Staining of microorganisms Flashcards

1
Q

What is the primary complaint of the 33-year-old female patient?

A

Chronic shortness of breath on exertion

The patient has a history of similar symptoms and was previously diagnosed with acute bronchitis.

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2
Q

What significant finding was reported in the CT scan of the patient’s chest?

A

Diffuse centrilobular micronodular pattern without focal consolidation

This finding is relevant for diagnosing potential pulmonary issues.

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3
Q

What microorganism was identified in the cytology of the bronchoalveolar lavage?

A

Histoplasma capsulatum

This organism is associated with respiratory infections and is often found in certain environmental conditions.

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4
Q

List the four groups of micro-organisms that are medically important and of interest to histotechnology.

A
  • Bacteria
  • Fungi (Yeasts)
  • Viruses
  • Protozoa
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5
Q

What is the cell wall composition of bacteria?

A

Composed of peptidoglycan (mucopolysaccharide)

This structure is crucial for bacterial integrity and function.

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6
Q

How are bacteria classified?

A
  • Shape
  • Arrangement or formation
  • Gram stain reaction (Gram positive vs Gram negative)
  • Other stains (e.g., Acid-Fast techniques)
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7
Q

What are the three main shapes of bacteria?

A
  • Cocci
  • Bacilli
  • Spirochetes
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8
Q

What are the two most common differential staining techniques?

A
  • Gram Stain
  • Acid-fast stains
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9
Q

What is the purpose of running control slides when performing a Gram stain?

A

To ensure the accuracy of the staining technique and tissue sample

Control slides should be known positive for the type of organism being demonstrated.

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10
Q

What is the preferred fixative for Gram staining?

A

10% neutral buffered formalin

Proper fixation is essential to preserve tissue morphology.

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11
Q

What color do Gram positive and Gram negative organisms appear in a Gram stain?

A
  • Gram positive: blue
  • Gram negative: red
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12
Q

What are the differences between Gram positive and Gram negative bacteria?

A
  • Gram positive: thicker cell wall (15-25 nm), more layers of peptidoglycan
  • Gram negative: thinner cell wall (8-12 nm), irregular layer of lipoprotein
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13
Q

What is the principle behind the Gram stain procedure?

A

Differentiates bacteria based on their cell wall properties and porosity

The staining process involves a series of steps that lead to different colors based on bacterial type.

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14
Q

What is the purpose of the Ziehl-Neelsen technique?

A

To demonstrate acid-fast bacteria in tissue sections

This technique is particularly useful for identifying Mycobacterium species.

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15
Q

What is the chemical that forms a strong union with basic fuchsin in acid-fast staining?

A

Mycolic acids

These lipids are crucial for the retention of the stain in acid-fast bacteria.

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16
Q

What color do acid-fast bacilli appear in the Ziehl-Neelsen stain?

A

Red

The background typically stains blue.

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17
Q

What is the Warthin-Starry technique used for?

A

Demonstration of spirochetes in tissues

This method uses silver staining to visualize these organisms.

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18
Q

What is the role of hydroquinone in the Warthin-Starry technique?

A

Chemical reducer that allows spirochetes to bind to silver ions

This is part of the argyrophilic staining method.

19
Q

What are the expected results of the Warthin-Starry technique?

A
  • Spirochetes: black
  • Nuclei: brown
  • Background: golden yellow
20
Q

What is the Kinyoun method known for?

A

It is a cold method for acid-fast staining that uses a more concentrated primary stain

This method does not require heating.

21
Q

What color do spirochetes stain in the Warthin-Starry technique?

A

black

In the Warthin-Starry technique, spirochetes are demonstrated as black.

22
Q

What is the preferred fixative for the Warthin-Starry technique?

A

10% NBF

Mercurial and chromate fixatives should always be avoided.

23
Q

What is the principle behind the Warthin-Starry technique?

A

Argyrophilic organisms are demonstrated by absorbing silver from solution with a reducing agent

The reducing agent used is hydroquinone.

24
Q

What are the results of the Warthin-Starry technique for Helicobacter pylori?

A

dark brown/black

Other bacteria also stain dark brown/black.

25
Which bacterium is responsible for causing Legionaire’s disease?
Legionella pneumophilia ## Footnote This bacterium is identified in the Warthin-Starry technique.
26
Fill in the blank: H. pylori infection may be present in more than half the people in the world, but most are _______.
asymptomatic
27
What is the most reliable method for demonstrating fungi?
Grocott Methenamine Silver Technique ## Footnote This method is based on the polysaccharide cell wall of fungi.
28
What are the four classifications of fungi?
* Filamentous (molds) * Yeasts * Pseudohyphae * Dimorphic fungi
29
What is the purpose of the Grocott Methenamine Silver technique?
For the demonstration of fungus
30
Which fungi are known to cause opportunistic infections in immunosuppressed patients?
Candida albicans ## Footnote This is an example of a secondary opportunistic infection.
31
True or False: Most fungi stain gram negative.
False ## Footnote Most fungi stain gram positive.
32
What two dyes are used in the Diff Quik method for detecting H. pylori?
methylene blue and azure A
33
What is the reducing agent used in the Warthin-Starry technique?
hydroquinone
34
What color is the background when using the Warthin-Starry technique?
golden yellow
35
List the steps in the Grocott Methenamine Silver Technique.
* Oxidation * Silver exposure * Toning * Removal of excess silver * Counterstain
36
What can cause false positives when staining for spirochetes?
Reducing substances present in the tissue, such as formalin pigment
37
What is the significance of using a 0.5% silver nitrate solution in the Warthin-Starry technique?
It aids in the demonstration of argyrophilic organisms
38
Fill in the blank: The Grocott Methenamine Silver technique relies on the _______ reaction.
argentaffin
39
What is the purpose of counterstaining with light green in the Grocott Methenamine Silver technique?
To stain the background green
40
What is the role of sodium thiosulphate in the Grocott Methenamine Silver technique?
Fixes reduced silver and binds with unreduced silver
41
What are some sources of error in the Grocott Methenamine Silver technique?
* Dirty specimen jars * Contaminated water * Rubber tubing * Paraffin wax
42
What does the Genta stain visualize in addition to H. pylori?
Inflammatory cells ## Footnote It combines silver, H&E, and Alcian blue stains.
43
What color do fungi stain in the Grocott Methenamine Silver technique?
black
44
What is the significance of treating sections with sodium bisulfite in the Grocott Methenamine Silver technique?
Bleaches the section to remove unwanted stain left by chromic acid