Histochemical Stains in Histology

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Questions and Answers

Which of the following staining techniques is best suited for identifying fungi in tissue samples?

  • Alcian blue
  • Grocott/Gomori methenamine-silver (GMS) (correct)
  • Mucicarmine
  • Prussian blue (iron)

A pathologist suspects a carbol-fuchsin stain is producing false negatives. Which step is MOST likely to have been performed incorrectly?

  • Prolonged staining time with hematoxylin.
  • Using an expired counterstain solution.
  • Insufficient decolorization time with acid-alcohol. (correct)
  • Inadequate heat fixation of the specimen.

Which of the following stains is used to identify glycogen and mucosubstances in tissue sections?

  • Congo red
  • Verhoeff-van Gieson (VVG)
  • Oil red O
  • Periodic acid-Schiff (PAS) (correct)

Which stain is MOST appropriate for visualizing elastic fibers in blood vessels?

<p>Verhoeff-van Gieson (VVG) (B)</p> Signup and view all the answers

After performing a silver stain, the control tissue shows over-impregnation with silver. What adjustment should be made to correct this issue?

<p>Shorten the development time. (B)</p> Signup and view all the answers

Which staining method relies on the principle of polarized light to visualize specific tissue components?

<p>Congo red (C)</p> Signup and view all the answers

Which of the following enzyme histochemistry techniques can be used to identify sites of high metabolic activity within muscle fibers?

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

A bone marrow biopsy is tested with Prussian blue. What is the MOST likely target of this stain?

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

In immunohistochemistry, what is the purpose of antigen retrieval?

<p>To enhance antibody binding by unmasking epitopes. (C)</p> Signup and view all the answers

Which of the following Romanowsky stains is commonly used for routine staining of peripheral blood smears?

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

A pathologist observes a weakly stained Periodic acid-Schiff (PAS) reaction in a tissue sample known to contain high levels of glycogen. Which of the following steps might be modified to enhance the PAS reaction?

<p>Extend the oxidation time with periodic acid. (A)</p> Signup and view all the answers

When performing a Gram stain on a sample, the safranin step was omitted. What would be the likely appearance of Gram-negative bacteria?

<p>Colorless or very faint. (D)</p> Signup and view all the answers

A bone marrow trephine biopsy is stained with Giemsa stain. What cellular components are MOST readily identifiable with this stain?

<p>Cell nuclei and cytoplasmic granules. (C)</p> Signup and view all the answers

In a research setting, a scientist needs to differentiate between various types of connective tissue fibers in a skin biopsy. Which of the following stains would be MOST suitable for this purpose?

<p>Masson trichrome. (A)</p> Signup and view all the answers

During an enzyme histochemistry procedure for succinic dehydrogenase, the tissue section shows no enzyme activity despite appropriate controls. What is the MOST probable cause?

<p>The tissue was fixed in formalin, thus inactivating the enzyme. (B)</p> Signup and view all the answers

A laboratory is validating a new immunohistochemical stain for cytokeratin. The positive control tissue shows strong staining, but the negative control also exhibits some staining. What is the FIRST step to optimize the staining?

<p>Decrease the primary antibody concentration. (C)</p> Signup and view all the answers

A pathologist wants to visualize calcium deposits in a decalcified bone sample. Which staining method is MOST appropriate?

<p>von Kossa. (A)</p> Signup and view all the answers

Which of the following stains is MOST appropriate for identifying Pneumocystis jirovecii in lung tissue?

<p>Periodic acid-Schiff (PAS). (D)</p> Signup and view all the answers

After performing a silver stain, the background is excessively dark, obscuring the target structures. Which modification to the staining protocol would MOST likely correct this issue?

<p>Decrease the silver nitrate concentration. (B)</p> Signup and view all the answers

In immunohistochemistry, a high background staining is observed even after optimizing antibody concentrations and blocking steps. Which additional control can BEST help differentiate between specific and non-specific staining?

<p>Isotype control. (B)</p> Signup and view all the answers

A tissue sample stained with Alcian blue shows a lack of staining in areas known to contain acidic mucosubstances. Which of the following is the MOST likely cause of this staining failure?

<p>The pH of the Alcian blue solution was too high. (B)</p> Signup and view all the answers

In a Gram stain procedure, the mordant is applied to:

<p>Increase the affinity of the primary stain for the bacterial cell wall. (A)</p> Signup and view all the answers

Which of the following BEST describes the function of silver ions in the Grocott methenamine-silver (GMS) stain for fungi?

<p>Silver ions are reduced to metallic silver, which is then deposited on fungal cell walls. (B)</p> Signup and view all the answers

A pathologist is examining a liver biopsy and wants to differentiate between collagen and muscle fibers. Which of the following stains would be MOST appropriate?

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

During an enzyme histochemistry procedure for acid phosphatase, the tissue sections are incubated at an elevated temperature. What is the MOST likely effect of this change on the staining?

<p>Decreased enzyme activity due to enzyme denaturation. (A)</p> Signup and view all the answers

In immunohistochemistry, what is the purpose of a blocking step prior to the application of the primary antibody?

<p>To reduce non-specific binding of the primary antibody to tissue components. (D)</p> Signup and view all the answers

Which of the following is the MOST appropriate fixative for preserving lipids for subsequent staining with Oil Red O?

<p>Unfixed, frozen sections (A)</p> Signup and view all the answers

A Wright-Giemsa stained bone marrow aspirate reveals an increased number of cells with granules that stain intensely red-orange. Which cell type is MOST likely increased?

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

Which of the following is the PRINCIPLE behind von Kossa staining for calcium?

<p>Displacement of calcium ions by silver ions, followed by reduction of silver to a visible metallic form. (A)</p> Signup and view all the answers

The purpose of Melanin Bleach is to:

<p>Remove melanin pigments that obscure other tissue structures. (B)</p> Signup and view all the answers

Flashcards

Alcian Blue

A stain used to identify acid mucopolysaccharides, staining them blue.

Bielschowsky Stain

A silver stain used to visualize nerve fibers and neuronal processes. Useful for detecting neurofibrillary tangles and senile plaques in neurological disorders.

Carbol-fuchsin Stain

A group of staining methods using carbol-fuchsin to detect acid-fast organisms, such as mycobacteria.

Prussian Blue

A stain used to detect iron (ferric iron) in tissues, turning it blue. Useful for identifying iron overload conditions.

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Trichrome Stain

A staining technique used to differentiate collagen from muscle fibers. Collagen stains blue or green, while muscle stains red.

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Grocott/Gomori Methenamine-Silver (GMS)

A staining procedure used to detect fungi in tissue samples, staining them black or dark brown.

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Verhoeff-van Gieson (VVG)

A stain used to demonstrate elastic fibers in tissues, staining them black or dark brown.

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von Kossa Stain

A stain used to identify calcium deposits in tissues; the calcium salts are stained black.

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Oil Red O

A stain used to identify lipids (fats) in tissues. The lipids appear red.

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Periodic Acid-Schiff (PAS)

A combination stain used for identifying glycogen in tissues. Glycogen stains magenta.

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Alcian Blue-PAS

A combination stain used to identify acid mucopolysaccharides and then glycogen in tissues.

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Fontana-Masson Stain

A stain used to visualize melanin, argentaffin cells, and certain fungi.

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Gram Stain

A differential stain used to distinguish between Gram-positive and Gram-negative bacteria based on their cell wall properties.

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Toluidine Blue

A stain used to visualize mast cells and mucopolysaccharides, staining them purple or reddish-purple.

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Melanin Bleach

A method to remove melanin pigment from tissue sections.

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Rhodanine Stain

A stain used to identify the presence of copper. Copper appears reddish.

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Bielschowsky

A silver reduction method of staining nerve tissue, axons stain black.

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Ziehl-Neelsen stain

A differential stain for identifying acid-fast organisms, particularly mycobacteria; stains them red.

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Crystal violet stain

A staining method using crystal violet and iodine to differentiate bacteria based on cell wall structure.

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Enzyme histochemistry

Techniques used to localize specific enzymes in tissues by means of a histochemical reaction.

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Hematoxylin & eosin (H&E)

A stain used for general tissue morphology, staining nuclei blue/purple and cytoplasm pink.

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Immunohistochemical stains

Techniques using antibodies to detect specific antigens in tissues.

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Immunofluorescence

Technique using fluorescent-labeled antibodies to detect specific antigens in tissues.

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Luxol fast blue (LFB)

A stain used to visualize myelin in nervous tissue, staining it blue.

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Movat pentachrome

A complex stain with five dyes used to differentiate tissue components, such as collagen, muscle, and mucin.

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Mucicarmine

A stain used to visualize mucin, staining it red.

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Study Notes

  • Histochemical stains are used in histology to highlight specific cells, structures, or microorganisms within tissue samples.

Specific Stains and Their Uses:

  • Alcian blue stains acidic mucosubstances.
  • Alcian blue-PAS is a combination stain for differentiating neutral and acidic mucosubstances.
  • Alcian yellow has similar staining properties to alcian blue.
  • Bielschowsky stain is used for nerve fibers and senile plaques.
  • Carbol-fuchsin stains are used for acid-fast bacteria, with variants including Kinyoun, Ziehl-Neelsen, Fite, and auramine-rhodamine.
  • Colloidal iron stains acidic mucosubstances.
  • Congo red stains amyloid.
  • Crystal violet stains Gram-positive bacteria and amyloid.
  • Enzyme histochemistry is used to detect enzyme activity, such as ATPase, cytochrome oxidase, succinic dehydrogenase, NADH, esterase, and acid phosphatase.
  • Fontana-Masson stains melanin and argentaffin granules.
  • Giemsa stains cells, especially blood cells and parasites.
  • Gram stain differentiates bacteria based on their cell wall structure.
  • Grocott/Gomori methenamine-silver (GMS) stains fungi.
  • Melanin bleach removes melanin pigment.
  • Hematoxylin & eosin (H&E) is a routine stain for visualizing tissue morphology.
  • Immunohistochemical stains use antibodies to detect specific antigens.
  • Immunofluorescence uses fluorescently labeled antibodies to detect specific antigens.
  • In situ hybridization (FISH, CISH) detects specific DNA or RNA sequences.
  • Luxol fast blue (LFB/cresyl echt violet) stains myelin.
  • Movat pentachrome stains multiple tissue components, including collagen, muscle, fibrin, and mucin.
  • Mucicarmine stains mucin.
  • Oil red O stains lipids.
  • Papanicolaou stain is used for cervical smears to detect cancer cells.
  • PAS-digestion (PASD) differentiates glycogen from other PAS-positive substances.
  • PAS-hematoxylin (PASH) stains glycogen and nuclei.
  • Periodic acid-methenamine silver (PAMS) / Jones stain is used for basement membranes.
  • Periodic acid-Schiff (PAS) stains carbohydrates and glycogen.
  • Prussian blue (iron) stains iron.
  • Reticulin/reticulum stains reticular fibers.
  • Rhodanine stains copper.
  • Romanowsky stains are a family of stains used for blood and bone marrow smears.
  • Spirochete stains, such as Steiner and Steiner, and Warthin-Starry, are used to visualize spirochetes.
  • Toluidine blue stains mast cells and mucosubstances.
  • Trichrome (Gomori, Masson) stains collagen and muscle.
  • Verhoeff-van Gieson (VVG) stains elastic fibers.
  • Von Kossa stains calcium.

Additional Information for Histotechnologists:

  • The HT exam includes questions about basic immunology principles.
  • Focus on antigen retrieval and immunohistochemistry staining theory for the HT exam.
  • The HTL exam includes questions about immunohistochemistry quality control.
  • The HTL exam covers detailed principles, antigen retrieval, and immunostaining procedures.
  • The HT exam includes questions about basic immunology principles, including antigen retrieval and immunohistochemistry staining theory.
  • The HTL exam includes questions about immunohistochemistry quality control and more detailed questions about principles, antigen retrieval, and immunostaining procedures.

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