Podcast
Questions and Answers
What is the ideal size for tissue after grossing?
What is the ideal size for tissue after grossing?
Which of the following steps is NOT part of the grossing process?
Which of the following steps is NOT part of the grossing process?
What is the main purpose of decalcification?
What is the main purpose of decalcification?
Which of the following is a preferred fixation method for decalcification?
Which of the following is a preferred fixation method for decalcification?
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Which of the following agents is commonly used for decalcification?
Which of the following agents is commonly used for decalcification?
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What is a criterion for a good decalcifying agent?
What is a criterion for a good decalcifying agent?
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What does the term 'grossing' refer to in histopathology?
What does the term 'grossing' refer to in histopathology?
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What type of tissue is primarily selected for the decalcification process?
What type of tissue is primarily selected for the decalcification process?
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What is the primary purpose of the specimen receiving room in a Histopathology Lab?
What is the primary purpose of the specimen receiving room in a Histopathology Lab?
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Which step in the tissue preparation process involves using a chemical to preserve the tissue structure?
Which step in the tissue preparation process involves using a chemical to preserve the tissue structure?
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What should be checked during the receiving of biopsy specimens?
What should be checked during the receiving of biopsy specimens?
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What is the consequence of improper labeling of specimens in histopathological techniques?
What is the consequence of improper labeling of specimens in histopathological techniques?
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Which of the following is NOT a criterion for rejecting a specimen?
Which of the following is NOT a criterion for rejecting a specimen?
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During the registration of specimens, which information is typically NOT recorded?
During the registration of specimens, which information is typically NOT recorded?
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What step follows the 'Clearing' process in the preparation of tissue for microscopy?
What step follows the 'Clearing' process in the preparation of tissue for microscopy?
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Which statement is true regarding the physical examination of large tissue specimens?
Which statement is true regarding the physical examination of large tissue specimens?
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What is the principle behind the electrolytic method of decalcification by electrophoresis?
What is the principle behind the electrolytic method of decalcification by electrophoresis?
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What is one method of chemical neutralization during the decalcification process?
What is one method of chemical neutralization during the decalcification process?
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Why is thorough washing of tissue essential before processing?
Why is thorough washing of tissue essential before processing?
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Which of the following methods is the most reliable for determining the end-point of decalcification?
Which of the following methods is the most reliable for determining the end-point of decalcification?
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What does the bubble test (CO2 method) indicate during decalcification?
What does the bubble test (CO2 method) indicate during decalcification?
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Which method is NOT recommended for determining the end-point of decalcification?
Which method is NOT recommended for determining the end-point of decalcification?
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Which statement is true regarding physical tests for determining decalcification end-point?
Which statement is true regarding physical tests for determining decalcification end-point?
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What occurs when decalcified tissues are exposed to decalcifying fluids for too long?
What occurs when decalcified tissues are exposed to decalcifying fluids for too long?
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What is a disadvantage of using Zenker's Fluid?
What is a disadvantage of using Zenker's Fluid?
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Which fixative is known for its ability to rapidly penetrate tissues?
Which fixative is known for its ability to rapidly penetrate tissues?
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What is an advantage of using Helly’s Fluid?
What is an advantage of using Helly’s Fluid?
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Which of the following fixatives is known to lyse red blood cells?
Which of the following fixatives is known to lyse red blood cells?
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What is the primary role of adding glacial acetic acid to Zenker's Fluid before use?
What is the primary role of adding glacial acetic acid to Zenker's Fluid before use?
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What is the primary purpose of tissue fixation in histopathology?
What is the primary purpose of tissue fixation in histopathology?
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What is the recommended volume of fixative relative to the volume of tissue for proper fixation?
What is the recommended volume of fixative relative to the volume of tissue for proper fixation?
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Which method of fixation involves immersing tissue in a fixative?
Which method of fixation involves immersing tissue in a fixative?
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What is the maximum temperature at which fixation can be performed in case of emergency?
What is the maximum temperature at which fixation can be performed in case of emergency?
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Which of the following is NOT a chemical method of fixation?
Which of the following is NOT a chemical method of fixation?
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Which technique is primarily used for blood smears during fixation?
Which technique is primarily used for blood smears during fixation?
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What is a common duration required for the fixation process?
What is a common duration required for the fixation process?
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What is one of the outcomes of proper fixation in histopathology?
What is one of the outcomes of proper fixation in histopathology?
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Study Notes
Histopathology Overview
- Histopathological Technique studies tissue structures in diseases.
- Specimens originate from surgeries, biopsies, and autopsies in various forms.
Tissue Preparation Steps
- Receiving, grossing, decalcification (if necessary), fixation, dehydration, clearing, impregnation, blocking, section cutting, staining, and mounting are critical processes for microscopy.
Specimen Receiving Room
- Ensures safe and secure intake of samples.
- Biopsy specimens must be checked for fixatives, tissue presence, patient info, and physical attributes.
Steps for Receiving Biopsy Specimens
- Verify presence of fixative and tissue.
- Document patient details (name, age, sex, diagnosis) in a clinical report book.
- Proper labeling of specimens is essential to avoid diagnosis errors.
Criteria for Rejecting Specimens
- Inconsistent patient details between requisition and specimen labels.
- Unspecified site/nature of specimen.
- Incorrect containers or lack of appropriate fixatives.
- Missing patient history or essential content in blocks/slides.
Types of Specimens
- Surgical Biopsy, Needle Biopsy, Endoscopy Biopsy, Incision Biopsy, Excision Biopsy, Punch Biopsy, Cone Biopsy.
Grossing Techniques
- Grossing involves inspecting, measuring, and sectioning tissue samples.
- Ideal size for processing is approximately 20mm x 15mm x 5mm.
Requirements for Grossing
- Necessary tools include various scissors, forceps, scalpels, weighing scales, cassettes, and disinfectants.
Decalcification Process
- Essential for removing calcium ions from calcified tissues to allow proper sectioning.
- Must avoid damage to tissue cells and fibers.
Good Decalcifying Agents Characteristics
- Must ensure complete calcium removal without damaging tissue.
- Should not impair staining and offer reasonable decalcification speed.
Decalcification Procedure
- Involves selection, fixation, decalcification, neutralization of acids, and thorough washing.
Fixation Overview
- Fixation preserves tissue morphology; critical for accurate histopathological preparation.
- Tissues must be fixed immediately post-surgery to prevent autolysis or putrefaction.
Fixative Quantity and Process
- Fixative volume must be 15-20 times that of the tissue; fixation takes 12-24 hours at room temperature.
Purposes of Fixation
- Prevents autolysis and putrefaction.
- Preserves tissue for future studies and enhances staining.
Common Fixatives
- Aldehydes (e.g., formaldehyde), protein denaturants (e.g., alcohol), oxidizing agents (e.g., osmium tetroxide).
- Various fixation techniques include immersion, vapor, microwave, and perfusion.
Specific Fixatives and Their Characteristics
- Formalin (10%): Cheap, preserves most tissues well, but can be allergenic.
- Zenker’s Fluid: Excellent nuclear preservation, but penetrates minimally and is expensive.
- Bouin’s Fluid: Rapid penetration; preserves glycogen but risks red cell lysis if overexposed.
- Helly’s Fluid: Preserves nuclear structures, facilitating staining but has limited penetration.
Overview of Additional Fixatives
- Baker’s Solution, Orth's fluid, Carnoy’s fluid also used in various scenarios for tissue fixation.
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Description
This quiz covers the essential steps involved in histopathological techniques, focusing on how tissue specimens are prepared for microscopy. Topics include specimen receiving, grossing, decalcification, fixation, and dehydration. Understanding these techniques is crucial for students in biology and medical fields.