OSMOTIC FRAGILITY TEST Flashcards

1
Q

what is the principle behind the OFT

A

The osmotic fragility test is a measure of the ability of the red cells to take up fluid without lysing

The whole blood is added to varying concentrations of sodium chloride solution and allowed to incubate at room temperature. The rate of hemolysis is then determined through visual inspection of each saline concentration.

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2
Q

temperature we incubate the sample for oft

A

room temperature

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3
Q

what solution we are using for oft in which the blood we are testing is added?

A

sodium chloride solution

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4
Q

. The rate of hemolysis is then determined through CHEMICAL INSPECTION of each saline concentration.

True or false

A

false- visual inspection

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5
Q

the relative concentration of solutes dissolved in a solution which DETERMINE THE DIRECTION AND EXTENT OF DIFFUSION

A

tonicity

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6
Q

3 classification of tonicity

A

isotonic
hypotonic
hypertonic

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7
Q

a classification of tonicity in which
the solution has the same number of solute particles as the cell

A

isotonic

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8
Q

a classification of tonicity in which
the solution has fewer solute particles per liter of solution

A

hypotonic

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9
Q

a classification of tonicity in which
the solution with higher solute particles per liter of solution

A

hypertonic

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10
Q

a hypotonic solution will result to a __ of a cell

(swelling, shrinking)

A

swelling

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11
Q

a hypertonic solution will result to a __ of a cell

(swelling, shrinking)

A

shrinking

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12
Q

is a transport of water to a higher concentration of solute

A

osmosis

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13
Q

2 terms we need to consider in osmosis

A

concentration and tonicity

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14
Q

what is the difference between concentration and tonicity

A

tonicity - the difference of concentration into environment
concentration - the amount of solute

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15
Q

is the one responsible for the integrity and stability of the cell.

It as well controls the in and out of the cell.

A

plasma membrane

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16
Q

red cell with peripheral rim of hemoglobin surrounded by clear area and central hemoglobinized area

A

Target cell/Codocyte/Mexican hat cell

17
Q

small, round, dense red blood cells with no central pallor

A

spherocytes

18
Q

significance of OFT test

A

This test is employed to diagnose conditions in which the PHYSICAL PROPERTIES OF THE CELL ARE ALTERED

19
Q

The _____ of the red blood cells is the primary factor affecting the osmotic fragility test

A

shape

20
Q

OFT depends on which properties of rbc plasma membrane?

A

volume, surface area and functional state of the red blood cell membrane

21
Q

. The larger the amount of surface area of the red cell membrane, the more fluid the cell is capable of absorbing before rupturing ( low OFT), and is usually observed in __ cells.

(target cell, spherocytes)

A

target cell

22
Q

the spherocyte has the smallest surface area for its volume and ruptures more quickly which means it has (higher, lower) OFT

A

higher

23
Q

diseases which we can found increase oft

A

hemolytic anemias and hereditary spherocytosis, older rbc.

24
Q

decrease OFT are seen in what diseases

A

sickle cell anemia, iron-deficiency anemia, thalassemia, polycythemia and conditions where target cells are present, reticulocytes

25
Q

materials used in OFT

A
  • 12 test tubes
  • Test tube rack
  • 0.5% NaCl
  • Distilled water
  • Sahli pipette
  • Heparinized blood
  • Dropper
26
Q

formula used in OFT

A

number of tube multiplied by the amount of blood (0.02 ml)

27
Q

how many hours do we need to incubate the sample?

A

2 hrs - (we did it for only 1 hr)

28
Q

how many minutes we do need to centrifuge the sample

A

5 mns

29
Q

which tube do we need to start checking for initial hemolysis?

A

test tube #25

30
Q

a stage where in a tinge of pinkness in the supernatant and some cells at the bottom of the tube are observed

A

initial hemolysis

31
Q

a stage wherein clear, red supernatant with no microscopic cells at the bottom of the tube are observed

A

complete hemolysis

32
Q

reference value or tube for initial hemolysis

A

0.42-0.44% (Test tube #21 or 22)

33
Q

reference value or the number for complete hemolysis

A

0.32-0.34% (Test tube #16 or 17)

34
Q

relationship of the test tube number and the hypotonicity of the solution

A

inversely proportional

35
Q
A