Histotechnology Flashcards

(72 cards)

1
Q

art n science to produce tissue section to diagnose dx

A

histotechnology

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2
Q

histotech can be performed on what

A

fresh and
preserved tissue

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3
Q

examined in living state
examination of protoplasmic activities
non permanent tissues

A

fresh tissue

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4
Q

methods of fresh tissue examination

A

teasing/dissociation
squash prep
smear prep
streaking
spreading
pullarpart
touch
frozen section

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5
Q

tissue immersed in waych glass with nss
dissected separated then viewed undr microscope

A

teasing or dissociation

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6
Q

small tissue 1mm or less places on slide then compressed with another slide or cover slip

A

squash prep or crushing

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7
Q

cell material are spread lightly over a slide and most recommended for exfoliative cytology

A

smear prep

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8
Q

done during operation or intraoperatively for rapid diagnosis, demonstrating lipids, nerves, and enzymes

A

frozen section

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9
Q

what are the histopathologic techniques

A

Fixation
Dehydration
Decalcification
Clearing
Infiltration
Embedding
Blocking
Trimming
Sectioning
Staining
Mounting
Labelling

FDD CIE BTS SML

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10
Q

What 3 instruments are used for tissue processing?

A

Automatic tissue processor

Vacuum embedding apparatus

Paraffin oven

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11
Q

What two instruments work together to create tissue sections?

A

Microtome (cuts sections)

Flotation water bath (flattens sections)

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12
Q

What equipment is needed for slide staining?

A

Staining racks/coplin jars

Hot plate

Drying oven

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13
Q

What are the essential tools for slide preparation?

A

Clean slides

Forceps

Squirrel hair brush

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14
Q

What instruments control temperature in histology?

A

Paraffin oven (56-58°C)

Drying oven (37-60°C)

Hot plate (for slide drying)

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15
Q

Parts of a microtome.

A

Block holder - secures tissue block

Knife & carrier - cuts sections

Adjustment system - controls section thickness

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16
Q

What two components work together to advance the tissue block?

A

Pawl and ratchet feed wheel
(Bonus: Adjustment screw sets thickness)

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17
Q

What 3 steps are required after microtome use?

A

Remove paraffin/tissue debris (soft brush)

Wipe with xylol

Oil movable parts

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18
Q

How should a microtome be stored when not in use?

A

Covered to prevent dust

All parts dried completely

Knife properly secured

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19
Q

What are key features of the rocking microtome?

A

Simplest design (invented 1881)

Best for large paraffin blocks

Uses rocking motion for sectioning

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20
Q

Why is the sliding microtome considered dangerous?

A

Has exposed moving knife

Two types: base sledge and standard sliding
(Bonus: Developed in 1789)

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21
Q

What tissue type requires a sliding microtome?

A

Celloidin-embedded tissues
(Used for hard tissues like bone/eye)

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22
Q

When would you use a freezing microtome?

A

For unprocessed frozen tissues

Rapid diagnosis during surgery
(Bonus: Invented 1848)

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23
Q

Match microtomes to their primary use:

Rocking

Sliding

Freezing

A

Large paraffin blocks

Celloidin sections

Fresh frozen tissues

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24
Q

Used for rapid preparation, refrigerated (-5 to -30°C, avg -20°C), for fresh tissue microtomy, typically inside rotary microtome.

A

Cryostat/Cold Microtome?

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25
What is the primary use of an Ultra-thin Microtome?
Used to produce sections for electron microscopy.
26
What embedding medium is used with Ultra-thin Microtome?
Tissues are embedded in "plastic resins."
27
What types of knives are used with Ultra-thin Microtome?
Glass knives and Diamond knives.
28
What is the section thickness for semi-thin sections?
0.5-1 micron.
29
What is the section thickness for ultra-thin sections?
500-1200 angstrom (50-120nm).
30
What are the characteristics of Conventional Steel Knives - Plane concave type?
Length: 25mm Use: For base sledge, rotary and rocking microtome Less concave side: For Celloidin embedded tissue blocks More concave side: For Paraffin embedded tissue blocks
31
What are the characteristics of Conventional Steel Knives - Biconcave type?
Length: 120mm Use: Rotary microtome Both sides are concave for cutting paraffin embedded sections
32
What are the characteristics of Plane wedge knives?
Length: 100mm Use: Base sledge or Sliding microtome Both sides are straight For frozen sections or very hard and tough paraffin embedded tissues
33
What are the two main stages in sharpening of conventional knives?
Honing (Hard Sharpening) Stropping (Polishing)
34
Describe the Honing process for conventional knives
Removal of gross nicks Done in heel to toe direction Types of hones used: a. Belgium yellow: Manual sharpening; gives best results b. Arkansas: Gives more polishing effect c. Fine carborundum: Much coarser than the first two; used only for badly nicked knives
35
Describe the Stropping process for conventional knives
Removing of burr (formed during honing) Done to polish and sharpen the cutting edge Done in toe to heel direction
36
What are the advantages of Disposable Blades?
More commonly used Honing and stropping process is eliminated Cheaper to use than conventional steel knives
37
What are the characteristics of Magnetic knives?
Can attach to some blade holders Particularly suitable for use in the cryostat
38
What are the characteristics of Glass knives?
0.5-1 micron thickness Used for trimming and semi-thin "survey" sections of tissue blocks for electron microscopy
39
What are the characteristics of Diamond knives?
500 to 1200 angstrom thickness Used only for cutting "ultra-thin" sections for Electron microscope Used in any type of resin block for EM Brittle; expensive; very durable
40
What is the typical bevel angle range for microtome knives?
27° to 32°
41
What is the perfect and optimum cutting angle?
15°
42
What is the clearance angle range and its purpose?
Clearance angle: 0-15° To prevent uneven sections or alternate thin and thick sections, the knife should be inclined with 5-10° clearance angle
43
What are the main stages in automatic tissue processing?
Fixation Dehydration (most critical stage) Clearing Infiltration
44
What is the main advantage of an automatic tissue processor?
Constant agitation.
45
What is wax impregnation in vacuum embedding?
Done under negative atmospheric pressure inside an embedding oven.
46
What is the main advantage of vacuum embedding?
Gives fastest result.
47
What is the alternative to vacuum embedding?
Manual embedding.
48
What is the purpose of a flotation water bath?
Used to float out and flatten paraffin ribbons.
49
What temperature should a flotation water bath be set at?
Set at a temperature of 45°-50°C.
50
How does the water bath temperature relate to the wax melting point?
Approximately 6-10°C lower than melting point of the wax used.
51
What can be added to the water bath to improve flattening?
Small amount of detergent may be added to the water to reduce surface tension, allowing the sections to flatten out with greater ease.
52
What temperature is used for the infiltration process in an oven?
Regular at 55-60°C.
53
What are the conditions for the drying process in an oven?
Done at 56-60°C for 2 hours.
54
What are the characteristics and limitations of Hot Plates in histotechnology?
May be used instead of drying oven Not recommended since they can cause overheating Risk of dust falling onto the section during drying period
55
What are Forceps and Squirrel Hair Brush used for in histotechnology?
Used in handling sections during cutting, and for removing folds and creases on the sections during "floating out" in water bath.
56
What are the specifications for Clean Slides used in routine histology work?
76x25mm slides that are 1.0 to 1.2 thick are preferred Frosted end are preferred, where the ID number of the section can be inscribed with a pencil Slide refractive index: 1.518
57
What types of staining equipment are used in histotechnology labs?
Coplin jars: Slotted jar holding 5 to 9 slides Slotted staining dishes: Holding 5 to 19 slides, over which different solutions are poured Metal or Glass staining racks or carriers: Holding 10 to 30 slides upright
58
What are the six types of biopsy specimens?
Fine Needle Aspiration Incisional Biopsy Excisional Biopsy Punch Biopsy Shave Biopsy Curetting
59
Describe Fine Needle Aspiration biopsy
Simplest, least invasive test that uses the smallest needle to remove cells from the area of abnormality.
60
What is a Core Needle Biopsy?
Removes not only the cells, but also the small amount of surrounding tissues Provides additional information to assist in the examination of the lesion
61
What is an Incisional Biopsy?
Takes out even more surrounding tissue Takes out some of the abnormality, but not all The doctor will slice into the lesion and remove only the lesion or only a portion of it
62
What is an Excisional Biopsy?
Generally removes the entire area in question.
63
What is a Punch Biopsy?
A diagnostic test where a small, tube-shaped piece of skin and some other tissue underneath are removed using a sharp cutting tool Can be done anywhere on the body 3 to 4mm cylindrical core of tissue must be obtained
64
What is a Shave Biopsy?
A diagnostic test where a thin piece of skin is removed from the surface using a sharp blade.
65
What is Curetting?
A loop, ring, or spoonshaped instrument, attached to a handle and having sharp or blunt edges; used to scrape tissue from a surface.
66
What is Teasing or Dissociation in fresh tissue examination?
Selected tissue specimen is immersed in a watch glass slide containing isotonic salt solution (NSS), carefully dissected or separated and examined under the microscope.
67
What is Squash preparation/Crushing in fresh tissue examination?
The smearing or compressing of a thin tissue specimen between two slides for microscopic analysis. The specimen is placed flat on the first slide. The second slide is held at a right angle to the first and then dragged along the specimen, distributing it lengthwise along the first slide.
68
What is Smear Preparation used for?
Useful in cytological examination particularly for cancer diagnosis.
69
What is the Streaking method?
Used of an applicator stick or platinum loop, material is rapidly and gently applied in a direct or zigzag line throughout the slide.
70
Describe the Spreading technique for fresh tissue examination
Material is transferred to a clean slide and gently spread into a moderately thick film by teasing using an applicator stick Recommended for fresh sputum, bronchial aspirates and thick mucoid secretions
71
What is the Pull-apart technique?
A drop of secretion or sediment upon 1 slide and facing it to another clean slide 2 slides are pull apart with a single uninterrupted motion
72
What is Touch Preparation/Impression Smear?
Special method of smear preparation whereby the surface of the freshly cut tissue is brought into contact and pressed on the surface of a clean glass slide.