Histopathology Theory

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Questions and Answers

Fixation is the ____ of tissue shortly after taken from the body preventing ____ & ____.

Preservation, Autolysis, Putrefaction

Criteria for a good fixative

  • Allows for proper staining (correct)
  • Rapid penetration (correct)
  • Allows for cells to be seen under microscope (correct)
  • Doesn't shrink tissue (correct)

What is formalin buffered with?

Sodium dihydrogen phosphate monohydrous, Disodium hydrogen phosphate anhydrous

What is the Lily's, Kardasiwiths and Picric Acid Method?

<p>How formalin pigments are removed.</p> Signup and view all the answers

The picric acid method of the removal of formalin pigment says, " Bring to water, place in picric acid for 5mins to 2 hours & wash for 10-15 mins.

<p>True (A)</p> Signup and view all the answers

What is the primary effect of both Carnoy's and Clarke's methods?

<p>Tissue shrinkage and hardening (B)</p> Signup and view all the answers

Which component is included in Helly's Method that is known to be toxic?

<p>Mercuric chloride (D)</p> Signup and view all the answers

What is the expected outcome of using Helly's Method on biological samples?

<p>Formation of formalin pigment (C)</p> Signup and view all the answers

What do Carnoy's and Clarke's methods have in common?

<p>Both use the same components (A), Both are cytosolic preparation methods (C)</p> Signup and view all the answers

Which of the following accurately describes the application of Helly's Method?

<p>It prepares samples for cytological studies. (C)</p> Signup and view all the answers

What effect does picric acid have on tissue when used in Bouins fixative?

<p>It causes a yellow color and destroys red blood cells. (D)</p> Signup and view all the answers

Which component is primarily used in Zenkers fixation?

<p>Chromic acid (D)</p> Signup and view all the answers

Why must picric acid be kept under a layer of water?

<p>To avoid its explosive nature when dry. (D)</p> Signup and view all the answers

Which characteristic is true about Bouins fixative?

<p>It is primarily a cytological fixative. (B)</p> Signup and view all the answers

Which statement about picric acid is incorrect?

<p>It is a component of Zenkers fixation. (A)</p> Signup and view all the answers

Decalcification is the removal of calcium from teeth, bones, and other tissues.

<p>True (A)</p> Signup and view all the answers

A good decalcifier must not affect the staining of the tissue.

<p>True (A)</p> Signup and view all the answers

An effective decalcifier must remove all calcium without altering the bone tissue.

<p>True (A)</p> Signup and view all the answers

A poor decalcifier takes an inordinate amount of time to remove calcium from tissue, which is considered ____.

<p>True (A)</p> Signup and view all the answers

The primary function of decalcification is to enhance the structural integrity of bone for detailed examination.

<p>False (B)</p> Signup and view all the answers

The process begins with selecting the appropriate ______ tissue.

<p>bone</p> Signup and view all the answers

The ______ step aims to preserve the tissue's structure for further processing.

<p>fixation</p> Signup and view all the answers

Decalcification is the core of the procedure, removing ______ from the bone tissue.

<p>calcium</p> Signup and view all the answers

A critical step to determine when decalcification is complete involves using red litmus and ______.

<p>ammonium</p> Signup and view all the answers

Neutralization ensures no adverse effects on the tissue from the chemicals used in the ______ process.

<p>decalcification</p> Signup and view all the answers

What is a primary advantage of using acid decalcification?

<p>It is quick. (B)</p> Signup and view all the answers

Which of the following is a disadvantage of acid decalcification?

<p>It can damage tissue. (B)</p> Signup and view all the answers

Which method utilizes the principle of using acids to dissolve calcium salts?

<p>Acid decalcification (C)</p> Signup and view all the answers

Which of the following methods is NOT part of acid decalcification?

<p>Cryogenic decalcification (A)</p> Signup and view all the answers

What effect does a weak acid have in the decalcification process?

<p>It takes longer to decalcify. (D)</p> Signup and view all the answers

Which of the following statements accurately differentiates the advantages of RDO compared to other methods?

<p>RDO is easy to use and provides rapid results. (C)</p> Signup and view all the answers

Which disadvantage is unique to electrolysis compared to RDO and ion-exchange?

<p>Can cause tissue shrinkage. (C)</p> Signup and view all the answers

What is a common issue that can arise from the use of RDO?

<p>Fumes may be released during the process. (C)</p> Signup and view all the answers

Which characteristic makes ion-exchange a preferred choice over weaker acids?

<p>It is faster and preserves morphology. (A)</p> Signup and view all the answers

What key aspect is required for the effective use of ion-exchange?

<p>Regular monitoring to ensure efficacy. (A)</p> Signup and view all the answers

What is a main advantage of using ROO as a decalcifier?

<p>It is rapid and easy to use. (D)</p> Signup and view all the answers

Which of the following is a disadvantage of using ROO as a decalcifier?

<p>It produces harmful fumes. (C)</p> Signup and view all the answers

What distinguishes Pereny's decalcifier from others?

<p>It provides excellent staining and detail. (C)</p> Signup and view all the answers

Which characteristic best describes citric acid as a decalcifier?

<p>It is great for staining but is too slow. (D)</p> Signup and view all the answers

What is a common misconception about the use of ROO?

<p>It is safe for all tissue types without any consequences. (A)</p> Signup and view all the answers

What are the main components of Jenkins's instrument?

<p>Acetic acid and chloroform (C)</p> Signup and view all the answers

Which of the following statements correctly describes the advantages of using Jenkins's instrument?

<p>It has minimal tissue damage. (D)</p> Signup and view all the answers

Which acid is used in the preparation of formic acid according to Gooding and Stewart?

<p>Formaldehyde (D)</p> Signup and view all the answers

Which of the following pairs are included in Jenkins's instrument?

<p>Acetic acid and chloroform (A)</p> Signup and view all the answers

What is a correct understanding of the type of acid used in Jenkins's instrument?

<p>It is a weak acid. (A)</p> Signup and view all the answers

Write 3 main points of lean.

<p>Eliminates waste, Promotes timely processes and smooth workflow</p> Signup and view all the answers

Match these 5 aspects of lean six sigma.

<p>Sort = Remove processes that cause wastage and slow down work flow Set in order = Rearrange processes to promote great work flow and to eliminate waste shine = keep work area clean and enjoyable to work in Standardize = Create an SoP of these new procedures</p> Signup and view all the answers

Match these flow chart procedures with their definitions.

<p>Operating theator = The tissue in question is removes. eg Biopsies, whole mounts Assessing = veiwing the tissue microscopically to determine the best processing method Grossing = area of interest in tissue is cut into thin slices, measured and described Validating = ensures that the tissue is stained well and that the tissue matches the criteria for microscopic examination</p> Signup and view all the answers

Flashcards

Fixation purpose

Preservation of tissue preventing autolysis and putrefaction

Fixative criteria

Enables proper tissue staining

Formalin buffer

Buffered with Sodium dihydrogen phosphate monohydrous and Disodium hydrogen phosphate anhydrous

Formalin Pigment Removal method

Lily's, Kardasiwiths and Picric Acid Method

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Picric Acid method (time)

Soak in picric acid for 5 minutes to 2 hours then wash for 10-15 minutes

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Carnoy's Method

A staining method using glacial acetic acid and absolute ethanol, which shrinks and hardens tissues due to alcohol's dehydrating nature. This method focuses on cellular structure.

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Clarke's Method

Similar to Carnoy's, this method uses glacial acetic acid and absolute ethanol to shrink and harden tissues. It's specifically designed for studying cell structures.

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Helly's Method

This method utilizes potassium dichromate and mercuric chloride to dissolve lipids and focus on cell cytoplasm. However, mercuric chloride is toxic, and formain pigment might form as a result.

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What's the common effect of Carnoy's and Clarke's methods?

Both methods employ alcohol, resulting in tissue shrinkage and hardening. This effect is due to the dehydrating properties of alcohol.

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Why is Helly's Method considered toxic?

Helly's Method uses mercuric chloride, a toxic substance. This compound can lead to the formation of formain pigment during the staining process.

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Bouins fixative

A cytological fixative that preserves nuclear structures well. It contains picric acid, which gives tissues a yellow color and destroys red blood cells.

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Picric acid

A component of Bouins fixative. It forms a yellow compound with proteins, making tissues appear yellow. It's explosive when dry, so it must be stored submerged in water.

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What happens to red blood cells when treated with Bouins?

Bouins fixative contains picric acid, which destroys red blood cells. This is why it's not suitable for studying blood cells.

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Zenkers fixative

A microanatomical fixative that preserves tissue structures well. It contains chromic acid.

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Chromic acid

A component of Zenkers fixative. It helps preserve tissue structure.

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Decalcification

The process of removing calcium from tissues, like teeth and bones, using chemicals. It prepares tissue samples for examination under a microscope.

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Why decalcify?

Decalcifying tissues makes them easier to cut into thin slices for examination under a microscope. This is essential for studying their internal structures.

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Ideal decalcifier properties

A good decalcifier should remove calcium quickly without damaging the tissue or affecting the staining process. It should preserve the original structure of the tissue.

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Decalcification and staining

A good decalcifier shouldn't interfere with the staining process. Staining helps visualize different structures within the tissue.

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Complete decalcification?

While an ideal decalcifier removes all calcium, it's crucial to ensure the tissue's integrity is not compromised. Sometimes, a little calcium might remain to protect the tissue structure.

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Decalcification Purpose

The process of removing calcium from bone tissue, primarily to prepare it for microscopic examination.

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What does decalcification do to bone tissue?

Decalcification makes bone tissue softer and easier to cut into thin slices for microscopic analysis.

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How do we know decalcification is complete?

The completion of decalcification is confirmed when the solution remains clear and the test with red litmus and ammonium solution turns blue.

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What happens if decalcification is incomplete?

If the solution remains cloudy or turbid after 30 minutes, decalcification is incomplete, meaning more time or adjustments to the procedure are needed.

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Why is Neutralization important?

Neutralization is crucial to remove excess chemicals used in the decalcification process, ensuring no harm to the tissue.

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Acid Decal

A decalcification method that uses acids to dissolve calcium salts into a soluble form.

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Acid Decal Advantages

Acid Decal is fast and affordable compared to other methods.

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Acid Decal Disadvantages

Acid Decal can damage tissue and weak acids take longer to work.

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Ion Exchange

A decalcification method that uses a resin to remove calcium ions from the tissue.

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Electrolysis

A decalcification method that uses electricity to remove calcium ions from the tissue.

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Ion-Exchange Decalcification

A method using resin to remove calcium ions from tissue. It's slower than acid decalcification but preserves the tissue's morphology.

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Electrolysis Decalcification

A method using electricity to remove calcium ions from tissue. It's fast but requires special equipment and can shrink tissues.

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RDO Decalcification

A method using strong acid to remove calcium quickly but can cause over-decalcification and produce fumes.

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Advantages of Ion-Exchange

Preserves tissue morphology and is faster than using weak acids for decalcification.

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Disadvantages of Electrolysis

Requires special equipment and can cause tissue shrinkage.

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ROO Decalcifier

A rapid decalcifier containing hydrochloric acid. It's easy to use but can produce fumes and potentially over-decalcify tissue.

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Pereny's Decalcifier

Uses chromic and nitric acids, ideal for preserving small bones and cellular detail. Produces good staining results.

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Citric Acid Decalcifier

A decalcifier that contains ammonium citrate and citric acid. It's good for staining, but too slow for routine decalcification.

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What are the advantages of using ROO?

ROO decalcifier is rapid, meaning it works quickly, and it's easy to use. It's well-suited for routine decalcification processes.

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What are the disadvantages of using ROO?

ROO decalcifier produces fumes, which can be harmful, and it can over-decalcify the tissue, damaging its structure.

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Jenkins's Instrument

A fixative solution composed of acetic acid and chloroform, used for preserving tissue samples.

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Formic Acid (Gooding and Stewart)

A fixative solution containing formic acid and formaldehyde, used for tissue preservation.

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Advantages of Jenkins's Instrument

Minimal tissue damage compared to other fixatives.

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What makes a good fixative?

A good fixative preserves tissue structure without causing significant damage.

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