Podcast
Questions and Answers
Which of the following staining techniques is best suited for identifying fungi in tissue samples?
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?
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?
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?
Which stain is MOST appropriate for visualizing elastic fibers in blood vessels?
After performing a silver stain, the control tissue shows over-impregnation with silver. What adjustment should be made to correct this issue?
After performing a silver stain, the control tissue shows over-impregnation with silver. What adjustment should be made to correct this issue?
Which staining method relies on the principle of polarized light to visualize specific tissue components?
Which staining method relies on the principle of polarized light to visualize specific tissue components?
Which of the following enzyme histochemistry techniques can be used to identify sites of high metabolic activity within muscle fibers?
Which of the following enzyme histochemistry techniques can be used to identify sites of high metabolic activity within muscle fibers?
A bone marrow biopsy is tested with Prussian blue. What is the MOST likely target of this stain?
A bone marrow biopsy is tested with Prussian blue. What is the MOST likely target of this stain?
In immunohistochemistry, what is the purpose of antigen retrieval?
In immunohistochemistry, what is the purpose of antigen retrieval?
Which of the following Romanowsky stains is commonly used for routine staining of peripheral blood smears?
Which of the following Romanowsky stains is commonly used for routine staining of peripheral blood smears?
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?
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?
When performing a Gram stain on a sample, the safranin step was omitted. What would be the likely appearance of Gram-negative bacteria?
When performing a Gram stain on a sample, the safranin step was omitted. What would be the likely appearance of Gram-negative bacteria?
A bone marrow trephine biopsy is stained with Giemsa stain. What cellular components are MOST readily identifiable with this stain?
A bone marrow trephine biopsy is stained with Giemsa stain. What cellular components are MOST readily identifiable with this stain?
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?
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?
During an enzyme histochemistry procedure for succinic dehydrogenase, the tissue section shows no enzyme activity despite appropriate controls. What is the MOST probable cause?
During an enzyme histochemistry procedure for succinic dehydrogenase, the tissue section shows no enzyme activity despite appropriate controls. What is the MOST probable cause?
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?
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?
A pathologist wants to visualize calcium deposits in a decalcified bone sample. Which staining method is MOST appropriate?
A pathologist wants to visualize calcium deposits in a decalcified bone sample. Which staining method is MOST appropriate?
Which of the following stains is MOST appropriate for identifying Pneumocystis jirovecii in lung tissue?
Which of the following stains is MOST appropriate for identifying Pneumocystis jirovecii in lung tissue?
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?
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?
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?
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?
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?
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?
In a Gram stain procedure, the mordant is applied to:
In a Gram stain procedure, the mordant is applied to:
Which of the following BEST describes the function of silver ions in the Grocott methenamine-silver (GMS) stain for fungi?
Which of the following BEST describes the function of silver ions in the Grocott methenamine-silver (GMS) stain for fungi?
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?
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?
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?
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?
In immunohistochemistry, what is the purpose of a blocking step prior to the application of the primary antibody?
In immunohistochemistry, what is the purpose of a blocking step prior to the application of the primary antibody?
Which of the following is the MOST appropriate fixative for preserving lipids for subsequent staining with Oil Red O?
Which of the following is the MOST appropriate fixative for preserving lipids for subsequent staining with Oil Red O?
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?
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?
Which of the following is the PRINCIPLE behind von Kossa staining for calcium?
Which of the following is the PRINCIPLE behind von Kossa staining for calcium?
The purpose of Melanin Bleach is to:
The purpose of Melanin Bleach is to:
Flashcards
Alcian Blue
Alcian Blue
A stain used to identify acid mucopolysaccharides, staining them blue.
Bielschowsky Stain
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
Carbol-fuchsin Stain
A group of staining methods using carbol-fuchsin to detect acid-fast organisms, such as mycobacteria.
Prussian Blue
Prussian Blue
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Trichrome Stain
Trichrome Stain
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Grocott/Gomori Methenamine-Silver (GMS)
Grocott/Gomori Methenamine-Silver (GMS)
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Verhoeff-van Gieson (VVG)
Verhoeff-van Gieson (VVG)
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von Kossa Stain
von Kossa Stain
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Oil Red O
Oil Red O
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Periodic Acid-Schiff (PAS)
Periodic Acid-Schiff (PAS)
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Alcian Blue-PAS
Alcian Blue-PAS
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Fontana-Masson Stain
Fontana-Masson Stain
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Gram Stain
Gram Stain
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Toluidine Blue
Toluidine Blue
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Melanin Bleach
Melanin Bleach
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Rhodanine Stain
Rhodanine Stain
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Bielschowsky
Bielschowsky
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Ziehl-Neelsen stain
Ziehl-Neelsen stain
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Crystal violet stain
Crystal violet stain
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Enzyme histochemistry
Enzyme histochemistry
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Hematoxylin & eosin (H&E)
Hematoxylin & eosin (H&E)
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Immunohistochemical stains
Immunohistochemical stains
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Immunofluorescence
Immunofluorescence
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Luxol fast blue (LFB)
Luxol fast blue (LFB)
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Movat pentachrome
Movat pentachrome
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Mucicarmine
Mucicarmine
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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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