

List some undesirable effects of tissue fixation.

A

Alteration of protein structure, tissue component solubility, tissue shrinkage, DNA and RNA degradation.

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7
Q

What factors affect the process of fixation

A

Volume, access of fixative to tissues, time, temperature, buffer, pH.

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8
Q

What are the types of fixatives used in pathology?

A

Aldehydes, alcohols, mercurial, oxidizing agents, picrates.

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9
Q

What is the most commonly used fixative in pathology?

A

10% buffered formal saline or formalin.

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10
Q

What are the steps in tissue processing

A

Fixation, grossing, processing, embedding, microtomy, staining, mounting

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11
Q

What is the purpose of grossing in tissue processing?

A

To obtain good and accurate results by taking appropriate sections based on sample type and clinical indication.

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12
Q

What are the three basic steps in processing FFPE (Formalin Fixed Paraffin Embedded) tissue

A

Dehydration, clearing, infiltration

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13
Q

What is the function of the haematoxylin and eosin (H&E) stain

A

It is used in histology and histopathology to demonstrate normal and abnormal tissue components.

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14
Q

What is a frozen section used for in pathology?

A

Quick diagnosis, examination of resection margins, and preservation of fat and antigens.

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15
Q

What is histochemistry

A

technique for visualizing biological structures by identifying chemical components of tissues using stains and indicators

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16
Q

Give examples of histochemical techniques

A

Perls’s reaction, Von Kossa technique, Sudan black technique, Congo Red, PAS/PASD reaction, Ziehl–Neelsen Stain, Grocott for fungi.

17
Q

What is immunohistochemistry (IHC)?

A

technique for identifying cellular or tissue constituents by means of antigen-antibody interactions

18
Q

What are the two methods of immunohistochemistry?

A

Direct and indirect method

19
Q

How does the direct method in immunohistochemistry work?

A

The primary antiserum is conjugated directly with a tracer molecule like horseradish peroxidase.

20
Q

How does the indirect method in immunohistochemistry work

A

A secondary tracer-conjugated antibody binds to the primary antibody which is attached to the antigen.

21
Q

What is immunofluorescence used for

A

Detecting antigens in tissue by using fluorescent-labeled antibodies

22
Q

What are the two methods of immunofluorescence?

A

Direct immunofluorescence and indirect immunofluorescence.

23
Q

Name some diseases where immunofluorescence is used

A

Lupus, pemphigus, pemphigoid, dermatitis herpetiformis, glomerular diseases.

24
Q

What is electron microscopy (EM)?

A

technique for obtaining high-resolution images of specimens using a beam of accelerated electrons.

25
What are some uses of electron microscopy in pathology
Diagnosing small round cell tumors, renal biopsies, nerve and muscle biopsies, bullous skin diseases, liver biopsies.
26
What is molecular pathology
The study and diagnosis of disease through the examination of molecules within organs, tissues, or bodily fluids
27
Name some techniques used in molecular pathology.
Southern blotting, polymerase chain reaction (PCR), fluorescent in-situ hybridization (FISH).
28
What are the applications of molecular pathology?
Identifying inherited diseases, detecting infectious diseases, identifying genetic aberrations in tumors.
29
What is cytogenetics
The study of chromosomes, combining cytology and genetics to understand inherited variations.
30
When is cytogenetics indicated
For soft tissue tumors, mesotheliomas, unusual tumors, and poorly differentiated tumors.
31
Q: What are the indications for flow cytometry
Ploidy and S phase analysis for conditions like hydatidiform mole, carcinomas, and for cell surface markers analysis in lymphomas and leukemias
32
What is the importance of antigen retrieval procedures in immunohistochemistry
They help in restoring antigenicity lost during tissue fixation and embedding.
33
How does temperature affect immunohistochemistry?
It can affect the immunoreactivity of antigens and the stability of antibodies.
34
Why is paraffin embedding used in histopathology?
support tissue structures during sectioning for microscopic examination.
35
What does the term "FFPE" stand for
Formalin Fixed Paraffin Embedded.
36
What is the importance of drying slides in the oven during tissue processing?
To remove moisture and ensure proper adherence of tissue sections to the slides before staining.