Examination of Fresh Tissue and Fixation Flashcards

(76 cards)

1
Q

The microscopic study of the normal tissues of the body

A

Histology

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2
Q

The microscopic study of tissues affected by disease

A

Histopathology

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3
Q

The simplest, least invasive test and uses the smallest needle to simply remove cells from the area of abnormality.

A

Fine needle aspiration

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4
Q

This is not always adequate to obtain a diagnosis, depending on the area being biopsied

A

Fine needle aspiration

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5
Q

Removes not only cells, but also a small portion of the surrounding tissue. This provides additional information to assist in the examination of the lesion.

A

Core needle biopsy

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6
Q

Takes out even more surrounding tissues. It takes some out of the abnormality, but noy all. The doctor will slice into the lesion and remove only a portion of it. If the lesion is found to be cancerous, further surgery may be needed to remove the lesion.

A

Incisional biopsy

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7
Q

Generally removes the entire area in question

A

Excisional biopsy

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8
Q

Considered to be the primary technique for obtaining diagnostic full-thickness skin specimens

A

Punch biopsy

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9
Q

The technique involves the use of a circular blade that is roated down through the epidermis and dermis, and into the subcutaneous fat, yielding a 3-4 mm cylindrical core of the tissue sample.

A

Punch biopsy

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10
Q

Where small fragments of tissue are shaved from a surface (usually a skin)

A

Shave biopsy

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11
Q

Where tissue is scooped or spooned to remove tissue or growth from body cavity such as endometrium or cervical canal

A

Curettings

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12
Q

specimens that are usually examined when there is an immediate need for evaluation

A

Fresh tissues

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13
Q

Is a process whereby a selected tissue specimen is immersed in isotonic salt solution such as normal saline solution or roger’s solution in a petri dish or watch glass, carefully dissected with a needle and separated by direct or zigzag spread using an applicator stick.

A

Teasing or or dissociation

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14
Q

In teasing or dissociation, the specimen is either stained with _____ or examined unstained by _______

A

supravital
phase-contrast microscopy

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15
Q

Is a process whereby small pieces of tissue (not more than one mm in diameter) are placed in a microscopic slide and forcibly compressed with another slide or with a cover glass.

A

Squash preparation (Crushing)

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16
Q

In squash preparation (crushing), a supravital stain if necessary, may be placed at the junction of the slide and the cover glass, and allowed to be absorbed by the tissue through _____

A

capillary attraction

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17
Q

the method of preparing the smears differs depending on the nature of the material to be examined.

A

Smear preparation

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18
Q

These may be examined as either as fresh prep similar to that described for teased preparations, or by using a supravital technique.

A

Smear

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19
Q

This is useful for preparing smears of thick secretions like mucous fluids, serous fluids, sputum, enzymatic lavage samples from GI tract, and blood smears

A

Smear preparation

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19
Q

This is useful for preparing smears of thick secretions like mucous fluids, serous fluids, sputum, enzymatic lavage samples from GI tract, and blood smears

A

Smear preparation

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20
Q

With an applicator stick or an platinum loop, the material is rapidly and gently applied in a direct or zigzag line throughout the slide, attempting to obtain a relatively uniform distribution.

A

Streaking

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21
Q

A selected portion of the material is transferred into a clean slide and gently spread into moderately thick film by teasing the mucous strands with applicator stick.

A

Spreading

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22
Q

It is little more tedious than streaking, but has many advantage of maintaining cellular interrelationships of the material to be examined

A

Spreading

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23
Q

It is specially recommended for smear preparation of fresh sputum and bronchial aspirates, and also for thick mucoid secretions

A

Spreading

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24
This is done by placing a drop of secretion or sediment upon one slide and facing it unto another clean side.
Pull-apart
25
This is a special method of smear preparation whereby the surface of a freshly cut pieces of tissue is brought into contact and pressed on the surface of a clean glass slide, allowing the cells to be transferred directly to the slide for examination phase-contrast microscopy or staining for light microscopic study.
Touch preparation (Impression smear)
26
A fresh tissue is frozen on a ______ with ____
microtome with CO2
27
A cold chamber kept at an atmospheric temperature of ______.
Cryostat -10C to -20C
28
Commonly used methods of freezing include:
1. Liquid nitrogen 2. Isopentane cooled by liquid nitrogen 3. Carbon dioxide gas 4. Aerosol sprays
29
Freezing agent generally used in histochemistry and during intra-operative procedures.
Liquid nitrogen
30
The most rapid of the commonly available freezing agents.
Liquid nitrogen
31
The main disadvantage of a liquid nitrogen is that soft tissues are liable to crack due to rapid expansion of ice within the tissue, producing ______
ice crystals or freeze artifacts
32
_______ is liquid at room temperature
Isopentane
33
Tissue blocks can also be frozen by adapting a conventional freezing microtome gas supply of _______ from a ______
Carbon dioxide gas CO2 cylinder
34
The use of this has become increasingly popular in recent years, and is adequate for freezing small pieces of tissue except muscle.
Aerosol sprays
35
Quick-freezing spray cans of _____ have a distinct advantage of rapidly freezing blocks of any type of tissue
Fluorinated hydrocarbons (Cryokwik)
36
Is a refrigerated apparatus used for fresh tissue microtomy
Cryostat or Cold Microtome
37
Cryostat consists of microtome (rotary microtome) kept inside a cold chamber w/c maintains the temperature between _______ by an adjustable thermostat
-10 to 1-30C (ave. -20C)
38
Majority of the sections in cryostat can be cut in _____, where the temperature for sectioning can be accurately established and controlled.
Isothermic situations
39
Capable of freezing fresh tissues within 2-3 minutes
Thermostat
40
Cutting sections of Crytostat
4 micra
41
Provides sections for fresh tissue examination esp. Fluorescent Antibody Staining techniques or Histochemical enzyme studies
Cryostat or Cold Microtome
42
It is the first and most critical step in the histopathology
Fixation
43
Primary aim of fixation
Preserve the morphology and chemical integrity of the cell
44
fixation must preserve:
shape structure intercellular relationship chemical constituents
45
fixation must prevent:
degeneration decomposition putrefaction distortion of tissues
46
Leaving the tissue specimen in ____ will cause to dry out and result to distortion
Air
47
Leaving the tissue in water (hypotonic solution) will cause the cell to _____
swell
48
Strong salt (_____) will cause the cell to ____.
Hypertonic solution shrink
49
2 mechanisms in fixation:
1. Additive fixation 2. Non-additive fixation
50
Mechanism of fixation where chemical constituents are taken in and become part of the tissue. It form cross-links and stabilize protein
Additive fixation
51
Mechanism of fixation where the fixing agent is not incorporated into the tissue. Removing of water to form new cross-links
Non-additive fixation
52
Main factors involved in fixation:
1. Hydrogen-Ion Concentration 2. Temperature 3. Thickness of section 4. Osmolality 5. Concentration 6. Duration of fixation
53
Fixation is best carried at pH ____
pH 6-8
54
Surgical specimens must be at _______
room temperature (20-25C)
55
Tissue processors must be maintained at ____
40C
56
Electron microscopy must be at ______
0-4C
57
Formalin at 60C is used for _____
urgent biopsy specimens
58
Formalin at 100C is used to ____
fix tissues with tuberculosis
59
High temperature --> ____ Distortion
Higher
60
Thickness of section for electron microscopy
1-2 mm2
61
Thickness of section of light microscopy
2 cm2
62
Thickness of section for light microscopy (thin sections)
0.4 cm
63
Brain tissue is fixed using _____ for 2-3 weeks for easier cutting of sections
10% Formalin
64
Hypertonic solution may lead to _____
shrinkage
65
_______ may lead to swelling and subsequent poor fixation
Hypotonic and Isotonic solution
66
Osmolality normal val:
400-450 mOsm
67
Osmolality of Isotonic solutions
340 mOsm
68
Recommended/Best Osmolality
Slightly Hypertonic solutions
69
Most common fixative:
10% neutral buffer formalin
70
Fixing agent used in electron microscopy
3% Glutaraldehyde
71
Fixing agent used in Immunoelectron microscopy
0.25% Glutaraldehyde
72
Presence of this causes polymerization of the aldehyde --> decreased effectiveness
BUFFER
73
Recommended time for primary fixation in buffered formalin from the time the specimen is obtained
2-6 hours
74
Recommended time in electron microscopy for duration of fixation
3 hours
75
Average penetration:
1 mm/hour