(PALM 306) Exam 3 objectives Flashcards

Overview of fixation Aqueous Fixatives

1
Q

Acetic Acid (6)

A

-Non additive, Coagulant

-Reacts with nucleic acids

-rapid penetration rate

-lyses RBCS, causes cellular swelling, can dissolve calcifications due to acidity and leach iron

-used to counteract shrinking effects of other fixatives

-common household chemical, used under fume hood, stored in chemical cabinet

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2
Q

Picric Acid (11)

A

-additive coagulant

-reacts with nucleic acids by denaturing and solubilizing

-reacts w proteins by inhibiting enzyme activity

-reacts with carbohydrates, particularly glycogen

-very slow penetrations’ rate

-causes extreme shrinkage

-can dissolve small calcification and leach iron

-must be rinsed out with alcohol or will result in poor staining

-used a fixative and stains yellow

-used for trichrome staining because it is receptive to dyes

-explosive in dry form

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3
Q

Chromic Acid (5)

A

-Additive Coagulant

-slow penetrations’ rate

-reacts with nucleic acids and proteins

-reacts with carbohydrate by oxidizing them

-reacts with lipids by insolulizing them

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4
Q

Zinc Salts (6)

A

-Additive Coagulant

-use a replacement for mercury

-used for advance staining

-can clog processor lines, use 5-20% acetic acid to remove. Prevent by using a formulation that is approved routine processing

-forms in tissue

-zinc sulfate is preferred over zinc chloride because it is not as toxic/hazardous

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5
Q

Cupric Salts (3)

A

-Additive Coagulant

-stabilized RBC membranes

-added to fixatives to prevent lysis of RBCs

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6
Q

Mercuric Chloride (7)

A

-Additive Coagulant

-reacts with nucleic acids and proteins

-has exceptional nuclear detailing, inhibits enzyme activity

-mercury pigmentation cannot be prevented, but can be removed using iodine, then rinsing with sodium thiosulfate

  • used for hematopoietic tissues and lymphoid tissues

-rarely used today due to health hazards

-very corrosive, health hazard, toxic, special documentation and disposal required

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7
Q

Potassium dichromate (9)

A
  • Additive non coagulant, unless used on acid solution, then acts as chromic acid

-reacts with nucleic acids by solubilizing them, reacts with proteins and carbohydrates

-will react with some hormones produced in the adrenal medulla, to produce a yellow brown pigment (chromaffin reaction, cant be prevented or removed)

-Rapid penetration rate

-soft tissue shrinks after processing

-chromate pigment is a brown pigment, CAN be prevented but not completely removed

-prevent by rinsing tissue well with running water

-partially remove by treating tissue with acidic alcohol

  • used to increase tissue affinity for acid dye
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8
Q

Osmium tetroxide (9)

A

-additive non coagulant

-reacts with nucleic acids and proteins

-insolublizes lipids–they appear black

  • inhibits enzyme activity

-extremely slow penetration arte

  • decreased affinity for acid dyes

-used primarily for EM as a post fixative

-very hazardous, vapors can fix exposed tissues (nasal passages and eye)

-must be used under the hood

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9
Q

Glyoxal (12)

A
  • additive non coagulant
  • reacts with nucleic acids and proteins

-rapid penetration rate

-breast microcalcifications are dissolved

-interferes with staining of helicobacter pylori

-causes RBCs to lysis

-loss of eosinophil granules

-iron leaching

-advance staining is hampered

-Acid free neutral pH solutions are recommended

used as a a formaldehyde replacement, fixes quicker and is less toxic

-no odor, skin irritant, not regulated by OSHA, can be poured down the sink

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10
Q

Glutaraldehyde (11)

A

-Additive non coagulant

-reacts with nucleic acids and proteins

  • reacts with lipids but still has lipid loss

-slow penetration rate

  • tissue must be thin to allow complete penetration of fixative

-inhibits advanced staining

-overhardenes with prolonged exposure (2 or less hours recommended)

-cannot use with some carbohydrates special stains because unbound aldehyde groups can cause nonspecific staining

-typically used for EM

-unstable, pH drops when exposed to oxygen, incompatible with oxidizers, should be handled same way as formaldehyde

-sensitizer of respiratory and digestive tract, and the skin

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11
Q

Paraformaldehyde (5)

A

-additive non coagulant

-reacts similarly to formaldehyde

-Used for EM to demonstrate ultrastructure preservation

-typically used for extensive crosslinking, results in better ultrastructure

-phosphate buffer and sodium hydroxide added to adjust pH to 7.2-7.3 and osmolarity before use

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12
Q

Formaldehyde (11)

A
  • Additive non coagulant
  • reacts with proteins to form methylene bridges

-Traps nucleic acids

-only reacts with proteins, poor fixative of nucleic acids

-has rapid penetration, but slow crosslinking

-crosslinking can mask protein antigens for IHC staining

-causes less shrinkage but hardens tissue more than aqueous fixatives

-Acid hematin or formalin pigment forms when you have to acidic of a PH

-prevent by maintaining a neutral PH with buffer salts

-remove by treating the tissue with alcoholic picric acid acid or alkaline alcohol

-most commonly used fixative in histopathology labs

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13
Q

What does formaldehyde combine with, what does it form, what happens if what it forms polymerizes, how can you prevent/fix that?

A

Formaldehyde combines with water ,forming methylene hydrate, if this polymerizes it forms paraformaldehyde, which can clog processor lines

It can be prevented by adding methanol to the formaldehyde, or removed by high temperatures which can break down the large polymers.

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14
Q

Denaturation is important in fixation because it can cause proteins to become _______ and ________

A

inactive and insoluble

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15
Q

Which type of fixative will chemically react to form a mesh like permeable network in tissue

A

Additive Coagulant

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16
Q

Select the two fixatives that insolublize lipids

A

osmium tetroxide and chromic acid

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17
Q

Select the two fixatives that insolublize lipids

A

osmium tetroxide and chromic acid

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18
Q

Select the fixatives that dissolve small calcifications and leach iron

A

Acetic Acid and Picric acid

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19
Q

Select the fixatives recommended for EM

A

Paraformaldehyde
Osmium Tetroxide
Gluteraldehyde

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20
Q

what fixative lyses RBCs and can be used to counteract shrinking/ cause swelling

A

acetic acid

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21
Q

What fixative is used as a stain also and stains yellow

A

picric acid

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22
Q

what fixative is explosive in dry form?

A

picric acid

23
Q

additive coagulant

slow penetration rate

insolublizes lipids

A

Chromic Acid

24
Q

used as a replacement for mercury

A

zinc salts

25
Q

is zinc sulfate or zinc chloride prefered?

A

zinc sulfate because it is less toxic

26
Q

stabilizes RBCs membrane, prevents lysis

A

Cupric Salts

27
Q

used for hematopoietic and lymphoid tissues

A

mercuric chloride

28
Q

mercury pigment cannot be _____ but can be _______

How?

A

prevented, removed

use iodine to remove pigment and rinse with sodium thiosulfate

29
Q

reacts with hormones produced in the adrenal medulla, to produce a yellow brown pigment, called a chromaffin reaction, not preventable or fixable

A

potassium dichromate

30
Q

which fixative produces chromate pigment, that can be prevented but not completely removed?

how do you do this?

A

Potassium dichromate

prevent by rinsing tissue with water before placing in alcoholic solutions, partially remove by treating tissue with acidic alcohol

31
Q

increases tissue affinity for dyes

A

potassium dichromate

32
Q

insolublizes lipids and turns them black

vapors can fix nasal and nose pathways

A

osmium tetroxide

33
Q

breast microcalcifications are dissolved

helicobacter pylori staining is unsatisfactory

used as a formaldehyde replacement

A

glyoxal

34
Q

sensitizer of the respiratory tract, digestive tract, and the skin

A

glutaraldehyde

35
Q

EM for demonstration of ultrastructure

reacts similarly to formaldehyde

A

paraformaldehyde

36
Q

reacts with proteins to form methylene bridges

A

formaldehyde

37
Q

reacts with proteins to form methylene bridges

A

formaldehyde

38
Q

formalin pigment

A

causes by acidic PH

prevent by using a neutral PH

reverse by treating tissue with alcoholic picric acid or alkaline alcohol

39
Q

when formaldehyde combines with water it forms what>?

A

methylene hydrate

40
Q

when formaldehyde combines with water it forms what>?

A

methylene hydrate

41
Q

what forms if methylene hydrate polymerizes

and what can happen

and how do you prevent/ remove it

A

paraformaldehyde

it can clog/damage processor lines

prevent it by adding methanol to the formaldehyde solution

treat it by apply heat to break down the large polymer (paraformaldehyde)

42
Q

What do employees do to monitor formaldehyde exposure?

A

badges

43
Q

maximum concentration of formaldehyde in water?

A

37-40%

44
Q

What is the most common routine fixative?

A

10% neutral buffered formalin (NBF)

45
Q

how do you prevent phosphate salts from precipitating

A

alcohol concentration less than or equal to 70

46
Q

how do you prevent zinc salts from precipitating?

A

using a alcohol concentration greater than 70

47
Q

10% Neutral Buffered formalin

A

Neutral pH

components- 37-40% formaldehyde, sodium phosphate, dibasic, distilled water

chemical characteristics- begin dehydration at less than 70 to prevent precipitation of salt

Use- most common used routine fixative

48
Q

10% aqueous formalin

A

Acidic pH–formalin pigment

hypotonic, may damage RBCs

can produce formalin pigment due to acidic pH

49
Q

10% formalin saline

A

Acidic pH–formalin pigment

Isotonic

may produce formalin pigment due to high pH, because no buffer is present

50
Q

Calcium formalin

A

neutral pH

used for preservation of phospholipids

51
Q

Formalin Ammonium bromide

A

Acidic pH—formalin pigment

used for fixation of CNS specimens

52
Q

Modified Millonig Formalin

A

Neutral pH

used for EM due to physiological pH, also has sodium phosphate as a buffer, to make the physiological pH so it is suitable for EM

53
Q

Acetate formalin

A

Neutral pH

only use when you don’t have a phosphate buffer