Podcast
Questions and Answers
What is the primary function of the CRISPR-associated protein (Cas) enzyme?
What is the primary function of the CRISPR-associated protein (Cas) enzyme?
What is the main advantage of CRISPR/Cas9 over traditional restriction enzymes?
What is the main advantage of CRISPR/Cas9 over traditional restriction enzymes?
What is the primary purpose of the Southern blot?
What is the primary purpose of the Southern blot?
What is the primary goal of genomics?
What is the primary goal of genomics?
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What is the purpose of the spacer sequences in the CRISPR system?
What is the purpose of the spacer sequences in the CRISPR system?
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What is the primary application of CRISPR/Cas9 in the laboratory?
What is the primary application of CRISPR/Cas9 in the laboratory?
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What is the main advantage of CRISPR RNA over traditional restriction enzymes?
What is the main advantage of CRISPR RNA over traditional restriction enzymes?
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What is the purpose of a nucleating agent in liquid acrylamide solutions?
What is the purpose of a nucleating agent in liquid acrylamide solutions?
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What is the primary function of a density agent in a loading solution?
What is the primary function of a density agent in a loading solution?
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What is the purpose of a fluorescent stain in agarose gel electrophoresis?
What is the purpose of a fluorescent stain in agarose gel electrophoresis?
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What is the primary advantage of capillary electrophoresis over agarose gel electrophoresis?
What is the primary advantage of capillary electrophoresis over agarose gel electrophoresis?
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What is the primary purpose of comparative genomic hybridization arrays?
What is the primary purpose of comparative genomic hybridization arrays?
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What type of array is used to measure gene expression levels?
What type of array is used to measure gene expression levels?
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What is the function of a platinum wire in agarose gel electrophoresis?
What is the function of a platinum wire in agarose gel electrophoresis?
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What is the term for the process of detecting chromosome microdeletions using microarrays?
What is the term for the process of detecting chromosome microdeletions using microarrays?
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What is the purpose of a molecular weight standard in agarose gel electrophoresis?
What is the purpose of a molecular weight standard in agarose gel electrophoresis?
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What is the primary difference between agarose gel electrophoresis and capillary electrophoresis?
What is the primary difference between agarose gel electrophoresis and capillary electrophoresis?
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What is the purpose of labeling the sample material in microarray analysis?
What is the purpose of labeling the sample material in microarray analysis?
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What is the purpose of a laser in capillary electrophoresis?
What is the purpose of a laser in capillary electrophoresis?
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What is the term for the type of array that can be used to determine DNA nucleotide sequence?
What is the term for the type of array that can be used to determine DNA nucleotide sequence?
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What is the purpose of using a reference material in microarray analysis?
What is the purpose of using a reference material in microarray analysis?
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What is the advantage of using multiple capillaries in capillary electrophoresis?
What is the advantage of using multiple capillaries in capillary electrophoresis?
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What is the purpose of a visual dye in a loading solution?
What is the purpose of a visual dye in a loading solution?
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What is the term for the type of array that uses beads as the solid support?
What is the term for the type of array that uses beads as the solid support?
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What is the purpose of using fluorescent labels in bead array assays?
What is the purpose of using fluorescent labels in bead array assays?
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What is the advantage of bead array assays over other types of arrays?
What is the advantage of bead array assays over other types of arrays?
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What is a clinical application of bead array assays?
What is a clinical application of bead array assays?
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What is the primary function of restriction enzymes in DNA analysis?
What is the primary function of restriction enzymes in DNA analysis?
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What is the purpose of molecular weight standards in capillary gel electrophoresis?
What is the purpose of molecular weight standards in capillary gel electrophoresis?
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What is the primary mechanism of DNA separation in capillary gel electrophoresis?
What is the primary mechanism of DNA separation in capillary gel electrophoresis?
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What is the function of CRISPR-Cas9 system in DNA analysis?
What is the function of CRISPR-Cas9 system in DNA analysis?
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What is the purpose of formamide in preparing DNA samples for capillary gel electrophoresis?
What is the purpose of formamide in preparing DNA samples for capillary gel electrophoresis?
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What is the result of DNA digestion with restriction enzymes?
What is the result of DNA digestion with restriction enzymes?
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What is the characteristic of DNA fragments produced by restriction enzymes?
What is the characteristic of DNA fragments produced by restriction enzymes?
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What is the purpose of nucleic acid tests?
What is the purpose of nucleic acid tests?
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What is the name of the first restriction enzyme isolated from E. coli?
What is the name of the first restriction enzyme isolated from E. coli?
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What is the primary application of restriction fragment length polymorphism (RFLP) analysis?
What is the primary application of restriction fragment length polymorphism (RFLP) analysis?
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What is the primary purpose of electrophoresis in the analysis of nucleic acids?
What is the primary purpose of electrophoresis in the analysis of nucleic acids?
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Which type of gel is more suitable for separating very large nucleic acids of tens of thousands of base pairs?
Which type of gel is more suitable for separating very large nucleic acids of tens of thousands of base pairs?
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Why do smaller nucleic acid chains move faster through the gel matrix during electrophoresis?
Why do smaller nucleic acid chains move faster through the gel matrix during electrophoresis?
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What is the purpose of using a standard molecular weight marker in gel electrophoresis?
What is the purpose of using a standard molecular weight marker in gel electrophoresis?
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Which of the following is a characteristic of polyacrylamide gels?
Which of the following is a characteristic of polyacrylamide gels?
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During electrophoresis, which pole do negatively charged nucleic acids move towards?
During electrophoresis, which pole do negatively charged nucleic acids move towards?
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What determines the proper type and concentration of gel to be used in electrophoresis?
What determines the proper type and concentration of gel to be used in electrophoresis?
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Why are agarose gels less expensive and less toxic to use than polyacrylamide gels?
Why are agarose gels less expensive and less toxic to use than polyacrylamide gels?
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What is the primary function of oligonucleotide primers in a PCR reaction?
What is the primary function of oligonucleotide primers in a PCR reaction?
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What is the typical temperature range for the annealing step in a standard PCR cycle?
What is the typical temperature range for the annealing step in a standard PCR cycle?
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What is the purpose of the initial 5- to 15-minute incubation at the denaturation temperature in some PCR protocols?
What is the purpose of the initial 5- to 15-minute incubation at the denaturation temperature in some PCR protocols?
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What is the typical length of PCR products?
What is the typical length of PCR products?
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What is the purpose of the final 7- to 10-minute step at the extension temperature in some PCR protocols?
What is the purpose of the final 7- to 10-minute step at the extension temperature in some PCR protocols?
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What is the effect of ramp speed on PCR amplification?
What is the effect of ramp speed on PCR amplification?
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What is the purpose of the denaturation step in a standard PCR cycle?
What is the purpose of the denaturation step in a standard PCR cycle?
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What is the instrument used to carry out the amplification program in PCR?
What is the instrument used to carry out the amplification program in PCR?
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What is the typical number of cycles in a PCR amplification program?
What is the typical number of cycles in a PCR amplification program?
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At what temperature is the extension step typically carried out in a standard PCR cycle?
At what temperature is the extension step typically carried out in a standard PCR cycle?
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What is the primary purpose of the internal amplification control in qPCR and RT-qPCR?
What is the primary purpose of the internal amplification control in qPCR and RT-qPCR?
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What is the primary difference between qPCR and digital droplet PCR?
What is the primary difference between qPCR and digital droplet PCR?
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What is the purpose of the limiting dilution of sample template molecules in digital droplet PCR?
What is the purpose of the limiting dilution of sample template molecules in digital droplet PCR?
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What is the primary application of qPCR in the detection of microorganisms?
What is the primary application of qPCR in the detection of microorganisms?
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What is the function of the fluorescent dye in the capillary gel electrophoresis detection of PCR products?
What is the function of the fluorescent dye in the capillary gel electrophoresis detection of PCR products?
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What is the advantage of multiplex qPCR methods?
What is the advantage of multiplex qPCR methods?
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What is the primary difference between the lag phase and the log phase in the PCR curve?
What is the primary difference between the lag phase and the log phase in the PCR curve?
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What is the purpose of the standard curve in qPCR?
What is the purpose of the standard curve in qPCR?
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What is the primary advantage of digital droplet PCR over qPCR?
What is the primary advantage of digital droplet PCR over qPCR?
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What is the function of the emulsion formed in digital droplet PCR?
What is the function of the emulsion formed in digital droplet PCR?
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What is the primary purpose of gel or capillary gel electrophoresis in a PCR procedure?
What is the primary purpose of gel or capillary gel electrophoresis in a PCR procedure?
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What is the role of reverse transcriptase in RT-PCR?
What is the role of reverse transcriptase in RT-PCR?
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What is the purpose of the 3′ end of the primer in SSP-PCR?
What is the purpose of the 3′ end of the primer in SSP-PCR?
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What is the advantage of using probes in qPCR compared to SYBR green?
What is the advantage of using probes in qPCR compared to SYBR green?
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What is the purpose of the 5′ end of the primer in PCR?
What is the purpose of the 5′ end of the primer in PCR?
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What is the difference between RT-PCR and qPCR?
What is the difference between RT-PCR and qPCR?
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What is the purpose of FRET, TaqMan, molecular beacon, and scorpion probes in qPCR?
What is the purpose of FRET, TaqMan, molecular beacon, and scorpion probes in qPCR?
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What is the advantage of using qPCR compared to standard PCR?
What is the advantage of using qPCR compared to standard PCR?
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What is the purpose of SYBR green in qPCR?
What is the purpose of SYBR green in qPCR?
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What is the purpose of sequence-specific primer PCR (SSP-PCR)?
What is the purpose of sequence-specific primer PCR (SSP-PCR)?
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What is the primary function of RNase II in the process of probe amplification?
What is the primary function of RNase II in the process of probe amplification?
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In the process of strand displacement amplification, what is the function of the outer primer?
In the process of strand displacement amplification, what is the function of the outer primer?
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What is the primary advantage of loop-mediated isothermal amplification (LAMP)?
What is the primary advantage of loop-mediated isothermal amplification (LAMP)?
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In molecular inversion probe (MIP) amplification, what happens to the probe ends when they bind to target sequences?
In molecular inversion probe (MIP) amplification, what happens to the probe ends when they bind to target sequences?
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What is the primary function of branched DNA (bDNA) amplification?
What is the primary function of branched DNA (bDNA) amplification?
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What is the main advantage of branched DNA (bDNA) amplification over methods using a single probe or primer?
What is the main advantage of branched DNA (bDNA) amplification over methods using a single probe or primer?
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What is the primary function of DNA?
What is the primary function of DNA?
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What is the primary difference between probe amplification and signal amplification?
What is the primary difference between probe amplification and signal amplification?
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What is the purpose of the restriction enzyme in strand displacement amplification (SDA)?
What is the purpose of the restriction enzyme in strand displacement amplification (SDA)?
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Which of the following sequencing methods uses modified nucleotide bases called dideoxynucleotide triphosphates (ddNTPs)?
Which of the following sequencing methods uses modified nucleotide bases called dideoxynucleotide triphosphates (ddNTPs)?
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What is the primary application of molecular inversion probe (MIP) amplification?
What is the primary application of molecular inversion probe (MIP) amplification?
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What is the result of the sequencing reaction in Sanger sequencing?
What is the result of the sequencing reaction in Sanger sequencing?
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What is the advantage of using multiple probes in branched DNA (bDNA) amplification?
What is the advantage of using multiple probes in branched DNA (bDNA) amplification?
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What is the purpose of using fluorescent labels in Sanger sequencing?
What is the purpose of using fluorescent labels in Sanger sequencing?
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What is the purpose of resolving the DNA ladder by gel or capillary gel electrophoresis?
What is the purpose of resolving the DNA ladder by gel or capillary gel electrophoresis?
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What is the term for the collection of fluorescent peaks obtained by capillary gel electrophoresis?
What is the term for the collection of fluorescent peaks obtained by capillary gel electrophoresis?
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What is the purpose of the primer pair in Sanger sequencing?
What is the purpose of the primer pair in Sanger sequencing?
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What is the reason why synthesis will stop if a ddNTP is incorporated into the growing DNA chain?
What is the reason why synthesis will stop if a ddNTP is incorporated into the growing DNA chain?
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What is the advantage of capillary electrophoresis over gel electrophoresis?
What is the advantage of capillary electrophoresis over gel electrophoresis?
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What is the purpose of bDNA signal amplification assay?
What is the purpose of bDNA signal amplification assay?
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What is the primary purpose of including positive and negative controls in in situ hybridization (ISH) testing?
What is the primary purpose of including positive and negative controls in in situ hybridization (ISH) testing?
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What is the main function of programmed cell death ligand (PD-L1) in the immune response?
What is the main function of programmed cell death ligand (PD-L1) in the immune response?
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What is the primary difference between fluorescence in situ hybridization (FISH) and in situ hybridization (ISH) methods?
What is the primary difference between fluorescence in situ hybridization (FISH) and in situ hybridization (ISH) methods?
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What is the purpose of using reference probes in fluorescence in situ hybridization (FISH) methods?
What is the purpose of using reference probes in fluorescence in situ hybridization (FISH) methods?
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What is the term used to describe the sensitivity of in situ hybridization (ISH) methods to the buffer and temperature conditions of hybridization?
What is the term used to describe the sensitivity of in situ hybridization (ISH) methods to the buffer and temperature conditions of hybridization?
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What is the main advantage of using array methods in molecular diagnostics?
What is the main advantage of using array methods in molecular diagnostics?
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What is the primary purpose of amplification methods in molecular diagnostics?
What is the primary purpose of amplification methods in molecular diagnostics?
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Who is credited with the development of the in vitro PCR, which greatly facilitated and broadened the potential applications of gene amplification?
Who is credited with the development of the in vitro PCR, which greatly facilitated and broadened the potential applications of gene amplification?
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What is the primary purpose of using immunohistochemistry in in situ hybridization (ISH) testing?
What is the primary purpose of using immunohistochemistry in in situ hybridization (ISH) testing?
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What is the term used to describe the process of detecting targets in place as they appear in tissues, cells, and subcellular structures?
What is the term used to describe the process of detecting targets in place as they appear in tissues, cells, and subcellular structures?
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What is the primary mechanism by which TaqMan probes generate a signal?
What is the primary mechanism by which TaqMan probes generate a signal?
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What is the key difference between molecular beacons and TaqMan probes?
What is the key difference between molecular beacons and TaqMan probes?
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What is the purpose of the scorpion probe?
What is the purpose of the scorpion probe?
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What is the primary advantage of digital droplet PCR over qPCR?
What is the primary advantage of digital droplet PCR over qPCR?
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What is the primary mechanism of transcription-based amplification systems?
What is the primary mechanism of transcription-based amplification systems?
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What is the primary advantage of targeting RNA in transcription-based amplification systems?
What is the primary advantage of targeting RNA in transcription-based amplification systems?
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What is the primary application of transcription-mediated amplification (TMA)?
What is the primary application of transcription-mediated amplification (TMA)?
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What is the purpose of the cDNA:RNA hybrid in transcription-mediated amplification?
What is the purpose of the cDNA:RNA hybrid in transcription-mediated amplification?
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What is the advantage of TMA over PCR?
What is the advantage of TMA over PCR?
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What is the primary application of digital PCR in infectious disease?
What is the primary application of digital PCR in infectious disease?
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What is the main purpose of Sanger sequencing in genetics and oncology?
What is the main purpose of Sanger sequencing in genetics and oncology?
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Why is pyrosequencing less sensitive than other methods for detecting DNA sequence changes?
Why is pyrosequencing less sensitive than other methods for detecting DNA sequence changes?
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What is the purpose of sequencing the complementary strand of the DNA in Sanger sequencing?
What is the purpose of sequencing the complementary strand of the DNA in Sanger sequencing?
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What is the advantage of pyrosequencing over Sanger sequencing?
What is the advantage of pyrosequencing over Sanger sequencing?
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What is the purpose of the sequencing primer in pyrosequencing?
What is the purpose of the sequencing primer in pyrosequencing?
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What is the result of the pyrosequencing reaction?
What is the result of the pyrosequencing reaction?
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Why is pyrosequencing used in genetics and oncology?
Why is pyrosequencing used in genetics and oncology?
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What is the limitation of pyrosequencing compared to Sanger sequencing?
What is the limitation of pyrosequencing compared to Sanger sequencing?
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What is the purpose of adenosine 5′ phosphosulfate (APS) in pyrosequencing?
What is the purpose of adenosine 5′ phosphosulfate (APS) in pyrosequencing?
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What is the advantage of using some instruments developed for genomic or next-generation sequencing (NGS) in pyrosequencing?
What is the advantage of using some instruments developed for genomic or next-generation sequencing (NGS) in pyrosequencing?
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What was the primary goal of developing Next-Generation Sequencing (NGS) technologies?
What was the primary goal of developing Next-Generation Sequencing (NGS) technologies?
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What is a characteristic of NGS procedures?
What is a characteristic of NGS procedures?
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Which of the following NGS technologies has been most frequently applied to clinical applications?
Which of the following NGS technologies has been most frequently applied to clinical applications?
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What was the primary challenge that was not initially included in the sequencing cost of NGS technologies?
What was the primary challenge that was not initially included in the sequencing cost of NGS technologies?
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What is the primary difference between NGS and traditional Sanger sequencing?
What is the primary difference between NGS and traditional Sanger sequencing?
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What is the term for the goal of sequencing the human genome for a minimal cost of less than $1,000?
What is the term for the goal of sequencing the human genome for a minimal cost of less than $1,000?
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What is the primary benefit of using large databases of somatic variant data in cancer diagnosis and treatment?
What is the primary benefit of using large databases of somatic variant data in cancer diagnosis and treatment?
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What is the primary advantage of NGS technologies over traditional Sanger sequencing?
What is the primary advantage of NGS technologies over traditional Sanger sequencing?
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What is the name of the project that has sequenced thousands of genomes using NGS technologies?
What is the name of the project that has sequenced thousands of genomes using NGS technologies?
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What is the primary advantage of using NGS over Sanger sequencing?
What is the primary advantage of using NGS over Sanger sequencing?
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What is the purpose of using quality, variant type, and allele frequency parameters in filtering?
What is the purpose of using quality, variant type, and allele frequency parameters in filtering?
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Why is adequate coverage of regions of interest required in NGS?
Why is adequate coverage of regions of interest required in NGS?
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What is the primary purpose of annotating variants using historical sequence database information?
What is the primary purpose of annotating variants using historical sequence database information?
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What is the primary benefit of using a standard nomenclature system for sequence information?
What is the primary benefit of using a standard nomenclature system for sequence information?
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What is the primary purpose of using targeted gene panels in NGS?
What is the primary purpose of using targeted gene panels in NGS?
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Why are errors more common in NGS compared to Sanger sequencing?
Why are errors more common in NGS compared to Sanger sequencing?
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What is the primary purpose of using FASTQ files in NGS?
What is the primary purpose of using FASTQ files in NGS?
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What is the primary benefit of using bioinformatics in molecular analyses?
What is the primary benefit of using bioinformatics in molecular analyses?
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What is the primary purpose of comparing the sequence of a DNA sample to a reference sequence in NGS?
What is the primary purpose of comparing the sequence of a DNA sample to a reference sequence in NGS?
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What is the minimum coverage required to call rare variants in NGS?
What is the minimum coverage required to call rare variants in NGS?
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What is the primary application of targeted NGS in the clinical laboratory?
What is the primary application of targeted NGS in the clinical laboratory?
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What is the purpose of the Cancer Genome Atlas (TCGA) program?
What is the purpose of the Cancer Genome Atlas (TCGA) program?
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What is the term for the number of mutations per megabase of sequenced DNA in a tumor?
What is the term for the number of mutations per megabase of sequenced DNA in a tumor?
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What is the primary advantage of NGS over other sequencing technologies?
What is the primary advantage of NGS over other sequencing technologies?
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What is the purpose of sequencing gene panels in NGS?
What is the purpose of sequencing gene panels in NGS?
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What is the term for the percentage of sequences carrying a variant in NGS?
What is the term for the percentage of sequences carrying a variant in NGS?
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What is the primary advantage of NGS in HLA typing?
What is the primary advantage of NGS in HLA typing?
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What is the primary purpose of using PCR primers or probes in NGS?
What is the primary purpose of using PCR primers or probes in NGS?
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What is the primary factor that limits the degree of coverage used in NGS?
What is the primary factor that limits the degree of coverage used in NGS?
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What is the function of the bar code or index in NGS?
What is the function of the bar code or index in NGS?
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What is the purpose of emulsion PCR in NGS?
What is the purpose of emulsion PCR in NGS?
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What is the mechanism of detection in ion conductance sequencing?
What is the mechanism of detection in ion conductance sequencing?
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What is the purpose of bridge PCR in reversible dye terminator technology?
What is the purpose of bridge PCR in reversible dye terminator technology?
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What is the advantage of ion conductance sequencing over other methods?
What is the advantage of ion conductance sequencing over other methods?
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What is the purpose of adapters in NGS?
What is the purpose of adapters in NGS?
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What is the purpose of the sequencing reagents in pyrosequencing?
What is the purpose of the sequencing reagents in pyrosequencing?
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What is the advantage of using multiple samples in a single run of NGS?
What is the advantage of using multiple samples in a single run of NGS?
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What is the purpose of the picoplate in pyrosequencing?
What is the purpose of the picoplate in pyrosequencing?
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What is the primary function of flow cytometry in the clinical laboratory?
What is the primary function of flow cytometry in the clinical laboratory?
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What is the primary purpose of using fluorescent-labeled antibodies or probes in flow cytometry?
What is the primary purpose of using fluorescent-labeled antibodies or probes in flow cytometry?
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What is a characteristic of fluorochromes used in flow cytometry?
What is a characteristic of fluorochromes used in flow cytometry?
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What is the primary application of flow cytometry in the diagnosis of diseases?
What is the primary application of flow cytometry in the diagnosis of diseases?
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What is the primary advantage of using multiple fluorochromes in flow cytometry?
What is the primary advantage of using multiple fluorochromes in flow cytometry?
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What is the primary function of laser light in flow cytometry?
What is the primary function of laser light in flow cytometry?
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What is the primary application of flow cytometry in transplantation?
What is the primary application of flow cytometry in transplantation?
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What is the primary advantage of using flow cytometry in cell analysis?
What is the primary advantage of using flow cytometry in cell analysis?
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What is the primary purpose of using optical filters in flow cytometry?
What is the primary purpose of using optical filters in flow cytometry?
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What is the effect of using Ficoll-Hypaque density gradient centrifugation on some cell populations?
What is the effect of using Ficoll-Hypaque density gradient centrifugation on some cell populations?
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What is the purpose of using erythrocyte lysis techniques in sample preparation for flow cytometry?
What is the purpose of using erythrocyte lysis techniques in sample preparation for flow cytometry?
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What is the typical range of digital signals measured in flow cytometry?
What is the typical range of digital signals measured in flow cytometry?
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What is the purpose of using a marker in flow cytometry data analysis?
What is the purpose of using a marker in flow cytometry data analysis?
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What is the primary purpose of using fiber-optic cables in flow cytometry?
What is the primary purpose of using fiber-optic cables in flow cytometry?
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What is the effect of using heparin as an anticoagulant in sample preparation for flow cytometry?
What is the effect of using heparin as an anticoagulant in sample preparation for flow cytometry?
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What is the primary purpose of using EDTA as an anticoagulant in sample preparation for flow cytometry?
What is the primary purpose of using EDTA as an anticoagulant in sample preparation for flow cytometry?
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What is the typical number of events collected for each sample in flow cytometry data acquisition?
What is the typical number of events collected for each sample in flow cytometry data acquisition?
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What is the primary purpose of using a single-parameter histogram in flow cytometry data analysis?
What is the primary purpose of using a single-parameter histogram in flow cytometry data analysis?
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What is the primary advantage of flow cytometry?
What is the primary advantage of flow cytometry?
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What is the purpose of the fluidics system in a flow cytometer?
What is the purpose of the fluidics system in a flow cytometer?
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What determines which fluorochromes can be used in an assay?
What determines which fluorochromes can be used in an assay?
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What is the primary defect in patients with paroxysmal nocturnal hemoglobinuria (PNH)?
What is the primary defect in patients with paroxysmal nocturnal hemoglobinuria (PNH)?
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Which of the following tests can detect minimal residual disease (MRD) in patients with leukemia or lymphoma?
Which of the following tests can detect minimal residual disease (MRD) in patients with leukemia or lymphoma?
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What is the difference between forward scatter and side scatter?
What is the difference between forward scatter and side scatter?
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What is the purpose of using fluorescent-labeled antibodies in flow cytometry?
What is the purpose of using fluorescent-labeled antibodies in flow cytometry?
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What is the primary application of flow cytometry in transplant immunology?
What is the primary application of flow cytometry in transplant immunology?
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What is the advantage of using multiple lasers in a flow cytometer?
What is the advantage of using multiple lasers in a flow cytometer?
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What is the advantage of using monoclonal antibodies over polyclonal antibodies in immunophenotyping?
What is the advantage of using monoclonal antibodies over polyclonal antibodies in immunophenotyping?
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What is the primary function of cytometric bead arrays?
What is the primary function of cytometric bead arrays?
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What is the purpose of the optics and photodetectors in a flow cytometer?
What is the purpose of the optics and photodetectors in a flow cytometer?
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What is the term for the parameters that are intrinsic to the cell?
What is the term for the parameters that are intrinsic to the cell?
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Which of the following is an application of flow cytometry in molecular diagnostics?
Which of the following is an application of flow cytometry in molecular diagnostics?
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What is the advantage of using multicolor analysis in flow cytometry?
What is the advantage of using multicolor analysis in flow cytometry?
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What is the primary advantage of flow cytometry over traditional serological methods?
What is the primary advantage of flow cytometry over traditional serological methods?
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What is the purpose of analyzing the data generated by the flow cytometer in conjunction with forward scatter and side scatter?
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What is the purpose of fluorescent labels in bead array assays?
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Which of the following is a clinical application of flow cytometry?
Which of the following is a clinical application of flow cytometry?
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What is the primary purpose of a gate in a dual-parameter dot plot?
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What is the primary advantage of using flow cytometry in DNA analysis?
What is the primary advantage of using flow cytometry in DNA analysis?
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What is the advantage of using a single-platform analysis over a dual-platform analysis?
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What is the primary purpose of immunophenotyping in the clinical laboratory?
What is the primary purpose of immunophenotyping in the clinical laboratory?
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What is the primary difference between quadrants 1 and 2 in a dual-parameter dot plot?
What is the primary difference between quadrants 1 and 2 in a dual-parameter dot plot?
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What is the primary purpose of the computer and specialized software in a dual-parameter dot plot analysis?
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What is the primary advantage of using bead-based methods over volumetric methods in single-platform analysis?
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What is the primary purpose of detailed phenotypic analysis in the clinical laboratory?
What is the primary purpose of detailed phenotypic analysis in the clinical laboratory?
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What is the primary difference between nonmalignant immunophenotyping and malignant immunophenotyping?
What is the primary difference between nonmalignant immunophenotyping and malignant immunophenotyping?
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What is the primary purpose of using a known quantity of fluorescent beads in a bead-based method?
What is the primary purpose of using a known quantity of fluorescent beads in a bead-based method?
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What is the primary advantage of using a single-platform analysis over a traditional method?
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What is the primary purpose of immunophenotyping by flow cytometry in leukemia and lymphoma management?
What is the primary purpose of immunophenotyping by flow cytometry in leukemia and lymphoma management?
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Which of the following markers is typically paired with CD20 in the analysis of chronic lymphocytic leukemia (CLL)?
Which of the following markers is typically paired with CD20 in the analysis of chronic lymphocytic leukemia (CLL)?
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What is the significance of CD45 expression levels in flow cytometry analysis?
What is the significance of CD45 expression levels in flow cytometry analysis?
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What is the primary application of flow cytometry in the evaluation of HIV disease?
What is the primary application of flow cytometry in the evaluation of HIV disease?
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What is the characteristic of neutrophils from patients with chronic granulomatous disease (CGD)?
What is the characteristic of neutrophils from patients with chronic granulomatous disease (CGD)?
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What is the purpose of examining the FSC and SSC plot in flow cytometry analysis?
What is the purpose of examining the FSC and SSC plot in flow cytometry analysis?
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What is the significance of CD4+ T-cell numbers in HIV-infected patients?
What is the significance of CD4+ T-cell numbers in HIV-infected patients?
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What is the primary purpose of immunophenotyping in the evaluation of immunodeficiency?
What is the primary purpose of immunophenotyping in the evaluation of immunodeficiency?
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What is the significance of CD8+ T-cell levels in HIV-infected patients?
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What is the characteristic of blasts in terms of CD45 expression?
What is the characteristic of blasts in terms of CD45 expression?
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What was the primary motivation for the development of immunoassay analyzers?
What was the primary motivation for the development of immunoassay analyzers?
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What is a benefit of immunoassay automation in addition to reducing error and increasing accuracy?
What is a benefit of immunoassay automation in addition to reducing error and increasing accuracy?
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What is a challenge of selecting an immunoassay analyzer for a laboratory?
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What is a benefit of immunoassay automation in terms of reagent management?
What is a benefit of immunoassay automation in terms of reagent management?
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What is a common type of analyte that can be measured using immunoassay automation?
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How many different types of automated immunoassay analyzers are available?
How many different types of automated immunoassay analyzers are available?
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What is a consequence of eliminating manual steps in immunoassay testing?
What is a consequence of eliminating manual steps in immunoassay testing?
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What is a potential benefit of immunoassay automation in terms of sample management?
What is a potential benefit of immunoassay automation in terms of sample management?
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What is a primary limitation of batch analyzers?
What is a primary limitation of batch analyzers?
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What is the purpose of clot detectors in stainless-steel probes?
What is the purpose of clot detectors in stainless-steel probes?
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What is a common issue associated with reusable pipette probes?
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What is the primary purpose of reagent storage compartments in some analyzers?
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What is the purpose of magnetic stirring in analyzers?
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What is the primary purpose of timed incubation in analyzers?
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What is the primary advantage of using batch analyzers in clinical laboratories?
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What is the primary advantage of random-access analyzers over batch analyzers?
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What is the purpose of validating new instrumentation or methodology in clinical laboratories?
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What is the primary purpose of fluorescent detectors in analyzers?
What is the primary purpose of fluorescent detectors in analyzers?
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What is the primary purpose of automation in analyzers?
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Which of the following is a required verification for a new method in clinical laboratories?
Which of the following is a required verification for a new method in clinical laboratories?
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What is the primary purpose of liquid-level sensors in analyzers?
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What is the definition of analytic specificity in clinical laboratory testing?
What is the definition of analytic specificity in clinical laboratory testing?
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What is the purpose of parallel testing with an alternative method or technology in clinical laboratory testing?
What is the purpose of parallel testing with an alternative method or technology in clinical laboratory testing?
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What is the advantage of using random-access analyzers in clinical laboratories?
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What is the purpose of the Centers for Medicare and Medicaid Services (CMS) in relation to clinical laboratory testing?
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What is the definition of accuracy in clinical laboratory testing?
What is the definition of accuracy in clinical laboratory testing?
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What is the purpose of calculating the standard deviation and coefficient of variation in clinical laboratory testing?
What is the purpose of calculating the standard deviation and coefficient of variation in clinical laboratory testing?
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What is the purpose of including at least one normal and one abnormal control in the analysis of precision in clinical laboratory testing?
What is the purpose of including at least one normal and one abnormal control in the analysis of precision in clinical laboratory testing?
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Which of the following is NOT a nitrogen base found in nucleic acids?
Which of the following is NOT a nitrogen base found in nucleic acids?
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What is the primary function of DNA polymerase enzyme?
What is the primary function of DNA polymerase enzyme?
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What is the term for a change in the nucleotide sequence of DNA?
What is the term for a change in the nucleotide sequence of DNA?
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What is the primary difference between DNA and RNA?
What is the primary difference between DNA and RNA?
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What is the purpose of a primer in DNA replication?
What is the purpose of a primer in DNA replication?
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What is the process by which genetic information flows from DNA to mRNA?
What is the process by which genetic information flows from DNA to mRNA?
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What is the result of a change in the nucleotide sequence of DNA, depending on its frequency?
What is the result of a change in the nucleotide sequence of DNA, depending on its frequency?
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What is the purpose of RNA polymerase enzyme in RNA synthesis?
What is the purpose of RNA polymerase enzyme in RNA synthesis?
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What is the main difference between capillary electrophoresis and agarose gel electrophoresis?
What is the main difference between capillary electrophoresis and agarose gel electrophoresis?
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What is the primary purpose of hybridization in microarray analysis?
What is the primary purpose of hybridization in microarray analysis?
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What is the main advantage of microarray analysis over other methods?
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What is the primary function of restriction enzymes in DNA analysis?
What is the primary function of restriction enzymes in DNA analysis?
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What is the purpose of fluorescent labels in microarray analysis?
What is the purpose of fluorescent labels in microarray analysis?
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What is the main limitation of microarray analysis?
What is the main limitation of microarray analysis?
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What is the primary application of microarray analysis?
What is the primary application of microarray analysis?
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What is the purpose of submitting microarray data to the Gene Expression Omnibus Server?
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What is the primary mechanism of DNA separation in electrophoresis?
What is the primary mechanism of DNA separation in electrophoresis?
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What is the purpose of normalization in microarray data analysis?
What is the purpose of normalization in microarray data analysis?
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What is the primary function of the dichroic mirror in a fluorescence microscope?
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What is the main reason for using a mercury arc lamp as the light source in fluorescence microscopy?
What is the main reason for using a mercury arc lamp as the light source in fluorescence microscopy?
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What is the term for the phenomenon where the peak of absorption and emission curves differ?
What is the term for the phenomenon where the peak of absorption and emission curves differ?
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What is the purpose of adding an anti-fade mounting medium to the slide in fluorescence microscopy?
What is the purpose of adding an anti-fade mounting medium to the slide in fluorescence microscopy?
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What is the primary function of the barrier filter in a fluorescence microscope?
What is the primary function of the barrier filter in a fluorescence microscope?
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What is the term for the weakening or loss of fluorescence due to prolonged excitation?
What is the term for the weakening or loss of fluorescence due to prolonged excitation?
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What is the primary advantage of fluorescence microscopy over traditional light microscopy?
What is the primary advantage of fluorescence microscopy over traditional light microscopy?
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What is the term for the component that combines the exciter filter, dichroic mirror, and barrier filter in a fluorescence microscope?
What is the term for the component that combines the exciter filter, dichroic mirror, and barrier filter in a fluorescence microscope?
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What determines the excitation wavelength used in fluorescence microscopy?
What determines the excitation wavelength used in fluorescence microscopy?
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What is the primary purpose of the objective lens in a fluorescence microscope?
What is the primary purpose of the objective lens in a fluorescence microscope?
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What is the primary mechanism by which FISH exploits the ability of DNA strands to hybridize specifically?
What is the primary mechanism by which FISH exploits the ability of DNA strands to hybridize specifically?
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What is the main advantage of using RNA probes in FISH?
What is the main advantage of using RNA probes in FISH?
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What is the primary purpose of the dehydration step in FISH?
What is the primary purpose of the dehydration step in FISH?
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What is the main application of FISH in karyotyping and phylogenetic analysis?
What is the main application of FISH in karyotyping and phylogenetic analysis?
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What is the primary difference between FISH and FANA?
What is the primary difference between FISH and FANA?
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What is the primary purpose of the Stoke's shift in fluorescence microscopy?
What is the primary purpose of the Stoke's shift in fluorescence microscopy?
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What is the main advantage of using synthetic oligonucleotide probes in FISH?
What is the main advantage of using synthetic oligonucleotide probes in FISH?
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What is the primary purpose of the xenon or mercury light source in fluorescence microscopy?
What is the primary purpose of the xenon or mercury light source in fluorescence microscopy?
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What is the main advantage of using fluorescent labels in FISH?
What is the main advantage of using fluorescent labels in FISH?
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What is the primary application of fluorescence microscopy in FISH?
What is the primary application of fluorescence microscopy in FISH?
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What is the primary purpose of using an ENA panel in autoimmune disease diagnosis?
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What is the 'gold standard' method for detecting ANA?
What is the 'gold standard' method for detecting ANA?
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What is the unit of measure reported in an immunoassay test for ANA?
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What is the pattern of cellular fluorescence associated with SLE and mixed connective tissue disease?
What is the pattern of cellular fluorescence associated with SLE and mixed connective tissue disease?
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What is the significance of a high titer in an IFA test for ANA?
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What is the most common condition associated with a positive ANA test?
What is the most common condition associated with a positive ANA test?
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What is the primary purpose of using additional laboratory tests, such as ESR and CRP, in autoimmune disease diagnosis?
What is the primary purpose of using additional laboratory tests, such as ESR and CRP, in autoimmune disease diagnosis?
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What is the significance of a positive ANA test result in a person without symptoms?
What is the significance of a positive ANA test result in a person without symptoms?
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What is the purpose of reporting the pattern of cellular fluorescence in an IFA test for ANA?
What is the purpose of reporting the pattern of cellular fluorescence in an IFA test for ANA?
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What is the significance of a negative ANA test result in a person with symptoms of an autoimmune disease?
What is the significance of a negative ANA test result in a person with symptoms of an autoimmune disease?
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What percentage of people with Sjörgen syndrome have a positive ANA test result?
What percentage of people with Sjörgen syndrome have a positive ANA test result?
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What is the primary application of flow cytometry in hematology?
What is the primary application of flow cytometry in hematology?
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What is the purpose of the Kleihauer-Betke acid-elution test?
What is the purpose of the Kleihauer-Betke acid-elution test?
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What is the advantage of using flow cytometry over traditional methods?
What is the advantage of using flow cytometry over traditional methods?
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What percentage of people with scleroderma have a positive ANA test result?
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What is the primary advantage of flow cytometry in the clinical laboratory?
What is the primary advantage of flow cytometry in the clinical laboratory?
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What is the purpose of flow cytometry in immunophenotyping?
What is the purpose of flow cytometry in immunophenotyping?
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What is the primary application of flow cytometry in the detection of fetal red cells in maternal blood?
What is the primary application of flow cytometry in the detection of fetal red cells in maternal blood?
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What is the advantage of using monoclonal antibodies in flow cytometry?
What is the advantage of using monoclonal antibodies in flow cytometry?
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What is the primary purpose of using Rh-immune globulin in pregnant women?
What is the primary purpose of using Rh-immune globulin in pregnant women?
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What is the primary advantage of using flow cytometry for the detection of fetal cells compared to the Kleihauer-Betke test?
What is the primary advantage of using flow cytometry for the detection of fetal cells compared to the Kleihauer-Betke test?
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What is the primary advantage of using fluorescent dyes that bind to residual RNA in reticulocyte counting?
What is the primary advantage of using fluorescent dyes that bind to residual RNA in reticulocyte counting?
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What is the primary importance of CD4 counts in HIV-infected individuals?
What is the primary importance of CD4 counts in HIV-infected individuals?
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What is the primary advantage of using flow cytometry in immunophenotyping of leukemias and lymphomas?
What is the primary advantage of using flow cytometry in immunophenotyping of leukemias and lymphomas?
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What is the primary application of flow cytometry in hematology?
What is the primary application of flow cytometry in hematology?
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What is the primary advantage of using antibodies to hemoglobin F in fetal cell detection?
What is the primary advantage of using antibodies to hemoglobin F in fetal cell detection?
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What is the primary importance of CD4 counts in HIV-infected individuals, compared to viral load testing?
What is the primary importance of CD4 counts in HIV-infected individuals, compared to viral load testing?
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What is the primary advantage of using flow cytometry in distinguishing myeloid and lymphoid lineages in acute leukemias?
What is the primary advantage of using flow cytometry in distinguishing myeloid and lymphoid lineages in acute leukemias?
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What is the primary application of flow cytometry in the diagnosis of leukemias and lymphomas?
What is the primary application of flow cytometry in the diagnosis of leukemias and lymphomas?
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What is the primary advantage of using flow cytometry in hematology, compared to traditional methods?
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What is the purpose of allowing the xenon or mercury light source to warm up for 15 minutes?
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What is the function of the filter cube in fluorescence microscopy?
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What is the purpose of using antibodies conjugated to fluorescent compounds in fluorescence microscopy?
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What is the advantage of using fluorescence recovery after photobleaching (FRAP) over standard fluorescence microscopy?
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What is the primary application of fluorescent microscopy in the study of autoimmune disorders?
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What is the purpose of the antinuclear antibody (ANA) test?
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What is the difference between incident light and emitted light in fluorescence microscopy?
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What is the purpose of using fluorescently labeled macromolecular assemblies in fluorescence speckle microscopy?
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What is the advantage of using fluorophores with different emission wavelengths in fluorescence microscopy?
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What is the purpose of keeping the exposure time constant when comparing features with the same dye on different samples?
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Study Notes
Analysis of DNA Mutations and Polymorphisms
- Analysis of DNA mutations and polymorphisms involves various laboratory procedures that use electrophoresis to observe the sizes or amounts of nucleic acid.
- Electrophoresis is the movement of particles under the force of an electric current, and it can be used to separate particles in gas, liquid, or solid phases.
Gel Electrophoresis
- Gel electrophoresis is a type of electrophoresis that uses a semisolid matrix or gel to sieve the nucleic acid polymers.
- There are two types of gels used for nucleic acid analysis: agarose and polyacrylamide.
- Agarose gels are natural polymers of agarobiose, a disaccharide found in plants, and are useful for standard laboratory separations of nucleic acids of 50 bp or more.
- Polyacrylamide gels are synthetic polymers of acrylamide and bis-acrylamide, and are more precisely designed for high-resolution separation, distinguishing differences in nucleic acids as small as one nucleotide.
Capillary Electrophoresis
- Capillary electrophoresis is a more sensitive, semiautomated type of electrophoresis that separates particles in a gas, liquid, or gel.
- It uses a gel or polymer inserted into the capillary to sieve the nucleic acids, and can detect fluorescent signals at more than one wavelength.
- The instrument computes and displays the lengths of the nucleic acid fragments in base pairs.
Molecular Analysis
- Nucleic acid tests are designed to detect changes in the DNA sequence (mutations and polymorphisms) or to measure differences in amounts of RNA synthesized.
- There are four main approaches to nucleic acid analysis: strand cleavage methods, hybridization methods, amplification methods, and sequencing.
Strand Cleavage Methods
- Restriction enzyme mapping is a method that uses restriction enzymes to cleave DNA at specific sites, and the resulting fragments are separated by electrophoresis.
- Restriction enzymes are endonucleases that recognize and bind to specific nucleotide sequences in the DNA, and are named for the organisms from which they are isolated.
- CRISPR-Cas9 is a type of restriction system that uses a common enzyme guided by RNA to specific sites, and has been used in the laboratory to alter DNA at user-defined locations.
Hybridization Methods
- Hybridization involves the binding of two complementary strands of nucleic acids, and is used to identify the region of interest in a complex genome.
- Southern blot is a method that uses restriction enzymes to cleave the DNA into smaller fragments, which are then separated by electrophoresis and identified using labeled probes.
- Northern blot is a variation of the Southern blot that is used to analyze RNA structure and expression.
Array Methods
- Array methods involve the simultaneous analysis of many genes or proteins to assess the true biological state of a cell or an organism.
- There are three basic types of arrays: comparative genomic arrays, RNA expression arrays, and high-density oligonucleotide or SNP arrays.
- Microarrays use highly specific unlabeled probes attached directly to a solid support, and are used for a variety of applications, including detection of chromosome microdeletions and gene-expression profiling.
In Situ Hybridization
- In situ hybridization (ISH) refers to the detection of targets in place as they appear in tissues, cells, and subcellular structures.
- Labeled probes are used to bind or hybridize to the targets, and are frequently used in pathology studies of tissue and cell suspensions.
- Immunohistochemistry is a type of ISH that uses labeled antibodies to detect the presence of clinically significant protein targets.### Fluorescence in Situ Hybridization (FISH)
- FISH is a technique used to detect and localize specific DNA sequences in chromosomes or cells
- Probes range in size from a few thousand to hundreds of thousands of bases long and are covalently attached to a fluorescent dye
- The technique can be performed on non-dividing (interphase) cells or directly on metaphase chromosomes from dividing cells
- The DNA from the sample is denatured into single strands, and the probes are applied to prepared slides of the cells or chromosomes, where they hybridize to their complementary sequences
- The resulting signals indicate if the targeted gene or region is abnormal
Amplification Methods
- Amplification methods involve the copying of nucleic acids
- The most frequently used methods involve some aspect of amplification, such as PCR (Polymerase Chain Reaction)
- Other target-amplification methods include reverse transcriptase PCR (RT-PCR), transcription-mediated amplification (TMA), and strand displacement amplification (SDA)
Polymerase Chain Reaction (PCR)
- PCR is an in vitro DNA replication procedure
- A PCR reaction includes all the necessary components required for DNA replication, such as the sample containing the DNA template, oligonucleotide primers, deoxyribonucleotides, DNA polymerase, and buffer
- The oligonucleotide primers are key components of the PCR reaction, as they provide specificity
- The PCR reaction mix is subjected to an amplification program consisting of a designated number of cycles, with each cycle consisting of three steps: denaturation, annealing, and extension
- The resulting PCR products are visualized by gel or capillary gel electrophoresis
PCR Variations
- Reverse transcriptase PCR (RT-PCR) starts with an RNA template and involves the synthesis of complementary DNA (cDNA) from the RNA
- Sequence-specific primer PCR (SSP-PCR) involves the use of primers that are designed to end on a potentially mutated or polymorphic base pair
- Quantitative PCR (qPCR) involves the measurement of the accumulation of PCR product in real-time during amplification
- Digital droplet PCR is a method that provides absolute quantification of the number of molecules in the sample
Transcription-Based Amplification
- Transcription-based amplification methods, such as transcription-mediated amplification (TMA), involve the synthesis of millions of copies of RNA products from a target RNA
- These methods are isothermal, meaning they do not require the repeated heating and cooling required for PCR
- TMA is suitable for the detection of RNA viruses, such as HIV and HCV, and for the detection of organisms with DNA genomes, such as Mycobacterium tuberculosis
Probe Amplification
- In probe amplification, the number of target nucleic acid sequences in a sample is not changed, but rather primers are extended or ligated into many copies of detectable probes
- Examples of probe amplification methods include strand displacement amplification (SDA), loop-mediated isothermal amplification (LAMP), and molecular inversion probe amplification (MIP)
- These methods are highly sensitive and specific, and are used for the detection of a variety of targets, including viruses, bacteria, and genetic mutations.### Signal Amplification
- Signal amplification involves binding large amounts of signal to target sequences in a sample.
- Branched DNA (bDNA) is a commercially available signal amplification method that uses short, single-stranded DNA probes to capture target nucleic acid and bind to multiple reporter molecules.
- bDNA amplification enhances specificity by allowing multiple probes to hybridize to target sequences, enabling detection of multiple genotypes of the same virus.
DNA Sequencing
- DNA sequencing determines the order or sequence of nucleotide bases in a DNA chain.
- Early sequencing methods include Maxam–Gilbert chain breakage and chain termination sequencing (Sanger method).
- Sanger sequencing is a modification of DNA replication, using modified nucleotide bases called dideoxynucleotide triphosphates (ddNTPs) that lack an OH group at the 3′ carbon.
Chain Termination (Sanger) Sequencing
- Sanger sequencing uses a primer pair to outline the target DNA, DNA polymerase enzyme, and four dNTPs, with each ddNTP labeled with a different fluorescent dye.
- Synthesis stops when a ddNTP is incorporated into the growing DNA chain, resulting in a collection of fragments of various sizes (DNA ladder).
- The fluorescently labeled DNA ladder is resolved by gel or capillary gel electrophoresis, and the sequence is read from the bottom to the top of the gel.
- Accuracy of interpretation depends on the quality of the template, sequencing reaction, and purity of the sequencing ladder.
Pyrosequencing
- Pyrosequencing is a sequencing method that relies on the generation of light (luminescence) when nucleotides are added to a growing strand of DNA.
- The procedure uses a single-stranded DNA template, sequencing primer, enzyme, and substrate, with dNTPs introduced sequentially to the reaction.
- The pyrosequencing reaction generates a pyrogram of luminescent peaks associated with the addition of complementary nucleotides.
- Pyrosequencing is less labor-intensive than Sanger sequencing and is more convenient for short sequence analyses, particularly for targeted areas around nucleotide base changes.
Next-Generation Sequencing (NGS)
- The first human genome was sequenced by chain termination (Sanger) sequencing, which took 7 years, hundreds of instruments, and billions of dollars.
- NGS technologies can sequence a human genome in a few hours, making it faster and more cost-effective.
- NGS involves massively parallel sequencing, yielding hundreds of thousands of sequences in a single run.
- The goal of NGS was to sequence the human genome for under $1,000, making it affordable for clinical analysis.
- The "1000 Genome Project" has sequenced thousands of genomes, achieving the goal of reducing the cost to under $1,000.
NGS Technologies
- Pyrosequencing, sequencing by synthesis with reversible dyes, ion conductance, and sequencing by ligation are the first mass-marketed NGS technologies.
- Pyrosequencing, reversible dye sequencing, and ion conductance sequencing are commonly used in clinical applications.
- NGS procedures begin with short DNA templates, usually less than 500 bp, and involve template preparation methods like amplification with multiple primer pairs or enzymatically digested genomic DNA.
Library Preparation
- A library is prepared by fragmentation, probe, or primer selection of specific genes or gene regions.
- Adaptors carrying PCR primer-binding sites are added to the ends of fragmented DNA.
- In a second PCR reaction, primers carry short index DNA sequences to identify each sample.
- A bar code or index is a 6- to 10-b sequence assigned to each sample and gene region in the library.
Sequencing Technologies
- Pyrosequencing uses emulsion PCR to generate libraries, which are then sequenced in a picoplate.
- Ion conductance sequencing uses a semiconductor or ion chip to detect the release of hydrogen ions during DNA synthesis.
- Reversible dye terminator sequencing uses a flow cell to amplify and sequence templates simultaneously.
Sequence Analysis
- Sequence data is collected and processed to identify variants, polymorphisms, or the sequence itself.
- The sequence quality is assessed, and the sequence is determined by comparison with stored reference sequences.
- The number of times a region is sequenced is called the coverage, which affects the accuracy of the sequence data.
Clinical Applications
- NGS has been used in genetics (including pharmacogenomics), oncology, and HLA typing.
- HLA typing has been advanced by NGS, allowing for more accurate and extensive typing.
- The Cancer Genome Atlas (TCGA) has used NGS to sequence the nucleic acid isolated from tumors of thousands of patients, leading to a better understanding of cancer and improved diagnosis and treatment.
Bioinformatics
- Bioinformatics merges biological data with information technology to analyze and interpret large amounts of data.
- The interpretation of data generated by NGS requires massive storage space and contributes to the renewal of previously stored data in organized databases.
- Software programs are used to generate reports, identify variants, and filter data based on quality, variant type, and allele frequency.
Flow Cytometry Basics
- Flow cytometry is a system that analyzes single cells in a fluid suspension based on their intrinsic light-scattering characteristics and extrinsic properties using fluorescent-labeled antibodies or probes.
- Simultaneously measures multiple cellular or bead properties using different fluorochromes.
- Each fluorochrome has a distinctive spectral pattern of absorption and emission.
Instrumentation
- Major components of a flow cytometer:
- Fluidics
- Laser light source
- Optics and photodetectors
- Data analysis and management are performed by computers.
- Fluidics: cells pass through the laser light one cell at a time, and the sample stream is constrained by the carrier stream, allowing for hydrodynamic focusing.
- Laser light source: solid-state diode lasers are typically used, and the wavelength of monochromatic light emitted by a laser dictates which fluorochromes can be used.
- Optics and photodetectors: signals generated by cells' interaction with the laser are detected by photodiodes and photomultiplier tubes.
Sample Preparation
- Samples commonly used: whole blood, bone marrow, and fluid aspirates.
- Whole blood should be collected into EDTA or heparin, and stored at room temperature before processing.
- Erythrocyte removal is required for efficient analysis of WBCs, using techniques such as density gradient centrifugation or erythrocyte lysis.
Data Acquisition and Analysis
- Data are digitized and ready for analysis after collection.
- Typically, 10,000 to 20,000 "events" are collected for each sample.
- Graphics of the data can be represented in multiple ways, including:
- Single-parameter histogram
- Bivariate histogram or dual-parameter dot plot
- Gates can be drawn around a population of interest to analyze various extrinsic and intrinsic parameters.
Clinical Applications
- Routine applications of flow cytometry:
- Nonmalignant immunophenotyping (e.g., characterization and enumeration of normal lymphocytes)
- Malignant immunophenotyping (e.g., immunophenotypic characterization of leukemias and lymphomas)
- Immunophenotyping is essential for:
- Evaluation of immunodeficiency (e.g., HIV infection, AIDS)
- Diagnosis of inherited immunodeficiency diseases (e.g., Bruton's tyrosine kinase deficiency, chronic granulomatous disease)
- Monitoring of patients with leukemias and lymphomas for "minimal residual disease"
- Determination of DNA content or ploidy status of tumor cells
- Transplant immunology (e.g., HLA typing and cross-matching)
Additional Applications
- Cytometric bead arrays:
- Can detect multiple analytes at the same time
- Theoretically, can detect 100 analytes from a single blood sample
- Examples of uses: testing for anti-nuclear antibodies, detecting fetal-maternal hemorrhage
Immunoassay Automation
- Reliable immunoassay instrumentation was first available in the early 1990s, allowing for automation of heterogeneous immunoassays even for low-level peptides such as peptide hormones.
- Over 60 different automated immunoassay analyzers are currently available, capable of performing almost all common diagnostic immunoassays, and have largely replaced manual testing in larger laboratories.
- The development of immunoassay analyzers was driven by the need to reduce manual tasks, handle large volumes of samples, and eliminate errors caused by fatigue or erroneous sampling.
- Automation decreases the likelihood of error, reduces turnaround time, and costs per test, and can provide more services with less staff.
Types of Immunoassay Analyzers
- There are two main types of immunoassay analyzers: batch analyzers and random-access analyzers.
- Batch analyzers can examine multiple samples at once, but only perform one type of analysis at a time and do not allow for stat samples to be loaded randomly.
- Random-access analyzers are modular systems that can be configured to measure numerous analytes from multiple samples, allowing for rapid processing of stat samples.
Automation in the Analytical Stage
- Automation can occur in all three stages of laboratory testing: preanalytical, analytical, and post-analytical.
- The analytical stage includes introducing a sample, adding reagent, mixing, incubating, detecting, calculating, and reporting results.
- Automatic sampling can be accomplished using peristaltic pumps, positive-liquid displacement pipettes, and stainless-steel probes with clot detectors and liquid-level sensors.
Reagent Handling and Storage
- Reagents may come ready for use or require dilution by the analyzer.
- Reagents are handled, prepared, and stored using various methods, including bar-coded reagents to reduce operator error.
- Reagents are stored in laboratory refrigerators or in reagent storage compartments within the analyzer.
Mixing and Incubation
- Analyzers use different methods for mixing, including magnetic stirring, rotation paddles, forceful dispensing, and vigorous lateral shaking.
- Timed incubation is carried out at ambient temperatures, and some analyzers have built-in incubators for temperature-controlled incubation.
Detection and Flexibility
- Detection methods include colorimetric absorption spectroscopy, fluorescence, and chemiluminescence.
- Some analyzers combine chemistry and immunoassay testing on a single platform, offering flexibility and rapid processing.
Validation of Immunoassay Analyzers
- Proper validation of new instrumentation or methodology is required before patient results can be reported with confidence.
- Validation includes verifying the manufacturer's performance specifications, meeting CLIA regulations, and complying with individual state's regulatory agency standards.
- The required verifications for a new method include accuracy, precision, analytic sensitivity, and analytic specificity, including interfering substances, reportable range, and reference intervals.
Bioinformatics and Molecular Diagnostics
- Bioinformatics is the process of collecting and analyzing complex biological data, such as genetic codes.
- Molecular diagnostics involves testing DNA and RNA, the two main types of nucleic acids.
- DNA and RNA are made up of nucleotides, which are composed of a sugar, a nitrogen base, and a phosphate group.
- The five nitrogen bases that make up the majority of nucleic acids are Adenine (A), Cytosine (C), Guanine (G), Thymine (T), and Uracil (U).
DNA Structure and Replication
- DNA is mostly double-stranded and arranged in a helix.
- DNA replication occurs through the separation of the two strands, with each strand serving as a template for a newly synthesized strand.
- This process is catalyzed by a DNA polymerase enzyme.
RNA Synthesis and Translation
- RNA synthesis is catalyzed by an RNA polymerase enzyme.
- The process of transcription occurs when genetic information flows from DNA to mRNA (messenger RNA).
- In the process of translation, the mRNA becomes a protein, which is responsible for the phenotype or genetic trait.
Mutations, Variants, and Polymorphisms
- A change in the nucleotide sequence of DNA is referred to as a mutation or variant.
- Depending on the frequency of occurrence, the sequence change could also be referred to as a polymorphism.
- Structurally, mutations, variants, and polymorphisms are all the same thing.
Electrophoresis
- Electrophoresis is a process that moves particles using an electro-current through a gas, liquid, or solid phase.
- It is useful for analyzing DNA for mutations and polymorphisms.
- Capillary electrophoresis is a more sensitive and semi-automated type of electrophoresis.
Microarray Technique
- A microarray is a tool that can detect the expression of thousands of genes simultaneously.
- It involves a slide with specific DNA probes, which act as a probe to detect gene expression.
- The process involves extracting DNA, converting it to cDNA, and then loading it onto a microarray chip.
- The chip is then scanned, and the data is analyzed to extract information on gene expression.
FISH (Fluorescence In Situ Hybridization)
- FISH is a molecular cytogenetic technique that uses fluorescent probes to detect specific DNA sequences.
- The probes are designed to bind to specific parts of a chromosome.
- The process involves denaturation of the probe and target, hybridization, and detection.
- FISH is useful for analyzing morphology, pathology, developmental biology, and karyotyping.
Fluorescence Microscopy
- Fluorescence microscopy is a powerful analytical tool that combines the magnifying properties of light microscopy with the visualization of fluorescence.
- Fluorescence occurs when a substance absorbs light at a given wavelength and emits light at another wavelength.
- The process involves using a powerful light source, specialized filters, and a means of fluorescently labeling a sample.
- Fluorescence microscopy is useful for imaging specific cell types, molecules, and structures within cells.
Fluorescence and ANA (Antinuclear Antibody)
- Fluorescence results from the property of some molecules to absorb light at one wavelength and emit it at a longer wavelength.
- The ANA test is used to evaluate a person for autoimmune disorders, such as systemic lupus erythematosus (SLE).
- The test involves mixing a person's blood sample with cells that are affixed to a slide, and then treating the slide with a fluorescent antibody reagent.
- The presence of fluorescence is noted, and the results are reported as a titer, along with a description of the particular type of fluorescent pattern seen.### Autoimmune Disorders and ANA Test
- Different patterns of antinuclear antibody (ANA) test are associated with various autoimmune disorders, including:
- Homogeneous (diffuse) pattern: associated with SLE, mixed connective tissue disease, and drug-induced lupus
- Speckled pattern: associated with SLE, Sjörgen syndrome, scleroderma, polymyositis, rheumatoid arthritis, and mixed connective tissue disease
- Nucleolar pattern: associated with scleroderma and polymyositis
- Centromere pattern (peripheral): associated with scleroderma and CREST (Calcinosis, Raynaud syndrome, Esophageal dysmotility, sclerodactyly, Telangiectasia)
ANA Test Results
- A positive ANA test result is reported as a number of units above the lab's reference number (cutoff) for the lowest possible value considered positive
- The higher the value reported, the more likely the result is a true positive
- ANA test results can be positive in people without known autoimmune disease, requiring careful evaluation in conjunction with individual signs and symptoms
- A positive ANA test result may occur before signs and symptoms of an autoimmune disease develop
Conditions Associated with Positive ANA Test
- SLE (most common condition): 95% of those with SLE have a positive ANA test result
- Drug-induced lupus: a number of medications may trigger this condition, associated with SLE symptoms
- Sjörgen syndrome: 40-70% of those with this condition have a positive ANA test result
- Scleroderma (systemic sclerosis): 60-90% of those with scleroderma have a positive ANA test result
- Other conditions: Raynaud's syndrome, arthritis, dermatomyositis, polymyositis, mixed connective tissue disease, and other autoimmune conditions
Flow Cytometry
- Flow cytometry measures multiple characteristics of individual particles flowing in single file in a stream of fluid
- It is a powerful tool for detailed analysis of complex populations in a short period of time
- Applications in hematology include:
- Immunophenotyping of various specimens, including whole blood, bone marrow, serous cavity fluids, cerebrospinal fluid, urine, and solid tissues
- Erythrocyte analysis, including detection and quantification of fetal red cells in maternal blood
- Reticulocyte counts, using fluorescent dyes that bind to residual RNA
- Immunologic monitoring of HIV-infected patients, including CD4 counts and viral load testing
- Diagnosis of leukemias and lymphomas, using immunophenotyping and antigen profiles
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This quiz covers the principles and applications of gel electrophoresis in analyzing DNA mutations and polymorphisms. It explores the use of semisolid matrices to sieve nucleic acid polymers and different types of gels used in nucleic acid analysis.