Confirmation of Amyloid Fibrils Quiz
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Questions and Answers

How can the presence of amyloid fibrils be confirmed?

  • Congo red binding leading to red birefringence under polarized light
  • Recognition of apple-green birefringence under polarized light after Congo red staining (correct)
  • Appearance on light microscopy
  • Thioflavine-T binding producing a blue fluorescence
  • Which staining technique can determine the type of amyloidosis?

  • Hematoxylin and eosin staining
  • Gram staining
  • Immunohistochemical staining of kappa and lambda light chains (correct)
  • Periodic acid-Schiff staining
  • How can cardiac involvement in amyloidosis be suspected?

  • Low platelet count
  • Presence of fever
  • Arrhythmia or heart block on electrocardiogram (correct)
  • Elevated white blood cell count
  • What is a common feature of patients with primary nerve, kidney, or liver involvement in amyloidosis?

    <p>Restrictive cardiomyopathy</p> Signup and view all the answers

    Which imaging technique can help detect restrictive cardiomyopathy related to amyloidosis?

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

    Which clinical suspicion may remain if evaluation for other causes of symptoms is unrevealing?

    <p>Monoclonal plasma cell proliferative disorder</p> Signup and view all the answers

    What characteristic appearance of amyloid fibrils can be observed under polarized light after binding to Congo red?

    <p>Green birefringence</p> Signup and view all the answers

    Why might biopsy sections less than 6 microns thick not stain appropriately with Congo red despite the presence of amyloid fibrils?

    <p>Congo red has a limited capacity to bind to thin sections</p> Signup and view all the answers

    Which method is preferred for determining the type of amyloidosis once the histologic diagnosis of amyloid is made?

    <p>Mass spectrometry</p> Signup and view all the answers

    What is the characteristic appearance of amyloid fibrils under electron microscopy?

    <p>Fibrillar and non-branching structure</p> Signup and view all the answers

    Which staining method produces an intense yellow-green fluorescence in the presence of amyloid?

    <p>Thioflavine-T</p> Signup and view all the answers

    What is the characteristic appearance of amyloid under hematoxylin and eosin staining on biopsy sections?

    <p>Pink, amorphous, waxy substance</p> Signup and view all the answers

    What is the typical diameter of amyloid fibrils seen in renal amyloidosis?

    <p>7 to 12 nanometers</p> Signup and view all the answers

    Where are the mesangial cells and mesangial matrix usually located in a capillary tuft affected by amyloidosis?

    <p>In the central or stalk regions of the tuft</p> Signup and view all the answers

    What is the similarity between the thickness of the glomerular capillary wall and the tubular basement membranes in amyloidosis?

    <p>They are of similar thickness</p> Signup and view all the answers

    Which staining method is typically used to visualize amyloid deposits under a microscope?

    <p>Congo red stain</p> Signup and view all the answers

    In which type of glomerulonephritis are the amyloid fibrils smaller compared to those seen in renal amyloidosis?

    <p>Fibrillary glomerulonephritis</p> Signup and view all the answers

    What is the typical number of cells per capillary tuft in a case of renal amyloidosis?

    <p>One to three cells</p> Signup and view all the answers

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