Histopathology Special Stains

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Questions and Answers

Which of the following substances is LEAST effectively demonstrated by the Periodic Acid-Schiff (PAS) stain?

  • Basement membranes
  • Neutral mucopolysaccharides
  • Glycogen
  • Sulfated mucopolysaccharides (correct)

What is the primary purpose of using diastase in conjunction with the Periodic Acid-Schiff (PAS) stain?

  • To enhance the staining intensity of mucopolysaccharides
  • To digest and remove glycogen, improving specificity (correct)
  • To block non-specific binding of the Schiff reagent
  • To oxidize carbohydrates more effectively

Which fixative is most desirable for Best Carmine staining to ensure optimal results?

  • Bouin's solution (correct)
  • 10% neutral buffered formalin
  • Carnoy's fixative
  • Zenker's solution

What is the primary component stained by Mayer Mucicarmine?

<p>Acidic mucopolysaccharides in epithelial mucins (D)</p> Signup and view all the answers

For which of the following stains is maintaining the correct pH MOST critical for accurate results?

<p>Alcian Blue (D)</p> Signup and view all the answers

If a lab is attempting to differentiate between hyaluronic acid and other acidic mucopolysaccharides, which technique would be MOST appropriate?

<p>Alcian Blue pH 2.5 with Hyaluronidase (C)</p> Signup and view all the answers

You observe a staining result where acidic mucosubstances are blue and neutral polysaccharides are magenta. Which staining technique was MOST likely used?

<p>Alcian Blue-PAS (D)</p> Signup and view all the answers

Which of the following stains requires the use of polarized light microscopy for definitive identification of the target substance?

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

Amyloid typically exhibits what characteristic appearance when stained with Congo Red and viewed under polarized light?

<p>Apple-green birefringence (A)</p> Signup and view all the answers

Which of the following stains is used for visualizing amyloid fibrils using fluorescence microscopy?

<p>Thioflavin T (D)</p> Signup and view all the answers

1% acetic acid is used with what stain?

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

Which of the following is a complex carbohydrate composed of long chains of monosaccharide units bonded together.

<p>Polysaccharide (D)</p> Signup and view all the answers

If a tissue sample shows a change in color of a stain when it binds to certain tissue components, indicating the presence of specific molecules or structures, what is this phenomenon called?

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

In which type of tissue would you primarily find mucins involved in providing structural support and maintaining tissue hydration?

<p>Connective tissue in the extracellular matrix (C)</p> Signup and view all the answers

What is the MOST likely reason for a Periodic Acid-Schiff (PAS) stain to show weak or absent staining of glycogen in a liver tissue control?

<p>Use of improperly fixed tissue (D)</p> Signup and view all the answers

In a PAS with diastase stain, if the tissue section shows persistent magenta staining even after diastase treatment, what is the MOST probable cause?

<p>Presence of other carbohydrates resistant to diastase (C)</p> Signup and view all the answers

During a Best Carmine stain, you observe a diffuse staining pattern with poor differentiation. What is the MOST likely cause?

<p>Incorrect pH of the staining solution (D)</p> Signup and view all the answers

In Mayer Mucicarmine staining, if the mucin does NOT stain properly, despite using a known positive control, what is the MOST likely source of error?

<p>Incorrect staining timing (A)</p> Signup and view all the answers

You are performing Alcian Blue staining at pH 2.5, but the tissue section also contains sulfated mucopolysaccharides; what is the LIKELY staining result?

<p>Both sulfated and carboxylated mucopolysaccharides will stain blue (D)</p> Signup and view all the answers

If Alcian Blue staining at pH 1.0 yields NO staining, even with a known positive control, what is the MOST probable cause?

<p>Use of a pH meter that was not calibrated correctly (A)</p> Signup and view all the answers

In Müller-Mowry Colloidal Iron staining, what adjustment should be made if the background staining is excessively high?

<p>Increase the concentration of acetic acid in the differentiating solution (C)</p> Signup and view all the answers

Following Congo Red staining, a pathologist FAILS to observe apple-green birefringence in a tissue sample known to contain amyloid. What is the MOST likely reason?

<p>The polarizing filters in the microscope are misaligned (D)</p> Signup and view all the answers

Why is it important to use chemically clean glassware when performing special stains such as PAS, Best Carmine, or Alcian Blue?

<p>To remove interfering substances that could affect staining results (A)</p> Signup and view all the answers

After performing a Thioflavin T stain, the control tissue known to contain amyloid does NOT fluoresce. What is the MOST likely reason for this?

<p>The UV lamp in the fluorescence microscope is defective (D)</p> Signup and view all the answers

A laboratory is switching from formalin to a different fixative for all tissue samples. How might this change affect the staining results for the special stains discussed?

<p>It could significantly alter staining results if the new fixative is not compatible with the staining protocols (A)</p> Signup and view all the answers

In crystal violet staining, what cellular component facilitates the uptake and retention of the stain, resulting in the characteristic purple color?

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

A tissue sample stained with Alcian Blue at pH 2.5 shows minimal staining of acid mucopolysaccharides. Which of the following quality control measures should be implemented FIRST?

<p>Assess the calibration of the pH meter used during solution preparation. (C)</p> Signup and view all the answers

Why is polarized light used in conjunction with Congo Red to identify amyloid deposits?

<p>Because polarized light highlights the birefringence of Congo Red-stained amyloid, creating an apple-green effect. (A)</p> Signup and view all the answers

What is the role of 10% neutral buffered formalin in the staining techniques?

<p>A fixative, preserving tissue structure and preventing autolysis. (D)</p> Signup and view all the answers

What distinguishes epithelial mucins from connective tissue mucins in terms of their function?

<p>Epithelial mucins lubricate and protect organ linings; connective tissue mucins provide structural support. (A)</p> Signup and view all the answers

What type of tissue serves as the BEST control material for Alcian Blue staining at pH 2.5?

<p>Small Intestine Tissue (D)</p> Signup and view all the answers

What is the purpose of acetic acid, in the Thioflavin T stain?

<p>Used to differentiate and enhance the staining. (B)</p> Signup and view all the answers

What is the purpose of using control materials during special staining procedures?

<p>To verify the specificity and effectiveness of the staining technique (A)</p> Signup and view all the answers

A laboratory technologist notes that a newly prepared batch of Schiff reagent shows a pink hue even before use. What does it suggest the solution is?

<p>Expired and should be discarded (C)</p> Signup and view all the answers

Which of the following fiber types provides the MOST significant resistance to stretching forces in tendons and ligaments?

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

What characteristic of cardiac muscle fibers allows for the rapid and coordinated contraction of the heart?

<p>Branched fibers (D)</p> Signup and view all the answers

What is the primary function of fibroblasts in connective tissue?

<p>Producing and maintaining the extracellular matrix (B)</p> Signup and view all the answers

Which cellular component is MOST directly responsible for the elasticity observed in lung tissue?

<p>Elastic fibers (D)</p> Signup and view all the answers

Which of the following statements BEST describes the arrangement of reticular fibers within soft tissues?

<p>A supportive network (D)</p> Signup and view all the answers

Which characteristic BEST differentiates skeletal muscle fibers from smooth muscle fibers?

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

Which of the following cell types is MOST active during an inflammatory response, engulfing pathogens and releasing cytokines?

<p>Macrophages (D)</p> Signup and view all the answers

In the Masson trichrome stain, what is the role of phosphomolybdic-phosphotungstic acid?

<p>To differentiate collagen and muscle (C)</p> Signup and view all the answers

If a Masson trichrome-stained tissue section shows weak collagen staining, what is the MOST appropriate initial corrective action?

<p>Adjust the concentration or exposure time to the aniline blue or light green (C)</p> Signup and view all the answers

Which component of Verhoeff's elastic stain acts as a mordant to enhance binding of the dye to elastic fibers?

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

During a Gomori Aldehyde Fuchsin stain, you observe that the elastic fibers are weakly stained. What is the MOST likely cause?

<p>The aldehyde fuchsin was not freshly prepared (D)</p> Signup and view all the answers

What is the purpose of hydrochloric acid in the Orcein stain?

<p>To aid in the staining process (D)</p> Signup and view all the answers

A tissue section stained with Russell modification of the Movat pentachrome stain shows poor differentiation between muscle and collagen. Which reagent is MOST likely to be adjusted to correct this?

<p>Phosphotungstic acid (D)</p> Signup and view all the answers

In Gomori silver impregnation, what is the purpose of gold chloride?

<p>To tone the stain (C)</p> Signup and view all the answers

Why is formic acid used in the Gordon and Sweets silver impregnation method?

<p>To prepare the tissue for impregnation (A)</p> Signup and view all the answers

What is the function of sodium borate in the Methenamine-Silver stain?

<p>To buffer the solution (A)</p> Signup and view all the answers

What is the MOST likely reason Mallory PTAH staining shows weak or absent staining of muscle striations in a skeletal muscle tissue control?

<p>The tissue was over-differentiated (B)</p> Signup and view all the answers

For optimal results with Oil Red O stain, why is it critical to use frozen sections instead of paraffin-embedded tissue?

<p>Lipids are dissolved during paraffin embedding (B)</p> Signup and view all the answers

What is the underlying principle behind Sudan Black B staining of lipids?

<p>Sudan Black B is fat-soluble and dissolves in lipid droplets, imparting color (A)</p> Signup and view all the answers

When using osmium tetroxide as a stain, what chemical interaction leads to the blackening of lipids?

<p>Reaction of osmium tetroxide with unsaturated lipids (D)</p> Signup and view all the answers

Why is it important to perform a buffer wash of tissue fixed with glutaraldehyde before toluidine blue staining?

<p>To reduce background staining (C)</p> Signup and view all the answers

What staining characteristic of mast cell granules is BEST highlighted by Toluidine blue?

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

Which fixative is BEST suited for methyl green-pyronin staining to ensure optimal differentiation of DNA and RNA?

<p>Carnoy's solution (A)</p> Signup and view all the answers

In methyl green-pyronin staining, what is the mechanism by which methyl green selectively stains DNA?

<p>Methyl green is positively charged and binds to the negatively charged DNA (B)</p> Signup and view all the answers

What is the primary reason for using Masson trichrome stain in histological analysis?

<p>To differentiate between collagen and muscle fibers (B)</p> Signup and view all the answers

What cellular feature makes mast cells readily identifiable with special stains like Toluidine blue?

<p>The metachromatic properties of their granules (A)</p> Signup and view all the answers

Which cytoplasmic substance is SPECIFICALLY targeted and stained by pyronin?

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

In histological staining, what does the term 'impregnation' refer to?

<p>The infiltration of tissue with a substance that precipitates to enhance contrast (B)</p> Signup and view all the answers

Which of the following stains is frequently used to visualize Hepatitis B surface antigen and copper-associated proteins?

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

Which of the listed techniques is BEST for demonstrating basement membranes?

<p>Methenamine-silver (D)</p> Signup and view all the answers

Which of the following fixatives is MOST likely to negatively impact lipid staining if used prior to performing Oil Red O?

<p>Carnoy's solution (A)</p> Signup and view all the answers

When performing a Gomori Silver Impregnation stain, what step is MOST critical for achieving selective staining of reticular fibers and preventing non-specific silver deposition?

<p>Precise timing during impregnation and reduction steps (A)</p> Signup and view all the answers

For the van Gieson stain, what is the purpose of using picric acid?

<p>stains muscle fibers yellow (D)</p> Signup and view all the answers

In the Mallory PTAH stain, which tissue components are stained blue?

<p>Muscle fibers and glial fibers (B)</p> Signup and view all the answers

Why should prolonged storage in formalin be avoided after fixation when planning to perform Oil Red O or Sudan Black B stains?

<p>To minimize lipid loss (D)</p> Signup and view all the answers

Which of the following is a component of Verhoeff's elastic stain?

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

Which of the following stains is used to demonstrate elastic fibers, mucopolysaccharides, and pancreatic beta cells?

<p>Gomori aldehyde fuchsin (C)</p> Signup and view all the answers

Which of the following techniques uses a reducing agent to convert silver ions to visible silver particles?

<p>Gomori silver impregnation (B)</p> Signup and view all the answers

Of the following options, which represents the BEST control material for the Gomori silver impregnation technique?

<p>Sections of liver or spleen (C)</p> Signup and view all the answers

Which of the following tissue components is LEAST likely to be directly produced or maintained by fibroblasts?

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

What is the PRIMARY reason for using multiple dyes with differing affinities in trichrome staining methods?

<p>To differentiate various tissue components based on their chemical properties. (C)</p> Signup and view all the answers

In Verhoeff's elastic stain, what is the role of ferric chloride subsequent to staining with the hematoxylin-iodine solution?

<p>To selectively decolorize the background and non-elastic tissue components. (C)</p> Signup and view all the answers

A laboratory is experiencing inconsistent staining with Gomori Aldehyde Fuchsin. Which of the following is the MOST likely cause of this issue?

<p>Use of improperly stored or expired aldehyde fuchsin solution. (C)</p> Signup and view all the answers

What is the function of hydrochloric acid in the Orcein staining method?

<p>To facilitate the staining process of elastic fibers. (D)</p> Signup and view all the answers

In the Russell modification of Movat pentachrome stain, if collagen appears red instead of yellow, what adjustment to the staining procedure is MOST likely required?

<p>Adjust the differentiation with phosphotungstic acid. (C)</p> Signup and view all the answers

Following Gomori silver impregnation, the reticular fibers in a tissue section appear faint and poorly defined. Which of the following is the MOST likely cause?

<p>Insufficient toning with gold chloride (B)</p> Signup and view all the answers

What is the purpose of formic acid in the Gordon and Sweets silver impregnation method?

<p>To prepare the tissue for silver impregnation of reticular fibers. (D)</p> Signup and view all the answers

In the Methenamine-Silver stain, what is the consequence of omitting sodium borate from the staining procedure?

<p>Suboptimal staining of reticular fibers and basement membranes. (B)</p> Signup and view all the answers

What is the MOST critical consideration when using Mallory PTAH stain to ensure optimal staining of muscle striations?

<p>Using freshly prepared reagents and chemically clean glassware. (B)</p> Signup and view all the answers

What chemical property of lipids allows them to be stained by Oil Red O and Sudan Black B?

<p>Their solubility in fat-soluble dyes. (B)</p> Signup and view all the answers

In osmium tetroxide staining, what type of chemical bond is MOST directly involved in the blackening of lipids?

<p>Covalent bonds formed with carbon-carbon double bonds in unsaturated fats. (A)</p> Signup and view all the answers

When tissue fixed with glutaraldehyde is to be stained with toluidine blue, what is the purpose of performing a buffer wash prior to staining?

<p>To remove unbound glutaraldehyde, reducing non-specific background staining. (D)</p> Signup and view all the answers

Which characteristic of mast cell granules contributes MOST to their unique staining properties with Toluidine blue?

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

What is the primary function of methyl green in the methyl green-pyronin staining method?

<p>To selectively stain DNA in the nucleus. (B)</p> Signup and view all the answers

What is the PRIMARY purpose of utilizing the Masson trichrome stain in histological analysis?

<p>To highlight the structural differences between collagen and muscle fibers. (A)</p> Signup and view all the answers

What is the key feature of mast cells that allows them to be readily identified with special stains like Toluidine blue?

<p>Their distinctive metachromatic cytoplasmic granules. (A)</p> Signup and view all the answers

In the context of histological staining, what does the term 'impregnation' MOST accurately describe?

<p>The infiltration of tissue with a substance, usually a metal, that precipitates within cellular components. (A)</p> Signup and view all the answers

Which staining method is BEST suited for demonstrating reticular fibers in tissues such as the spleen or lymph nodes?

<p>Gomori silver impregnation (D)</p> Signup and view all the answers

Why is fresh frozen tissue generally required for Oil Red O and Sudan Black B staining?

<p>To avoid dissolving lipids during paraffin embedding. (C)</p> Signup and view all the answers

Which cellular component is MOST directly associated with the function of Nissl substance?

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

What is the PRIMARY function of myelin sheath that surrounds certain nerve fibers?

<p>To increase the speed of electrical impulse transmission (A)</p> Signup and view all the answers

Along what structure are impulses conducted away from the nerve cell body towards other cells?

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

If a tissue sample is fixed in a non-formalin fixative, which of the following actions is generally recommended before performing Cresyl echt violet staining?

<p>Refixation in formalin (D)</p> Signup and view all the answers

What component within neurons does Cresyl echt violet specifically target for visualization?

<p>Nissl substance (D)</p> Signup and view all the answers

What would be the MOST likely visual result of Cresyl echt violet staining on brain tissue?

<p>Violet Nissl bodies (D)</p> Signup and view all the answers

Which of the following could cause inconsistent staining results with the Cresyl echt violet method?

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

How does Cresyl echt violet interact with neuronal tissue to produce a visible stain?

<p>It binds to RNA in the Nissl substance (C)</p> Signup and view all the answers

What tissue component is highlighted by the Bodian stain?

<p>Nerve Fibers and Neurofibrils (C)</p> Signup and view all the answers

If a Bodian stain exhibits incomplete impregnation of the target structures, what adjustment is MOST appropriate?

<p>Extend the duration of silver impregnation phase. (D)</p> Signup and view all the answers

What is the expected staining outcome for nerve fibers when using Holmes silver nitrate stain?

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

Which staining method relies on silver binding to neurofibrils to visualize nerve fibers?

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

Which stain is MOST similar to the Bielschowsky stain in terms of the tissue components it highlights?

<p>Sevier-Munger (B)</p> Signup and view all the answers

What is the expected fluorescence of amyloid deposits when stained with Thioflavin S and viewed under UV light?

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

What is the mechanism of action of Thioflavin S in staining amyloid?

<p>It binds to beta-pleated sheet structures in amyloid fibrils (A)</p> Signup and view all the answers

What type of microscopy is required to visualize the results of Thioflavin S staining?

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

What tissue components are stained blue by PTAH?

<p>Muscle striations, fibrin and glial fibers (C)</p> Signup and view all the answers

What aspect of tissue processing is MOST crucial for optimal PTAH staining results?

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

If a PTAH stain shows overstaining, what corrective action should be taken?

<p>Reduce the staining time (D)</p> Signup and view all the answers

What does Holzer staining primarily demonstrate in tissue sections?

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

What is the role of phosphomolybdic acid in Holzer staining?

<p>Differentiator (D)</p> Signup and view all the answers

What color do glial fibers typically appear after Holzer staining?

<p>Blue or Purple (B)</p> Signup and view all the answers

What is the PRIMARY purpose of the Cajal stain in histology?

<p>To stain astrocytes (A)</p> Signup and view all the answers

Following Cajal staining, what color do astrocytes typically appear against the background?

<p>Black against a yellow or light brown background (D)</p> Signup and view all the answers

What reagent is used in the Cajal stain to impregnate astrocytes?

<p>Gold sublimate (D)</p> Signup and view all the answers

Which fixative is MOST suitable for the Weil staining method?

<p>10% Formalin (C)</p> Signup and view all the answers

What is the role of ferric ammonium sulfate in the Weil stain?

<p>It acts as a mordant (C)</p> Signup and view all the answers

Which component acts as a differentiator in Weil staining, ensuring clear visualization of myelin sheaths?

<p>Ferric ammonium sulfate and borax ferricyanide (B)</p> Signup and view all the answers

What tissue component is stained by Luxol fast blue?

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

In Luxol fast blue staining, what is the purpose of cresyl echt violet?

<p>To counterstain Nissl substance (A)</p> Signup and view all the answers

With Luxol fast blue staining, what color will myelin appear?

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

Which of the following bacterial shapes is correctly matched with an example?

<p>Spirochetes: <em>Treponema pallidum</em> (D)</p> Signup and view all the answers

Which of the following is a characteristic that differentiates mycobacteria from other types of bacteria?

<p>A complex cell wall containing mycolic acid (C)</p> Signup and view all the answers

Which of the following techniques is MOST appropriate for the initial detection of Mycobacterium tuberculosis in a tissue sample?

<p>Acid-fast stain (B)</p> Signup and view all the answers

In acid-fast staining, what is the role of the acid-alcohol solution?

<p>To remove the carbol fuchsin stain from non-acid-fast organisms. (B)</p> Signup and view all the answers

Which of the following best describes the expected staining result of a Gram stain on a sample of Staphylococcus aureus?

<p>Blue/purple colored cocci (A)</p> Signup and view all the answers

Why is methanol or heat fixation preferred over formalin fixation when performing a Gram stain?

<p>To ensure proper differentiation of Gram-positive and Gram-negative bacteria by preventing cell distortion. (B)</p> Signup and view all the answers

What is the primary purpose of using iodine as a mordant in the Gram staining procedure?

<p>To form a complex with crystal violet, trapping it in the cell wall of Gram-positive bacteria. (A)</p> Signup and view all the answers

A Giemsa stain is performed on a bone marrow sample. Which of the following organisms would this stain be MOST useful in identifying?

<p><em>Plasmodium vivax</em> (B)</p> Signup and view all the answers

How does Giemsa stain differentiate cellular structures?

<p>By binding to nucleic acids and cytoplasmic components. (A)</p> Signup and view all the answers

Which component of Helicobacter pylori is targeted by Alcian yellow in the Alcian yellow-toluidine blue staining method?

<p>Acidic components of the cell wall (B)</p> Signup and view all the answers

In a PAS stain, what chemical process occurs when periodic acid is applied to the tissue section?

<p>It oxidizes carbohydrates to form aldehydes. (D)</p> Signup and view all the answers

Which type of organism is BEST demonstrated using the periodic acid-Schiff (PAS) stain?

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

Following chromic acid oxidation in the Chromic Acid-Schiff (CAS) stain, what functional group is created in fungal cell walls that allows for subsequent staining?

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

What is the role of aldehyde fuchsin in the Gridley fungus stain?

<p>To enhance the primary staining of fungal elements. (A)</p> Signup and view all the answers

Which of the following reagents is used to tone the silver stain in the Grocott modification of Gomori methenamine-silver (GMS) method?

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

In the Grocott modification of Gomori methenamine-silver stain, what is the purpose of sodium bisulfite?

<p>To remove excess chromic acid after oxidation. (C)</p> Signup and view all the answers

What component of Cryptococcus species does Mayer mucicarmine specifically stain?

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

In the Warthin-Starry stain, what process occurs that makes spirochetes visible?

<p>Reduction of silver ions to metallic silver. (B)</p> Signup and view all the answers

Hydroquinone is used in silver impregnation techniques such as the Warthin-Starry and Dieterle stains. What is its function?

<p>To reduce silver ions to metallic silver, thus developing the stain. (D)</p> Signup and view all the answers

Which of the following reagents acts as a sensitizer in the Dieterle stain, enhancing silver impregnation of microorganisms?

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

In the Steiner and Steiner stain, what is the role of silver nitrate?

<p>To impregnate bacteria, including spirochetes and <em>Helicobacter pylori</em>. (D)</p> Signup and view all the answers

Which of the following fixatives is MOST desirable for preserving Mycobacterium tuberculosis in tissue samples prior to performing acid-fast staining?

<p>10% neutral buffered formalin (A)</p> Signup and view all the answers

What is the MOST critical step to ensure accurate and reliable results when performing the Auramine-rhodamine stain for mycobacteria?

<p>Using the appropriate excitation and emission filters on the fluorescence microscope. (A)</p> Signup and view all the answers

If a Gram-stained tissue section shows excessive decolorization, causing Gram-positive bacteria to appear pink instead of purple, which of the following corrective actions is MOST appropriate?

<p>Shorten the decolorization time with alcohol or acetone. (C)</p> Signup and view all the answers

During a Giemsa staining procedure, a technologist observes that the cellular details are poorly defined and the overall staining intensity is weak. What is the MOST likely cause?

<p>Insufficient fixation of the tissue sample. (A)</p> Signup and view all the answers

A tissue sample stained with Alcian yellow-toluidine blue shows a very pale yellow staining of Helicobacter pylori, making it difficult to visualize. What is the MOST probable cause?

<p>Inadequate fixation of the tissue, leading to loss of bacterial antigens. (D)</p> Signup and view all the answers

After performing a PAS stain, the control tissue shows very weak magenta staining. What is the MOST likely cause?

<p>The Schiff reagent was prepared incorrectly or has deteriorated. (A)</p> Signup and view all the answers

Fungal elements are not visible in a tissue known to contain Histoplasma species. Which step in the Chromic Acid-Schiff (CAS) staining procedure is the MOST likely source of error?

<p>Inadequate time in the chromic acid solution. (C)</p> Signup and view all the answers

A Gridley fungus stain demonstrates weak staining of fungal elements. What adjustment to the staining procedure is MOST likely to correct this issue?

<p>Extend the duration of chromic acid oxidation. (A)</p> Signup and view all the answers

After performing the Grocott methenamine-silver (GMS) stain, the tissue section appears overstained, with a dark, non-specific staining pattern. What is the MOST likely cause of this issue?

<p>Inadequate rinsing after silver impregnation. (B)</p> Signup and view all the answers

In Mayer mucicarmine staining, if the capsules of Cryptococcus species are not clearly stained red, despite appropriate timing and technique, what is the MOST probable cause?

<p>The mucicarmine solution has deteriorated or was improperly prepared. (A)</p> Signup and view all the answers

If a Warthin-Starry stained tissue section shows excessive background staining, obscuring the spirochetes, what corrective action should be taken FIRST?

<p>Ensure complete washing of slides after each step. (D)</p> Signup and view all the answers

Which of the following modifications to the Dieterle stain is most likely to improve the visualization of Legionella species in lung tissue?

<p>Increase the concentration of uranyl nitrate sensitizer. (C)</p> Signup and view all the answers

During a Steiner and Steiner staining procedure, the control tissue known to contain spirochetes shows very weak or absent staining. What is the MOST likely explanation?

<p>The hydroquinone developer was contaminated. (A)</p> Signup and view all the answers

Which staining technique uses a combination of fluorescent dyes to detect mycobacteria?

<p>Auramine-rhodamine (D)</p> Signup and view all the answers

What is the purpose of potassium permanganate in the Auramine-rhodamine staining method?

<p>To reduce background fluorescence. (C)</p> Signup and view all the answers

If a Ziehl-Neelsen stain for acid-fast bacteria is too pale, and the technologist suspects the carbol fuchsin stain is not penetrating the cell walls effectively, what modification to the procedure might improve the staining?

<p>Apply heat during the carbol fuchsin staining step. (B)</p> Signup and view all the answers

When performing a Gram stain, which step is MOST critical in preventing a false-negative result (i.e., Gram-positive bacteria appearing Gram-negative)?

<p>Avoiding over-decolorization with alcohol or acetone. (C)</p> Signup and view all the answers

A pathologist requests a Giemsa stain on a peripheral blood smear to evaluate for malaria parasites. If the parasites are not clearly visible, despite the use of a known positive control, what is the MOST probable cause?

<p>The methanol fixative was contaminated with water. (B)</p> Signup and view all the answers

A biopsy from the stomach is stained with Alcian Yellow-Toluidine Blue to check for Helicobacter pylori. The background is intensely stained blue, obscuring any potential bacteria. What step can MOST likely be modified to improve visualization?

<p>Decrease the staining time in Toluidine Blue. (C)</p> Signup and view all the answers

A surgical specimen is stained with PAS to identify a fungal infection, but only a weak, diffuse staining pattern is observed. To improve the results, which step in the staining procedure should be optimized FIRST?

<p>Ensure the periodic acid solution is freshly prepared and active. (A)</p> Signup and view all the answers

A Grocott methenamine-silver (GMS) stain on lung tissue shows adequate staining of Pneumocystis jirovecii cysts, but there is also significant black precipitate deposited nonspecifically throughout the tissue. What is the MOST likely cause of this artifact?

<p>The glassware was not sufficiently clean, leading to silver precipitation. (C)</p> Signup and view all the answers

A tissue section stained with Warthin-Starry demonstrates poor impregnation of spirochetes, and they appear faint and difficult to visualize. Which parameter should be adjusted to improve?

<p>Prolong the development time with hydroquinone. (D)</p> Signup and view all the answers

After performing a Dieterle stain, a lab technician observes a high level of background staining, making it difficult to identify the target microorganisms. Which of the following actions would BEST address this issue?

<p>Ensure that rinsing steps are thorough and complete. (B)</p> Signup and view all the answers

A tissue sample suspected of containing Mycobacterium tuberculosis is fixed in Bouin's solution. What is the MOST appropriate next step before performing an acid-fast stain?

<p>Wash the tissue thoroughly to remove any residual fixative. (B)</p> Signup and view all the answers

A technologist performs an Auramine-rhodamine stain, but the mycobacteria are difficult to visualize against a bright background. What reagent adjustment would BEST address this issue?

<p>Increase the concentration of potassium permanganate. (C)</p> Signup and view all the answers

During a Gram staining procedure, after applying crystal violet and iodine, the tissue section is rinsed with alcohol for an extended period. What is the MOST likely consequence of this over-decolorization?

<p>Both Gram-positive and Gram-negative bacteria will appear pink/red. (A)</p> Signup and view all the answers

A Giemsa stain on a bone marrow aspirate shows poor differentiation of cellular details. Which of the following is the MOST likely cause?

<p>Inadequate staining time. (C)</p> Signup and view all the answers

A gastric biopsy is stained with Alcian yellow-toluidine blue but the Helicobacter pylori are difficult to visualize due to weak staining. Which of the following steps is MOST likely to improve the staining?

<p>Ensure proper fixation and follow the staining protocol accurately. (B)</p> Signup and view all the answers

A PAS stain on liver tissue shows weak staining of glycogen. Knowing that glycogen should be present, how should the staining procedure be modified to improve the result?

<p>Ensure proper oxidation with periodic acid and use freshly prepared Schiff reagent. (C)</p> Signup and view all the answers

In a Chromic Acid-Schiff (CAS) stain, if fungal elements are not visible in a tissue known to contain Histoplasma species, despite using a known positive control, the MOST probable cause is:

<p>Inadequate oxidation with chromic acid. (D)</p> Signup and view all the answers

After performing a Grocott methenamine-silver (GMS) stain, the tissue section is overstained with a dark, non-specific staining pattern. Which of the following steps would BEST correct this issue?

<p>Reduce the incubation time in the methenamine-silver nitrate solution. (A)</p> Signup and view all the answers

A Warthin-Starry stain demonstrates significant background staining, obscuring any spirochetes. What corrective action should be taken FIRST?

<p>Ensure proper washing steps to avoid background staining. (B)</p> Signup and view all the answers

If a Dieterle-stained tissue section shows very weak or absent staining of spirochetes in the control tissue known to contain them, which of the following is the MOST likely explanation?

<p>The tissue sections were not treated with uranyl nitrate. (D)</p> Signup and view all the answers

Which of the following is an example of an endogenous pigment?

<p>Lipofuscin, commonly found in aging cells (B)</p> Signup and view all the answers

Which pigment is classified as both exogenous and specifically linked to inhalation of particulate matter?

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

Which of the following pigments is derived from the breakdown of erythrocytes?

<p>Bilirubin (D)</p> Signup and view all the answers

What distinguishes an argentaffin reaction from an argyrophil reaction?

<p>Argentaffin reactions directly reduce silver ions, without needing an external reducing agent. (A)</p> Signup and view all the answers

In which type of tissue or cells would you expect to find argentaffin granules that can be demonstrated without an external reducing agent?

<p>Cells of the gastrointestinal tract (A)</p> Signup and view all the answers

Which of the following techniques relies on the use of an external reducing agent to visualize the target substance?

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

Which substance is demonstrated by the Prussian blue staining technique?

<p>Ferric iron (Fe³⁺) (B)</p> Signup and view all the answers

If a lab technician needs to confirm the presence of hemosiderin in a tissue sample, which of the following stains should be used?

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

What type of substance is demonstrated by the Schmorl ferric-ferricyanide reduction test?

<p>Reducing substances like melanin and lipofuscin (C)</p> Signup and view all the answers

A pathologist suspects a tumor has the capability of reducing silver ions without needing an external reducing agent. Which stain would be most appropriate for this assessment?

<p>Fontana-Masson (B)</p> Signup and view all the answers

Which of the following staining techniques is used to identify argyrophil cells in a tissue section?

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

What is the target substance demonstrated by the Gomori methenamine-silver (GMS) stain?

<p>Basement membranes and Fungi (D)</p> Signup and view all the answers

If a pathologist suspects a patient has a buildup of bilirubin in their liver tissue, which stain would be MOST appropriate to confirm this?

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

Which of the following techniques is used to demonstrate calcium deposits within a tissue sample?

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

What is the purpose of using Alizarin red S in histopathology?

<p>To identify calcium deposits (D)</p> Signup and view all the answers

Which staining method is used to identify and visualize copper deposits in liver tissue?

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

Why are alcohol-based fixatives or neutral buffered formalin considered the MOST desirable fixatives for the Prussian blue reaction?

<p>They minimize the risk of iron displacement during processing. (C)</p> Signup and view all the answers

What chemical reaction occurs during the Prussian blue staining procedure that leads to the formation of the characteristic blue color?

<p>Reaction between ferric iron and potassium ferrocyanide to form ferric ferrocyanide (D)</p> Signup and view all the answers

What is the MOST likely consequence of inadequate washing after fixation in the Schmorl ferric-ferricyanide reduction test?

<p>Non-specific background staining (C)</p> Signup and view all the answers

What step is critical in the Fontana-Masson stain to prevent non-specific staining caused by overexposure to silver nitrate?

<p>Carefully controlling the exposure time to silver nitrate (B)</p> Signup and view all the answers

A tissue sample stained with the Grimelius method exhibits excessive background staining. What is the MOST likely reason for this?

<p>Overexposure to silver nitrate (B)</p> Signup and view all the answers

What is the purpose of using chromic acid in the Gomori methenamine-silver (GMS) stain?

<p>To oxidize tissue components (B)</p> Signup and view all the answers

During a Hall (Fouchet) stain, a lab technician observes a loss of bilirubin staining. What could have caused this?

<p>Over-oxidation (B)</p> Signup and view all the answers

What might cause the lack of staining in a von Kossa stain if the appropriate control tissue is also negative?

<p>Incomplete fixation or decalcification (A)</p> Signup and view all the answers

When performing an Alizarin red S stain, what step is critical to ensure optimal staining of calcium deposits?

<p>Ensuring tissue is completely decalcified if necessary (B)</p> Signup and view all the answers

A laboratory technician is performing a Rhodanine stain and observes weak staining of copper deposits. What is the MOST probable cause?

<p>Incomplete fixation or processing of the tissue (B)</p> Signup and view all the answers

What is the primary difference in the chemical reactions between the Prussian blue and Turnbull blue reactions?

<p>Prussian blue detects ferric iron, while Turnbull blue detects ferrous iron. (C)</p> Signup and view all the answers

During iron staining, why is it important to differentiate between ferric and ferrous iron?

<p>They are present at different stages of hemoglobin degradation, which can provide diagnostic information. (B)</p> Signup and view all the answers

In what part of the eye is melanin typically found, contributing to its color and protecting against UV radiation?

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

Besides melanin, what other pigment contributes to the color of hair?

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

Which method is specifically used to demonstrate calcium oxalate crystals in tissue sections?

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

If a pathologist suspects copper deposits that are not well-demonstrated by Rhodanine staining, which alternative method could be employed?

<p>Rubeanic Acid Method (C)</p> Signup and view all the answers

Which method is used to specifically identify urate crystals in a tissue sample, often useful in diagnosing gout?

<p>De Galantha Method (A)</p> Signup and view all the answers

Which of the following staining techniques is BEST for demonstrating amyloid deposits in tissues, especially when viewed under polarized light?

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

Why is it important to hydrate tissue sections through graded alcohols to water as a pre-treatment step for bleaching melanin pigment?

<p>To ensure proper penetration of the bleaching reagent (C)</p> Signup and view all the answers

Following bleaching of melanin pigment with potassium permanganate, what reagent is used to remove the brown precipitate formed?

<p>Oxalic acid (D)</p> Signup and view all the answers

How can anthracotic pigment be differentiated from formalin pigment in a tissue section?

<p>Anthracotic pigment is insoluble in strong acids and alkalis, while formalin pigment can be removed by treatment with alcoholic picric acid. (A)</p> Signup and view all the answers

A pathologist observes a dark brown pigment in a tissue sample. The pigment bleaches with hydrogen peroxide. What is the MOST likely identity of the pigment?

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

Which pigment is both endogenous and nonhematogenous?

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

What key characteristic differentiates the argentaffin reaction from the argyrophil reaction in staining?

<p>The need for an external reducing agent (C)</p> Signup and view all the answers

Which staining technique is utilized to identify ferrous iron (Fe²⁺) in tissue samples?

<p>Turnbull blue (D)</p> Signup and view all the answers

For the Prussian blue staining technique, which fixative provides the most desirable results in preserving ferric iron?

<p>Alcohol-based fixatives or neutral buffered formalin (A)</p> Signup and view all the answers

In the Schmorl ferric-ferricyanide reduction test, what is the MOST critical step to prevent nonspecific staining?

<p>Thorough washing of the tissue after fixation (B)</p> Signup and view all the answers

What is a potential source of error in the Fontana-Masson stain that can lead to non-specific staining?

<p>Overexposure to silver nitrate (A)</p> Signup and view all the answers

A pathologist needs to demonstrate argyrophil granules. From the following list which is the MOST appropriate staining method to employ?

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

Which of the following is an appropriate control material for the Gomori methenamine-silver (GMS) stain?

<p>Kidney or lung tissue known to contain basement membranes and fungi (B)</p> Signup and view all the answers

What is the MOST appropriate action to take if a tissue sample is fixed with a non-formalin fixative and needs to be stained with the Prussian blue technique?

<p>Wash the tissue thoroughly in water before staining (A)</p> Signup and view all the answers

A lung biopsy from a patient with a history of smoking shows black deposits. Which of the following tests would BEST differentiate anthracotic pigment from melanin?

<p>Testing solubility in strong acids and alkalis (B)</p> Signup and view all the answers

What is the function of a chromogen in immunohistochemistry?

<p>To be converted into a colored compound for visualization. (D)</p> Signup and view all the answers

Which characteristic distinguishes monoclonal antibodies from polyclonal antisera?

<p>Monoclonal antibodies recognize and bind to a single, specific epitope. (B)</p> Signup and view all the answers

In the context of immunohistochemistry, what is a key advantage of the indirect method compared to the direct method?

<p>Increased sensitivity due to signal amplification. (B)</p> Signup and view all the answers

What advantage does a polymeric detection system offer over other immunohistochemical techniques like ABC?

<p>Elimination of issues related to endogenous biotin. (A)</p> Signup and view all the answers

Which parameter is MOST critical when preparing a specimen for immunofluorescence to ensure optimal antibody penetration?

<p>Treating sections with a permeabilization agent like Triton X-100. (A)</p> Signup and view all the answers

Why is it important to avoid formaldehyde-based fixatives when preparing specimens for immunofluorescence?

<p>They can cause autofluorescence, interfering with specific signals. (D)</p> Signup and view all the answers

How does protein blocking contribute to accurate immunohistochemical staining?

<p>By preventing non-specific binding of antibodies. (A)</p> Signup and view all the answers

Which immunoglobulin heavy chain is predominantly associated with allergic reactions?

<p>Epsilon chain (IgE) (D)</p> Signup and view all the answers

What is the primary purpose of using negative tissue controls in immunohistochemistry?

<p>To ensure that the observed staining is specific to the antigen of interest. (D)</p> Signup and view all the answers

In immunohistochemical staining, how would you address the issue of high background staining?

<p>Optimize blocking steps and washing procedures. (A)</p> Signup and view all the answers

Why is preparing positive controls within the laboratory preferred over purchasing them?

<p>Laboratory-prepared controls are generally less expensive. (C)</p> Signup and view all the answers

During Heat-Induced Epitope Retrieval (HIER), what is the primary function of the buffer solution?

<p>To break cross-links formed during formalin fixation, exposing antigenic epitopes. (A)</p> Signup and view all the answers

When performing Heat-Induced Epitope Retrieval (HIER), why is it important to select an appropriate heating method such as microwave, pressure cooker, or water bath?

<p>To achieve uniform heating and prevent tissue damage, ensuring effective epitope unmasking. (D)</p> Signup and view all the answers

Which factor is MOST critical when choosing a solution for enzyme-induced epitope retrieval (EIER)?

<p>Solution's pH and its compatibility with the target antigen. (C)</p> Signup and view all the answers

Why is it important to consider the solubility properties of chromogens used in immunohistochemistry?

<p>To prevent diffusion of the colored precipitate during processing. (A)</p> Signup and view all the answers

What is the purpose of using chemicals like imidazole or nickel chloride to intensify the 3,3'-diaminobenzidine (DAB) reaction?

<p>To enhance the color intensity and visibility of the DAB precipitate. (C)</p> Signup and view all the answers

Which factor MOST significantly contributes to the increased sensitivity observed in indirect immunohistochemical staining methods compared to direct methods?

<p>The capacity for multiple secondary antibodies to bind to a single primary antibody. (A)</p> Signup and view all the answers

A laboratory is experiencing inconsistent staining results with a particular antibody. If troubleshooting reveals no issues with the antibody itself or the tissue processing, which aspect of the immunohistochemical protocol should be examined NEXT?

<p>The epitope retrieval method. (A)</p> Signup and view all the answers

In a diagnostic setting, when would monoclonal antibodies be preferred over polyclonal antisera for immunohistochemical staining?

<p>When batch consistency and specificity for a single epitope are critical. (B)</p> Signup and view all the answers

What is the MOST likely reason for a technologist to choose an alcohol-based fixative over formalin when preparing a tissue sample for immunohistochemistry?

<p>To rapidly precipitate proteins and preserve antigenicity. (A)</p> Signup and view all the answers

Consider a scenario where the target antigen is present in very low concentrations within a tissue sample. Which detection method is MOST advisable?

<p>Indirect immunohistochemistry. (A)</p> Signup and view all the answers

What is the function of antibodies in the body?

<p>To bind specifically to antigens, neutralizing them or marking them for destruction. (B)</p> Signup and view all the answers

What is the specific region of an antigen molecule to which an antibody binds?

<p>Epitope (D)</p> Signup and view all the answers

What is the function of Multilink Secondary Antiserum?

<p>To label multiple primary antibodies for enhanced signaling. (B)</p> Signup and view all the answers

Which of the following is an advantage of monoclonal antibodies over polyclonal antisera?

<p>Lower chance of cross-reactivity (D)</p> Signup and view all the answers

Which type of detection method is commonly used in research and diagnostic labs for detecting a wide range of antigens, but requires a longer and more complex procedure?

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

Which of the following fluorochromes is commonly used in immunofluorescence and flow cytometry and emits a green fluorescence?

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

When using immunoalkaline phosphatase techniques, which of the following reagents will show a magenta precipitate?

<p>New Fuchsin (D)</p> Signup and view all the answers

Which enzyme system is classified under enzyme immunohistochemistry?

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

Which of the following fixatives should be avoided when preparing a specimen for immunofluorescence?

<p>Formaldehyde-based fixatives (D)</p> Signup and view all the answers

What can you do to overcome the problem of cross-linking when using formaldehyde?

<p>Use antigen retrieval techniques (D)</p> Signup and view all the answers

Which non-formalin fixative poses an issue of causing autofluorescence?

<p>Glutaraldehyde (D)</p> Signup and view all the answers

How can the activity of endogenous peroxidase enzymes that cause non-specific staining be inhibited?

<p>Treating the tissue with hydrogen peroxide (D)</p> Signup and view all the answers

What role does IgG play in the body?

<p>Important for long-term immunity (B)</p> Signup and view all the answers

What does it mean if staining is observed in the negative control tissue?

<p>Indicates non-specific binding (A)</p> Signup and view all the answers

Which of the following statements describe a corrective action for weak or no staining?

<p>Optimize primary antibody concentration (D)</p> Signup and view all the answers

Why is it important for lab-prepared positive controls to be tested with the test samples?

<p>Helps maintain consistency and reproducibility (D)</p> Signup and view all the answers

Which of the following is a solution used for heat-induced epitope retrieval?

<p>Citrate buffer (pH 6.0) (B)</p> Signup and view all the answers

When using a microwave during HIER, what's an important consideration?

<p>Quick and efficient for unmasking epitopes (B)</p> Signup and view all the answers

Select the solution used for EIER that consists of a broad-sprectrum proteolytic enzyme

<p>Proteinase K Solution (D)</p> Signup and view all the answers

Which of the following chemicals are used with Orange G?

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

If your DAB reaction needs to be darker, which of the following chemicals is MOST effective?

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

Which of the following best describes the function of a chromogen in immunohistochemistry?

<p>To convert a colorless substrate into a colored end product for visualization. (B)</p> Signup and view all the answers

What is the key difference between polyclonal and monoclonal antibodies regarding epitope recognition?

<p>Polyclonal antibodies recognize multiple epitopes on an antigen, whereas monoclonal antibodies recognize a single, specific epitope. (B)</p> Signup and view all the answers

In enzyme immunohistochemistry, which component directly results in the formation of a visible reaction product?

<p>The enzyme substrate. (B)</p> Signup and view all the answers

Which of the following immunohistochemical techniques is LEAST likely to be affected by endogenous biotin?

<p>Polymeric Detection System. (C)</p> Signup and view all the answers

Compared to direct immunohistochemistry, what is the primary advantage of using an indirect method?

<p>Increased signal amplification and sensitivity. (C)</p> Signup and view all the answers

If a researcher needs to visualize multiple antigens simultaneously in a tissue section, which technique would be the MOST appropriate?

<p>Multiplex immunofluorescence. (C)</p> Signup and view all the answers

For immunofluorescence staining, why is it recommended to avoid prolonged fixation in formaldehyde?

<p>It can cause autofluorescence and mask epitopes. (C)</p> Signup and view all the answers

In immunohistochemistry, what is the PRIMARY purpose of using a blocking solution?

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

What is the role of heat in heat-induced epitope retrieval (HIER)?

<p>To break protein cross-links formed by fixation and expose epitopes. (C)</p> Signup and view all the answers

What is the MOST likely consequence of omitting the permeabilization step when preparing a specimen for immunofluorescence?

<p>Decreased antibody access to intracellular antigens. (B)</p> Signup and view all the answers

A tissue section exhibits strong staining at the edges but minimal staining in the center. What is the MOST probable cause of this issue?

<p>Edge artifact due to uneven reagent distribution or drying. (C)</p> Signup and view all the answers

Why are laboratory-prepared positive controls generally favored over commercially purchased ones for immunohistochemistry assays?

<p>Lab controls are less expensive and can be customized to match the specific assay conditions and reagents. (C)</p> Signup and view all the answers

What distinguishes alkaline phosphatase from horseradish peroxidase in enzyme immunohistochemistry?

<p>Alkaline phosphatase hydrolyzes substrates to produce a colored product, while horseradish peroxidase oxidizes substrates. (D)</p> Signup and view all the answers

Which of the following buffers is MOST commonly used for heat-induced epitope retrieval (HIER) at a high pH?

<p>Tris-EDTA buffer (pH 9.0). (D)</p> Signup and view all the answers

If a DAB-stained slide appears weak, which of the following chemicals can be used to intensify the reaction?

<p>Nickel chloride. (A)</p> Signup and view all the answers

Which of the following BEST describes the role of enzymes in biological reactions?

<p>They increase the rate of the reaction by lowering the activation energy. (D)</p> Signup and view all the answers

Which of the following processes BEST exemplifies oxidation in a biological system?

<p>The breakdown of glucose into carbon dioxide and water during cellular respiration. (C)</p> Signup and view all the answers

In the context of enzyme-substrate interactions, what is the MOST accurate definition of a substrate?

<p>A molecule upon which an enzyme acts to catalyze a chemical reaction. (C)</p> Signup and view all the answers

Why is pH a critical factor when demonstrating enzyme activity through histochemistry?

<p>Each enzyme operates optimally within a specific pH range. (B)</p> Signup and view all the answers

Which of the following BEST describes the function of hydrolases?

<p>Catalyzing the hydrolysis of chemical bonds with the addition of water. (D)</p> Signup and view all the answers

In enzyme histochemistry, what is meant by 'simultaneous coupling'?

<p>An enzymatic reaction is linked with a chromogenic reaction to produce a visible product. (B)</p> Signup and view all the answers

What is the primary role of esterases in biochemical reactions?

<p>To catalyze the hydrolysis of ester bonds into an acid and an alcohol. (B)</p> Signup and view all the answers

Which of the following BEST describes the function of phosphatases?

<p>They remove phosphate groups from molecules. (B)</p> Signup and view all the answers

What is the function of phosphorylases in biochemical pathways?

<p>They catalyze the addition of phosphate groups to molecules using inorganic phosphate. (A)</p> Signup and view all the answers

Which connective tissue layer directly surrounds individual muscle fibers?

<p>Endomysium (D)</p> Signup and view all the answers

What is the primary function of the epimysium in muscle tissue?

<p>To provide structural support and protection to the entire muscle. (C)</p> Signup and view all the answers

What is the primary role of the perimysium within muscle tissue?

<p>Separating and surrounding muscle fascicles, supporting blood vessels and nerves. (B)</p> Signup and view all the answers

Which of the following describes SKELETAL muscle fibers?

<p>Long, cylindrical fibers with multiple peripheral nuclei and visible striations. (A)</p> Signup and view all the answers

Which structural feature is characteristic of CARDIAC muscle tissue?

<p>Intercalated discs and branched fibers with a single central nucleus. (A)</p> Signup and view all the answers

Which feature distinguishes smooth muscle from skeletal and cardiac muscle?

<p>Involuntary contractions within the walls of hollow organs. (D)</p> Signup and view all the answers

What metabolic process primarily fuels type I muscle fibers?

<p>Aerobic metabolism (oxidative phosphorylation) (B)</p> Signup and view all the answers

Which characteristic is MOST indicative of type II muscle fibers?

<p>Reliance on anaerobic metabolism and proneness to fatigue. (B)</p> Signup and view all the answers

Which muscle fiber type is BEST suited for endurance activities?

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

What is a key characteristic that distinguishes enzymes from other catalysts?

<p>Enzymes are highly specific for their substrates. (A)</p> Signup and view all the answers

How do enzymes enhance the rate of biochemical reactions?

<p>By lowering the activation energy required for the reaction. (A)</p> Signup and view all the answers

Which of the following is a way in which enzyme activity can be regulated?

<p>By the binding of regulatory molecules at sites other than the active site. (C)</p> Signup and view all the answers

What is the effect of increasing temperature on enzyme activity, assuming other factors are constant?

<p>Enzyme activity increases with temperature up to a certain point, after which it decreases. (A)</p> Signup and view all the answers

How does increasing substrate concentration typically affect an enzyme-catalyzed reaction rate?

<p>The reaction rate increases with substrate concentration up to a saturation point. (B)</p> Signup and view all the answers

What is the role of cofactors and coenzymes in enzyme function?

<p>They are essential for the proper functioning of many enzymes. (C)</p> Signup and view all the answers

What is the MOST common artifact seen in unfixed frozen tissue sections?

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

Why is a cryoprotective solution used when storing tissue for enzyme studies?

<p>To preserve enzyme activity and prevent ice crystal formation. (A)</p> Signup and view all the answers

Why is snap-freezing in liquid nitrogen the preferred method for freezing muscle tissue for enzyme studies?

<p>It prevents the formation of ice crystals, thereby preserving enzyme activity and tissue morphology. (D)</p> Signup and view all the answers

What type of reaction underlies the α-Naphthyl Acetate Esterase technique?

<p>Hydrolysis (D)</p> Signup and view all the answers

What is the role of diazonium salt in the α-Naphthyl Acetate Esterase reaction?

<p>It reacts with α-naphthol to form a colored azo dye, indicating esterase activity. (D)</p> Signup and view all the answers

What is the basis for visualizing ATPase activity in histochemical techniques?

<p>The reaction of inorganic phosphate with calcium or lead ions to form a visible precipitate. (D)</p> Signup and view all the answers

Which of the following statements BEST describes the purpose of using a diazonium salt in the naphthol AS-D chloroacetate esterase stain?

<p>It reacts with the hydrolyzed substrate to form a colored dye. (D)</p> Signup and view all the answers

In acid phosphatase reactions, what is the role of the substrate, such as fast red TR?

<p>It reacts with inorganic phosphate to form a colored product. (A)</p> Signup and view all the answers

What type of product is generated as an indicator of enzyme activity for both NADH diaphorase and SDH (Succinate Dehydrogenase)?

<p>A colored formazan precipitate (A)</p> Signup and view all the answers

How does the naphthol AS-D chloroacetate esterase stain differ from MOST other enzyme histochemical techniques?

<p>It involves a coupling reaction with a diazonium salt to form a colored azo dye. (B)</p> Signup and view all the answers

Following an ATPase stain, a tissue section shows dark blue deposits at the sites of enzyme activity. What does this indicate?

<p>Hydrolysis of adenosine triphosphate (ATP) in those specific regions. (B)</p> Signup and view all the answers

The pH of the NADH diaphorase reaction is critical. What problem can arise if the pH deviates significantly from the optimum range?

<p>The enzyme's activity is compromised, resulting in weak or inconsistent staining. (C)</p> Signup and view all the answers

A muscle biopsy shows a NEGATIVE phosphorylase reaction. What condition does this finding suggest?

<p>McArdle Disease (Glycogen Storage Disease Type V) (A)</p> Signup and view all the answers

Which of the following histochemical reactions involves the HYDROLYSIS of ester bonds to release a naphthol?

<p>α-Naphthyl acetate esterase reaction (B)</p> Signup and view all the answers

What type of histochemical reaction demonstrates alkaline phosphatase activity?

<p>Hydrolysis of phosphate esters. (C)</p> Signup and view all the answers

Which ultrastructural criterion indicates good fixation in electron microscopy?

<p>Homogeneous cytoplasmic matrix without vacuolization or clumping (C)</p> Signup and view all the answers

What is a key advantage of using primary osmium fixation in electron microscopy?

<p>Excellent preservation of cellular and organelle membranes (D)</p> Signup and view all the answers

A laboratory is considering osmium tetroxide for electron microscopy sample preparation. What is a significant disadvantage they should consider?

<p>High cost compared to alternative fixatives (A)</p> Signup and view all the answers

What is a notable advantage of using aldehyde fixatives, like formaldehyde and glutaraldehyde, in primary fixation?

<p>Good penetration, allowing effective fixation of thicker samples (D)</p> Signup and view all the answers

What is a potential disadvantage of using aldehyde fixatives in immunohistochemistry?

<p>Masking of antigenic sites due to extensive protein cross-linking (C)</p> Signup and view all the answers

What is a key advantage of using primary buffered picric acid-formaldehyde (PAF) fixative?

<p>Excellent preservation of tissue morphology and cellular detail (B)</p> Signup and view all the answers

A laboratory is considering using PAF as a fixative. What is a primary safety concern they must address?

<p>The potential explosiveness of picric acid when dry (A)</p> Signup and view all the answers

What defines a dual-purpose fixative regarding tissue preservation?

<p>Effective in preserving both morphological and molecular (antigenic) integrity (C)</p> Signup and view all the answers

Why is it necessary to heat and alkalinize paraformaldehyde when preparing fixative solutions?

<p>To enhance the depolymerization of paraformaldehyde into formaldehyde monomers (B)</p> Signup and view all the answers

What is the recommended maximum duration for tissues to remain in osmium tetroxide to avoid harm?

<p>Tissues should not remain for more than 1-2 hours (D)</p> Signup and view all the answers

How long can tissues generally remain in formaldehyde without significant harm?

<p>Several days to weeks (D)</p> Signup and view all the answers

Which of the following accurately compares epoxy resin embedding with paraffin embedding for tissue processing?

<p>Epoxy resin embedding is utilized for electron microscopy to study ultrastructural details (D)</p> Signup and view all the answers

What is the primary function of a transitional solvent in tissue processing?

<p>To facilitate the transition from the dehydration medium to the embedding medium (A)</p> Signup and view all the answers

What influence does the pH of a fixative solution have on fixation quality for electron microscopy?

<p>Most fixatives work best at a neutral to slightly alkaline pH (7.2-7.4) (C)</p> Signup and view all the answers

What is the role of Dodecenyl succinic anhydride (DDSA) in Epon and Araldite embedding media?

<p>Acts as a plasticizer and hardener (C)</p> Signup and view all the answers

Which measure is important for facilitating easier sectioning of resin-embedded tissue?

<p>Ensure that the resin is fully polymerized before sectioning (A)</p> Signup and view all the answers

What type of knife is preferred for cutting ultra-thin sections for electron microscopy?

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

What is the main purpose of cutting 0.5-µm sections of resin-embedded tissue?

<p>To examine the overall morphology and select areas of interest before cutting ultra-thin sections for electron microscopy (D)</p> Signup and view all the answers

If sections appear wrinkled during sectioning of resin-embedded tissue, what is the MOST appropriate corrective action?

<p>Ensure the knife is sharp and properly angled (B)</p> Signup and view all the answers

How does section thickness affect the color intensity of stained tissue sections?

<p>Thicker sections tend to absorb more stain, resulting in darker and more intense colors (B)</p> Signup and view all the answers

What is the preferred thickness for thin sections intended for electron microscopy?

<p>50-100 nm (A)</p> Signup and view all the answers

What is the purpose of using Toluidine blue to stain 0.5-µm plastic sections?

<p>To provide general staining of cellular components, highlighting cell structures and morphology. (D)</p> Signup and view all the answers

Which heavy metal is commonly used for staining thin sections to enhance visibility of cellular structures under electron microscopy?

<p>Lead citrate (D)</p> Signup and view all the answers

Why is it important to exclude air and breath from lead citrate staining solution?

<p>To prevent carbonate formation and maintain staining quality (C)</p> Signup and view all the answers

What term describes areas within a sample that allow electrons to pass through more easily, appearing lighter in electron micrographs?

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

Why should glass bottles be avoided when storing or using lead citrate solution?

<p>Leaching of ions can contaminate the solution (B)</p> Signup and view all the answers

Which cellular organelle contains cristae and produces energy?

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

Which of the following is NOT a step to make sectioning of resin-embedded tissue easier?

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

Which of the following is NOT a corrective action for compression?

<p>Adding ethanol to the sample (B)</p> Signup and view all the answers

If a tissue section shows poor differentiation between muscle and collagen. Which reagent is MOST likely to be adjusted to correct this?

<p>Masson trichrome stain (B)</p> Signup and view all the answers

What technique is MOST similar to the Bielschowsky stain in terms of the tissue components it highlights?

<p>Holmes silver nitrate stain (D)</p> Signup and view all the answers

Which ultrastructural criterion is MOST indicative of well-fixed tissue?

<p>Clearly defined and continuous cellular membranes. (C)</p> Signup and view all the answers

In electron microscopy, uniform staining quality indicates good fixation. What does non-uniform staining MOST likely suggest?

<p>Inadequate or uneven penetration of the fixative. (B)</p> Signup and view all the answers

Why is osmium tetroxide particularly effective in preserving cellular membranes for electron microscopy?

<p>It stabilizes lipid bilayers, enhancing membrane contrast and integrity. (B)</p> Signup and view all the answers

Which of the following is a MAJOR limitation of using osmium tetroxide as a primary fixative?

<p>Its limited penetration makes it unsuitable for thick samples. (B)</p> Signup and view all the answers

Why are aldehyde fixatives, such as formaldehyde and glutaraldehyde, widely used in histology?

<p>They offer good tissue penetration and preserve fine cellular structure. (C)</p> Signup and view all the answers

Which of the following is a CONSIDERABLE drawback of using aldehyde fixatives in immunohistochemistry?

<p>They can mask antigenic sites, reducing antibody binding. (A)</p> Signup and view all the answers

What PRIMARY advantage does Buffered Picric Acid-Formaldehyde (PAF) fixative offer over formaldehyde alone?

<p>Improved tissue penetration. (D)</p> Signup and view all the answers

Why is careful handling and storage EXTREMELY important when using picric acid-containing fixatives?

<p>To mitigate its potential explosiveness when dry. (B)</p> Signup and view all the answers

Which BEST describes a dual-purpose fixative in the context of tissue preservation?

<p>It maintains both morphological and molecular integrity of tissues. (C)</p> Signup and view all the answers

Why is paraformaldehyde solution typically heated and alkalinized during preparation?

<p>To depolymerize it into active formaldehyde monomers. (A)</p> Signup and view all the answers

What is the MOST likely consequence of leaving tissue in osmium tetroxide for an extended period?

<p>Overfixation and excessive blackening. (D)</p> Signup and view all the answers

What is the PRIMARY concern when tissues remain in formaldehyde for excessively long durations?

<p>Excessive cross-linking of proteins (B)</p> Signup and view all the answers

What distinguishes epoxy resin embedding from paraffin embedding in tissue processing?

<p>Epoxy resin embedding is used primarily for electron microscopy. (D)</p> Signup and view all the answers

What BEST describes the role of a transitional solvent in tissue processing?

<p>It facilitates the transition from dehydration to embedding medium. (D)</p> Signup and view all the answers

How does the temperature at which fixation is performed influence the preservation of fine structures in electron microscopy?

<p>Lower temperatures (4°C) slow down fixation, preserving fine structures. (B)</p> Signup and view all the answers

What is the function of DMP-30 in Epon, Araldite, and Spurr embedding media?

<p>It serves as an accelerator to speed up polymerization. (D)</p> Signup and view all the answers

What is the MOST effective way to minimize tearing during sectioning of resin-embedded tissue?

<p>Keep the resin block and knife cool. (B)</p> Signup and view all the answers

What is the typical purpose of cutting 0.5-µm sections from resin-embedded tissue?

<p>To examine the overall morphology and orientation of the tissue by light microscopy. (B)</p> Signup and view all the answers

What is the MOST appropriate corrective action if chatter marks are observed on sections?

<p>Stabilize the microtome to reduce vibration. (B)</p> Signup and view all the answers

Which of the following best describes the purpose of diagnostic cytology?

<p>To evaluate cells from various body sites to determine the nature of a disease. (A)</p> Signup and view all the answers

What is the primary advantage of liquid-based cytology over traditional smear methods?

<p>It improves sample quality and reduces artifacts. (A)</p> Signup and view all the answers

Which of the following scenarios exemplifies cross contamination in a cytology lab?

<p>Transferring cells from one patient's sample to another, leading to inaccurate results. (D)</p> Signup and view all the answers

Why is a cell block preparation particularly useful in diagnostic cytology?

<p>It enables the application of histochemical and immunohistochemical stains for additional diagnostic information. (D)</p> Signup and view all the answers

Which of the following is an example of a gynecologic specimen?

<p>Cervical scraping (D)</p> Signup and view all the answers

For what purpose are nongynecologic specimens used in cytological examination?

<p>For diagnosing a variety of conditions, including infections, cancer, and inflammatory diseases in various organs and tissues. (D)</p> Signup and view all the answers

What is the primary purpose of using a pre-fixative in cytology?

<p>To stabilize cells and tissues before the application of the primary fixative, preventing cell degradation and preserving morphology. (B)</p> Signup and view all the answers

How do alcohol-based pre-fixatives contribute to the quality of cytological preparations?

<p>They rapidly fix and dehydrate cells, preventing autolysis and preserving cellular details. (C)</p> Signup and view all the answers

What is the MOST significant effect of pre-fixatives on cellular morphology?

<p>They prevent enzymatic degradation (autolysis) and bacterial overgrowth, preserving cell structure. (D)</p> Signup and view all the answers

Which fixative is LEAST suitable for preserving antigenicity for immunohistochemical staining in cell blocks?

<p>Carnoy's Fixative (C)</p> Signup and view all the answers

For which type of sample is the direct smear method MOST appropriate?

<p>Blood smears for routine hematology (C)</p> Signup and view all the answers

What is the key advantage of using the cytocentrifuge method for sparsely cellular specimens?

<p>It concentrates cells from a fluid sample onto a microscope slide, increasing cell number for examination. (B)</p> Signup and view all the answers

In the ThinPrep method, how is a thin, uniform layer of cells achieved on the microscope slide?

<p>By using a specialized machine that filters and transfers cells onto the slide. (C)</p> Signup and view all the answers

What is the MOST effective method for handling a sparsely cellular specimen to ensure sufficient cells are available for examination?

<p>Using a cytocentrifuge to concentrate cells onto a slide. (C)</p> Signup and view all the answers

Why might acetic acid be used in the preparation of a cytology smear?

<p>To selectively lyse red blood cells while preserving other cells. (D)</p> Signup and view all the answers

What is the purpose of coating slides with poly-L-lysine or silane?

<p>To increase cellular adherence to the slides. (A)</p> Signup and view all the answers

Which of the following agents is BEST suited to remove excess mucus from a cytology sample?

<p>Dithiothreitol (DTT) (D)</p> Signup and view all the answers

What is the MOST likely consequence of failing to remove Carbowax fixatives from slides before staining?

<p>Incomplete or uneven staining of cells and nonspecific background staining. (D)</p> Signup and view all the answers

What principle underlies the direct sedimentation method for making cell blocks?

<p>Allowing cells to settle naturally in a conical tube, then processing the cell pellet. (D)</p> Signup and view all the answers

Which cell block method is particularly advantageous for small cell samples due to its good structural integrity?

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

Why is the Plasma-Thrombin method well-suited for cytology samples with low cellularity?

<p>Because it produces a firm and cohesive cell block, effectively capturing sparse cells. (B)</p> Signup and view all the answers

A cytologist observes that a cell block is too fragile and falls apart during sectioning. Which cell block method would MOST likely prevent this issue in the future?

<p>Plasma-Thrombin Method (C)</p> Signup and view all the answers

What is the PRIMARY purpose of the Papanicolaou (Pap) stain?

<p>To screen for cervical cancer and its precursors. (B)</p> Signup and view all the answers

Which of the following dyes stains cell nuclei blue in the Papanicolaou stain?

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

What cellular component is specifically targeted by Orange G in the Papanicolaou staining technique?

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

What is the function of the EA component (Eosin Azure) in the Papanicolaou stain?

<p>To stain cytoplasmic components pink and green, depending on the cell's metabolic activity. (B)</p> Signup and view all the answers

What corrective action should be taken if a Pap-stained slide exhibits poor cell preservation and staining quality?

<p>Ensure proper fixation using 95% ethanol or a commercial fixative before staining. (D)</p> Signup and view all the answers

A batch of Pap stains consistently shows overly intense nuclear staining. What is the MOST likely corrective action?

<p>Decrease the staining time or concentration of hematoxylin. (A)</p> Signup and view all the answers

In a cytology lab, what is the MOST effective approach for preventing cross-contamination between specimens?

<p>Using aseptic techniques, dedicated reagents, and proper cleaning protocols. (C)</p> Signup and view all the answers

What is the significance of using dedicated reagents for each specimen in a cytology laboratory?

<p>It minimizes the risk of cross-contamination. (D)</p> Signup and view all the answers

A cytology technician notices cells from a previous sample on a staining rack. What immediate action should be taken to prevent cross-contamination?

<p>Thoroughly clean and disinfect the equipment before proceeding. (A)</p> Signup and view all the answers

What is the PRIMARY reason for clearly labeling and physically separating cytology specimens?

<p>To prevent mix-ups and contamination. (B)</p> Signup and view all the answers

Why is it important to provide proper training and standardized protocols to personnel in a cytology lab?

<p>To minimize the risk of cross-contamination and ensure consistent, accurate results. (C)</p> Signup and view all the answers

Flashcards

Periodic Acid-Schiff (PAS)

Stains glycogen, mucopolysaccharides, and basement membranes magenta; nuclei stain blue.

PAS with Diastase

Shows glycogen after digestion with diastase. Other carbohydrates stain magenta, nuclei stain blue.

Best Carmine

Stains glycogen and mucins red.

Mayer Mucicarmine

Stains mucins red; nuclei stain blue.

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Alcian Blue, pH 2.5

Stains acidic mucopolysaccharides (sulfated and carboxylated) blue.

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Alcian Blue, pH 1.0

Stains sulfated mucopolysaccharides blue.

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Müller-Mowry Colloidal Iron

Stains acidic mucopolysaccharides blue.

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Alcian Blue-PAS

Differentiates between neutral (magenta) and acidic (blue) mucopolysaccharides.

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Congo Red

Highlights amyloid deposits, showing apple-green birefringence under polarized light.

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Crystal Violet

Stains bacterial cell walls (Gram-positive bacteria stain purple).

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Thioflavin T

Fluorescent dye used to stain amyloid fibrils which fluoresce under UV light (bright green or yellow-green).

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Carbohydrate

Organic compound of carbon, hydrogen, and oxygen (1:2:1 ratio); a primary energy source.

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Polysaccharide

Complex carbohydrate that includes starch, glycogen and cellulose

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Acid mucopolysaccharides

Long, unbranched polysaccharides containing a repeating disaccharide unit, found in connective tissues.

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Birefringence

Material property causing light to split into two rays, seen as double refraction under polarized light.

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Metachromasia

phenomenon where a stain changes color when it binds to certain tissue components, indicating the presence of specific molecules or structures.

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Polychromasia

The presence of cells that stain with multiple colors, typically seen in immature red blood cells.

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Epithelial Mucins

Found in organ linings, protect and lubricate epithelial surfaces.

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Connective Tissue Mucins

Found in connective tissue matrix; provide structural support and maintain tissue hydration

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Collagen fibers

Strong, flexible fibers providing strength and structure.

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Elastic fibers

Fibers that stretch and recoil, providing elasticity.

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Reticular fibers

Thin, branching fibers forming a supportive network.

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Skeletal muscle fibers

Long, cylindrical, multi-nucleated fibers for voluntary movement.

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Cardiac muscle fibers

Striated, branched fibers with a single nucleus for involuntary heart contractions.

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Smooth muscle fibers

Spindle-shaped fibers with one nucleus for involuntary contractions in organ walls.

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Fibroblasts

Cells that produce and maintain the extracellular matrix.

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Macrophages

Immune cells that engulf and digest cellular debris and pathogens.

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Mast cells

Cells involved in allergic reactions and inflammation.

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Adipocytes

Cells that store energy in the form of lipids.

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Chondrocytes

Cells that produce and maintain the cartilage matrix.

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Masson trichrome

Stains collagen fibers blue or green.

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Gomori 1-step trichrome

Stains collagen fibers green.

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Van Gieson

Stains collagen fibers red.

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Verhoeff

Stains elastic fibers black.

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Gomori aldehyde fuchsin

Stains elastic fibers purple.

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Orcein

Stains elastic fibers brown.

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Gomori silver impregnation

Stains reticular fibers black.

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Gordon and Sweets silver impregnation

Stains reticular fibers black.

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Methenamine-silver

Stains reticular fibers and membranes black.

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Mallory PTAH

Stains muscle fibers blue or red.

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Oil red O

Stains lipids red.

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Sudan black B

Stains lipids black.

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Osmium tetroxide

Stains lipids black.

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Toluidine blue

Stains nucleic acids and mast cell granules blue.

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Methyl green-pyronin

Stains DNA green and RNA red.

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Masson trichrome use

Differentiates collagen (blue), muscle (red), and nuclei (black).

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Gomori 1-step trichrome use

Simplifies staining of connective tissue, particularly collagen.

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Van Gieson use

Differentiates collagen (red) from other tissue components via a yellow stain.

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Verhoeff use

Specifically stains elastic fibers black.

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Gomori aldehyde fuchsin use

Stains elastic fibers, mucopolysaccharides, and pancreatic beta cells purple.

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Orcein use

Stains elastic fibers brown.

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Methenamine-silver use

Stains basement membranes, fungi, and bacteria black.

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Mallory PTAH use

Stains muscle striations and collagen blue.

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Oil red O use

Stains lipids red for easy identification.

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Sudan black B use

Stains lipids and lipoproteins intensely black.

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Methyl green-pyronin use

Differentiates between DNA (green) and RNA (red) in cells.

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Oil Red O technique

Tissue must be frozen due to dissolving of lipids in paraffin.

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Osmium Tetroxide technique

Both a fixative and stain for lipids, also used in EM.

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Sudan Black B technique

Tissue must be frozen to prevent lipid dissolution during embedding.

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Mast cell feature

Metachromatic granules stain differently using dyes like toluidine blue.

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Pyronin target

Cytoplasmic substance specifically stained by pyronin.

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Impregnation

Infiltration of tissues with a metal that deposits within components.

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Neuron

A specialized cell that transmits nerve impulses; the fundamental unit of the nervous system.

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Glia and Glial Fibers

Supportive cells in the central nervous system. They do not conduct electrical impulses but support neurons.

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Nissl Substance

Large granular body in neurons, made of rough endoplasmic reticulum and ribosomes, crucial for protein synthesis.

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Myelin

An insulating layer around nerves made of protein and fatty substances, increasing the speed of impulse transmission.

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Axon (Axis Cylinder)

The long, threadlike part of a nerve cell that conducts impulses away from the cell body.

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Cresyl Echt Violet

A staining technique that uses cresyl echt violet to stain Nissl substance in neurons.

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Bodian Stain

A staining technique that uses silver to stain nerve fibers and neurofibrils, making them appear black.

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Holmes Silver Nitrate

A staining technique employing silver nitrate to stain nerve fibers, highlighting their structure.

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Bielschowsky Stain

A method using silver to stain nerve fibers and neurofibrils, commonly used to visualize these structures.

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Sevier-Munger Stain

A silver-based staining technique used to visualize nerve fibers and neurofibrils in tissue samples.

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Phosphotungstic Acid-Hematoxylin (PTAH)

A stain that identifies muscle striations, fibrin, and glial fibers, coloring them blue, while collagen appears red-brown.

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Holzer Stain

A technique that uses crystal violet to stain glial fibers, making them visible under a microscope.

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Cajal Stain

A staining method that uses gold sublimate to stain astrocytes, making them appear black against a lighter background.

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Weil Stain

A method using hematoxylin to stain myelin sheaths, which appear blue-black, aiding in identifying myelinated nerve fibers.

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Luxol Fast Blue

A staining technique using Luxol fast blue to color myelin blue and cresyl echt violet for Nissl substance, which appears violet.

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Bacteria

Single-celled microorganisms that can exist as free-living organisms or as parasites.

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Cocci

Spherical-shaped bacteria.

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Bacilli

Rod-shaped bacteria.

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Spirochetes

Spiral-shaped bacteria.

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Mycobacteria

Bacteria that includes pathogens which cause serious diseases like tuberculosis.

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Fungi

Eukaryotic organisms including yeasts, molds, and mushrooms.

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Yeasts

Single-celled fungi that can ferment carbohydrates.

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Protozoans

Single-celled eukaryotes that can be free-living or parasitic.

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Hyphae

Long, branching filamentous structures of a fungus.

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Acid-Fast Techniques

Technique used to identify mycobacteria, staining acid-fast bacilli red.

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Auramine-Rhodamine

Fluorescent stain used to detect mycobacteria.

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Gram Stain Modifications

Differential stain that distinguishes between Gram-positive and Gram-negative bacteria.

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Giemsa

Stain used to visualize protozoans and bacteria like Plasmodium and Helicobacter pylori.

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Alcian Yellow-Toluidine Blue

Stain used to identify Helicobacter pylori, staining it yellow against a blue background.

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Chromic Acid-Schiff (CAS)

Stain used to identify fungi, staining fungal elements magenta.

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Gridley Fungus Stain

Stain used to visualize fungi, staining fungal elements deep purple to black.

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Grocott Modification of Gomori Methenamine-Silver

Stain used to detect fungi, staining fungal cell walls black.

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Warthin-Starry

Stain used to visualize spirochetes, making them appear black against a pale background.

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Dieterle

Stain used for spirochetes and Legionella, turning them black.

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Steiner and Steiner

Stain used to visualize various bacteria including spirochetes and Helicobacter pylori.

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10% Neutral Buffered Formalin

Preferred fixative for acid-fast staining.

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Acid-alcohol in Acid-Fast Staining

The acid-alcohol removes the primary stain from non-acid-fast cells

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Methylene Blue or Malachite Green

Used to stain the background in acid-fast staining.

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Acid-Fast Control Material

Tissue known to contain Mycobacterium tuberculosis.

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Error in Acid-Fast Staining

Over-decolorization leading to false negatives.

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Mode of Action in Acid-Fast

Mycolic acid retains carbol fuchsin.

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Chemically Clean Glassware

Required to avoid contamination in Acid-Fast techniques.

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Light Microscope with Oil Immersion

Used for visualizing acid-fast stained samples.

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Rhodamine B

Enhances fluorescence in auramine-rhodamine staining.

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Methanol or Heat Fixation

Fixes sample preventing wash off

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Iodine (Mordant)

Forms complex with crystal violet for Gram stain

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Endogenous Pigment

Pigments that originate from within the body. Examples: melanin and lipofuscin.

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Exogenous Pigment

Pigments that originate from outside the body. Examples: carbon and tattoo ink.

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Hematogenous Pigment

Pigments derived from blood. Examples: hemoglobin and bilirubin.

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Anthracotic Pigment

Exogenous pigment from inhaled carbon particles, typically in the lungs.

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Endogenous, Nonhematogenous Pigment

Endogenous pigments not derived from blood. Examples: melanin and lipofuscin.

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Mineral

Inorganic substances essential for bodily functions. Examples: calcium and iron.

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Argentaffin Reaction

Cells reduce silver salts to metallic silver without external reducing agent.

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Argyrophil Reaction

Cells bind silver ions but need an external reducing agent to precipitate metallic silver.

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Argentaffin & Argyrophil Similarities

Both use silver staining to visualize specific cells or tissues for histology.

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Argentaffin & Argyrophil Differences

Argentaffin cells reduce silver ions themselves; argyrophil cells require an external reducing agent.

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Prussian Blue

Demonstrates ferric iron (Fe³⁺).

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Turnbull Blue

Demonstrates ferrous iron (Fe²⁺).

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Schmorl Ferric-Ferricyanide Reduction Test

Demonstrates reducing substances like melanin, lipofuscin, and argentaffin cells.

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Fontana-Masson

Demonstrates melanin and argentaffin granules.

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Grimelius

Demonstrates argyrophil granules.

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Churukian-Schenk

Demonstrates argyrophil granules.

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Gomori Methenamine-Silver

Demonstrates basement membranes and fungi.

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Hall (Fouchet)

Demonstrates bilirubin.

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von Kossa

Demonstrates calcium.

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Alizarin Red S

Demonstrates calcium.

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Rhodanine

Demonstrates copper.

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Prussian Blue/Turnbull Blue Fixative

Alcohol-based fixatives or neutral buffered formalin.

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Prussian Blue Reagents

Potassium ferrocyanide and hydrochloric acid: react with ferric iron to form a blue compound.

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Prussian Blue Result

Ferric iron deposits appear as blue or blue-green granules.

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Prussian Blue Control

Tissue known to contain ferric iron deposits.

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Turnbull Blue Reagents

Potassium ferricyanide and hydrochloric acid: react with ferrous iron to form a blue compound.

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Turnbull Blue Result

Ferrous iron deposits appear as blue or blue-green granules.

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Turnbull Blue Control

Tissue known to contain ferrous iron deposits.

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Schmorl Fixative

10% neutral buffered formalin.

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Schmorl Reagents

Ferric chloride and potassium ferricyanide; react with reducing substances to form blue/green.

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Schmorl Result

Positive staining results in a blue or green color.

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Schmorl Control

Tissue known to contain melanin or argentaffin cells.

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Fontana-Masson Reagent

Silver nitrate; binds to melanin/argentaffin granules, then reduced to metallic silver.

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Fontana-Masson Result

Positive staining results in black deposits.

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Fontana-Masson Control

Tissue known to contain melanin or argentaffin granules.

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Grimelius Reagent

Silver nitrate; binds to argyrophil granules, then reduced to metallic silver.

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Grimelius Result

Positive staining results in black/dark brown granules.

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Grimelius Control

Tissue known to contain argyrophil granules.

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Churukian-Schenk Reagent

Silver nitrate; binds to argyrophil granules, then reduced to metallic silver.

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Churukian-Schenk Result

Positive staining results in black or dark brown granules.

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Churukian-Schenk Control

Tissue known to contain argyrophil granules.

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GMS Reagents

Methenamine-silver nitrate solution, chromic acid, sodium bisulfite, gold chloride, and sodium thiosulfate.

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GMS Result

Basement membranes and fungi appear black.

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Hall's Stain Control Tissue

Liver tissue known to contain bilirubin.

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von Kossa Reagents

Silver nitrate solution, sodium thiosulfate, nuclear fast red.

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von Kossa Result

Calcium deposits will be black; background red.

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von Kossa Control Tissue

Tissue known to contain calcium deposits.

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Melanin Locations

Skin, hair, and eyes.

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Anthracotic Pigment Test

Anthracotic pigment is insoluble in acids and alkalis and doesn't bleach.

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Formalin Pigment Test

Formalin pigment can be removed with alcoholic picric acid.

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Melanin Pigment Test

Melanin pigment can be bleached with hydrogen peroxide or potassium permanganate.

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Antigen

A substance recognized by the immune system, provoking an immune response.

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Antibody

Protein made by B-cells to bind and neutralize antigens.

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Substrate

A substance acted upon by an enzyme.

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Chromogen

Substance converted to a dye or colored compound.

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Fluorochrome

Fluorescent dye emitting light when excited by specific wavelengths.

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Epitope

Specific part of an antigen bound by an antibody.

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Secondary Antibody

Antibody binding to a primary antibody, enhancing detection.

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Multilink Secondary Antiserum

Reagent with secondary antibodies recognizing multiple primary antibodies.

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Polyclonal Antisera

Antibodies from different B-cell clones, binding multiple epitopes.

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Monoclonal Antibodies

Identical antibodies from a single B-cell clone, binding one epitope.

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Direct Immunohistochemical Technique

Labeled primary antibody binds directly to the antigen in the tissue.

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Indirect Immunohistochemical Technique

Unlabeled primary, then labeled secondary antibody binds the primary.

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Peroxidase-Antiperoxidase (PAP)

Primary antibody, secondary antibody, then peroxidase-antiperoxidase complex.

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Avidin-Biotin Complex (ABC)

Biotinylated secondary antibodies, then avidin/streptavidin-enzyme conjugate.

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Polymeric Detection System

Polymeric conjugates link multiple enzymes to secondary antibodies.

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Fluorescein Isothiocyanate (FITC)

Green fluorescent dye, commonly used in immunofluorescence.

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3,3'-Diaminobenzidine (DAB)

Chromogen producing brown precipitate when oxidized by peroxidase.

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4-Chloro-1-naphthol (4-CN)

Chromogen producing blue precipitate when oxidized by peroxidase.

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Fast Red

Chromogen producing a red precipitate, hydrolyzed by alkaline phosphatase

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New Fuchsin

Chromogen producing magenta precipitate, hydrolyzed by alkaline phosphatase

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Peroxidase Enzyme System

Enzyme system with HRP, DAB/4-CN as substrates, brown/blue chromogen.

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Alkaline Phosphatase Enzyme System

Enzyme system with AP, naphthol AS-BI phosphate, red/magenta chromogen.

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Specimen Prep for Immunofluorescence

Fix with paraformaldehyde; embed in OCT; permeabilize with Triton X-100.

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Problems with Formaldehyde Fixation

Masked epitopes, autofluorescence, over-fixation, and non-specific binding.

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Glutaraldehyde Special Issues

Causes autofluorescence.

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Alcohol-based Fixatives Special Issues

May cause tissue shrinkage/hardening.

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Bouin's Solution Special Issues

May mask epitopes.

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Zinc-based Fixatives Special Issues

Zinc precipitates may form.

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Protein Blocking

Non-specific binding prevention to tissue proteins.

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Endogenous Peroxidase Blocking

Inhibit endogenous peroxidase for non-specific staining prevention.

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5 Heavy Chains of Immunoglobulins

IgG, IgM, IgA, IgE, IgD.

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2 Light Chains of Immunoglobulins

Kappa and Lambda.

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Negative Tissue Controls Purpose

Ensure staining is specific and exclude non-specific binding/background.

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Negative Reagent Controls Purpose

To rule out non-specific binding of primary/secondary antibodies.

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Corrective Action for Non-specific Binding

Use blocking reagents, optimize primary antibody.

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Corrective Action for Weak/No Staining

Optimize primary antibody, antigen retrieval.

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Corrective Action for High Background Staining

Optimize blocking, washing procedures.

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Corrective Action for Over-staining

Adjust antibody concentration, incubation times.

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Corrective Action for Autofluorescence

Use quenching agents or fixatives that produce less autofluorescence.

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Corrective Action for Edge Artifact

Ensure even reagent distribution, prevent drying.

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Corrective Action for Inconsistent Staining

Ensure consistent reagent application, incubation conditions.

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Advantages of Preparing Positive Controls

Specificity, consistency, cost-effective, availability, customization.

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Epitope Retrieval Methods

Heating tissue in buffer or using proteolytic enzymes.

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Solutions Used for HIER

Citrate buffer, Tris-EDTA buffer, EDTA buffer.

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Ways of Heating in HIER

Microwave, pressure cooker, water bath.

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Solutions Used for EIER

Trypsin, pepsin, or proteinase K.

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Alcohol-Soluble Chromogens

Azo dyes, Sudan dyes.

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Non-Alcohol-Soluble Chromogens

DAB, 4-CN.

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Chemicals Intensifying DAB Reaction

Imidazole, nickel chloride, cobalt chloride, copper sulfate.

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Enzymes

Biological catalysts that speed up chemical reactions in living organisms.

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Oxidation

A chemical reaction involving the loss of electrons.

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Reduction

A chemical reaction involving the gain of electrons.

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Hydrolase

Enzymes that catalyze the hydrolysis of chemical bonds.

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Simultaneous Coupling

Process where two chemical reactions are linked by a shared intermediate.

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Esterase

Enzymes that catalyze the hydrolysis of ester bonds.

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Phosphatase

Enzymes that catalyze the removal of a phosphate group.

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Phosphorylase

Enzymes that catalyze the addition of a phosphate group using inorganic phosphate.

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Epimysium

Connective tissue sheath that surrounds an entire muscle.

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Perimysium

Connective tissue sheath surrounding muscle fascicles.

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Endomysium

Connective tissue layer surrounding individual muscle fibers.

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Skeletal Muscle

Long, cylindrical fibers with multiple peripheral nuclei and striations.

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Cardiac Muscle

Short, branched fibers with a single central nucleus and intercalated discs.

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Smooth Muscle

Spindle-shaped fibers with a single central nucleus and no visible striations.

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Type I Muscle Fibers

Muscle fibers with high myoglobin, abundant mitochondria, and aerobic metabolism.

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Type II Muscle Fibers

Muscle fibers with lower myoglobin, fewer mitochondria, and anaerobic metabolism.

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Type IIa Muscle Fibers

Intermediate between type I and type IIb fibers; uses both aerobic and anaerobic metabolism.

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Type IIb Muscle Fibers

Primarily rely on anaerobic metabolism; highest force production and fastest contraction speed.

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Enzyme Specificity

Enzymes catalyzing reactions for specific molecules.

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Catalytic Efficiency

Enzymes greatly increasing the rate of biochemical reactions.

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Enzyme Regulation

Enzyme activity, regulated by factors like inhibitors, activators, pH, and temperature.

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pH Influence on Enzymes

Highly dependent on pH; each enzyme has an optimal pH.

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Temperature Influence on Enzymes

Increases enzyme activity up to a point, then denatures the enzyme.

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Substrate Concentration Influence

Reaction rate increases until saturation, where all active sites are occupied.

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Cofactors and Coenzymes

Required for proper enzyme function.

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Inhibitors and Activators

Modulate enzyme activity.

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Freezing Artifact

Ice crystal formation damages cellular structures.

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Cryoprotective Solution

Solution preserving enzyme activity, preventing ice crystal formation.

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Snap-Freezing

Rapidly freezing tissue in liquid nitrogen to prevent ice crystals.

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α-Naphthyl Acetate Esterase Reaction

Hydrolyzes α-naphthyl acetate to α-naphthol and acetic acid.

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Naphthol AS-D Chloroacetate Esterase Reaction

Hydrolyzes naphthol AS-D chloroacetate to release naphthol AS-D and hydrochloric acid.

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ATPase Reaction

Hydrolyzes adenosine triphosphate (ATP) releases ADP and inorganic phosphate.

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Acid Phosphatase Reaction

Hydrolyzes phosphate esters at an acidic pH.

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Alkaline Phosphatase Reaction

Hydrolyzes phosphate esters at an alkaline pH.

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NADH Diaphorase Reaction

Reduces nitroblue tetrazolium (NBT) to formazan in the presence of NADH.

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SDH (Succinate Dehydrogenase) Reaction

Catalyzes the oxidation of succinate to fumarate.

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Phosphorylase Reaction

Catalyzes the addition of a phosphate group to glycogen.

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Naphthol AS-D Chloroacetate Esterase Uniqueness

Involves a coupling reaction with a diazonium salt.

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McArdle Disease

Negative phosphorylase reaction

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Cellular & Organelle Integrity

Cells and organelles retain structure without distortion.

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Absence of Artifacts

Absence of precipitates or artificial membranes indicates clean fixation.

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Clear and Distinct Membranes

Well-defined membranes are clear and continuous.

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Cytoplasmic Matrix Preservation

Homogeneous matrix without clumping.

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Retention of Extracellular Matrix

Intact and visible connective tissue fibers.

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Staining Quality

Consistent staining of cellular components.

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Osmium: Membrane Preservation

Excellent at preserving cellular and organelle membranes.

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Osmium: Enhanced TEM Contrast

Acts as both fixative and stain, enhancing electron density.

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Osmium: Toxicity

Osmium tetroxide is highly toxic and volatile.

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Osmium: Limited Penetration

Osmium tetroxide has limited tissue penetration.

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Osmium: High Cost

Osmium tetroxide is expensive.

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Aldehydes: Wide Applicability

Suitable for a wide range of tissues.

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Aldehydes: Good Penetration

Aldehydes have good tissue penetration.

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Aldehydes: Preserve Fine Structure

Fine cellular and ultrastructural details are preserved.

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Aldehydes: Versatility

Can be used alone or in combination with other fixatives.

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Aldehydes: Stable Fixation

Fixed tissues have long-term stability.

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Aldehydes: Staining Compatibility

Compatible with immunohistochemistry and histochemical staining.

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Aldehydes: Protein Cross-Linking

Causes protein cross-linking, masking antigenic sites.

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Aldehydes: Slow Penetration

Penetrates tissues more slowly compared to other fixatives.

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Aldehydes: Potential for Toxicity

Toxic and requires careful handling.

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PAF: Morphological Preservation

Provides excellent preservation of tissue morphology.

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PAF: Good Penetration

Penetrates tissues more effectively than some other fixatives.

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PAF: Staining Techniques

Compatible with a wide range of staining techniques.

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PAF: Antigen Masking

Can cause masking of antigenic sites.

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PAF: Picric Acid Explosiveness

Highly explosive when dry.

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PAF: Yellow Pigmentation

Can impart a yellow color to tissues.

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Dual-Purpose Fixative

Preserves both morphological and molecular integrity of tissues.

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Heating Paraformaldehyde

Heating depolymerizes it into active formaldehyde monomers.

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Alkalinizing Paraformaldehyde

Ensures paraformaldehyde fully converts to formaldehyde.

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Osmium Tetroxide Duration

Typically remain in solution for 1-2 hours.

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Glutaraldehyde Duration

Can remain in solution for up to 24 hours.

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Formaldehyde Duration

Can remain in solution for several days to weeks.

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PAF Duration

Can remain in solution for 24-48 hours.

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Formaldehyde-Glutaraldehyde Duration

Can remain in this fixative for up to 24 hours.

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Epoxy Resin Fixation

Uses glutaraldehyde, then osmium tetroxide.

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Paraffin Embedding Fixation

Uses formaldehyde (formalin).

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Epoxy & Paraffin Dehydration

Gradual dehydration through ethanol.

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Epoxy Transitional Solvent

Acetone or propylene oxide

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Paraffin Transitional Solvent

Xylene or toluene.

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Epoxy Sectioning

Ultra-thin sections with an ultramicrotome.

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Paraffin Sectioning

Thin sections are cut using a microtome.

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Purpose of Epoxy Embedding

Electron microscopy for ultrastructural details.

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Purpose of Paraffin Embedding

Routine light microscopy.

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Resolution of Epoxy

Provides higher resolution for ultrastructural details.

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Transitional Solvent

The chemical medium between dehydration and embedding.

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Fixative Type Influence

Choice affects ultrastructural detail preservation.

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Concentration Influence

Determines the effectiveness and speed of fixation.

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Temperature Influence

At low temps it slows fixation but preserves fine structure.

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pH Influence

Affects the stability of cellular components.

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Osmolality Influence

It affects cellular integrity.

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Penetration Rate Influence

Affects overall fixation quality.

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Epon/Araldite/Spurr Resin Function

Provides a hard medium for ultra-thin sectioning.

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DDSA Function

Acts as a plasticizer and hardener combined!

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MNA Function

Acts as a hardener.

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DMP-30 Function

Serves as an accelerator to speed up polymerization.

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Spurr Resin

Low-viscosity, hard, durable medium.

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Trimming resins

Flat surface for optimal section angles.

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Block Orientation

Orient block correctly

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Diagnostic Cytology

Examination of cells from body sites to determine the nature of a disease.

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Liquid-Based Cytology

Method where cells are suspended in liquid, creating a thin layer on a slide to improve sample quality and reduce artifacts.

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Cross Contamination

Accidental transfer of cells or substances from one sample to another leading to inaccurate results.

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Cell Block

Concentrated cell preparation embedded in a solid medium for histological examination and staining.

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Gynecologic Specimens

Specimens from the female reproductive system used for cytological examination.

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Nongynecologic Specimens

Specimens from body sites outside the female reproductive system for cytological examination.

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Use of Pre-fixatives

Used to stabilize cells and tissues before primary fixation, preventing degradation and preserving morphology.

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Effect of Pre-fixatives on Cellular Morphology

Pre-fixatives preserve shape, prevent degradation, improve staining, and prevent artifacts.

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95% Ethanol

Commonly used fixative that provides excellent preservation of cellular details.

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Direct Smear Method

Quick and straightforward preparation involving direct placement and spreading of a sample on a slide.

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Cytocentrifuge Method

Concentrates cells from fluid by spinning in a centrifuge, depositing them onto a slide.

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ThinPrep Method

Liquid-based cytology creating a thin, uniform layer of cells on a slide.

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Handle Sparsely Cellular Specimens

Concentrate sparse specimens using a cytocentrifuge or prepare a cell block.

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Reduce Red Blood Cells in Smears

Use lysing agent to remove excess red blood cells in smears.

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Increase Cellular Adherence to Slides

Use adhesive-coated slides or gentle heating to enhance cellular adherence.

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Remove Excess Mucus

Treat the sample with a mucolytic agent (DTT or NAC).

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Staining Effect: Carbowax Not Removed

Interferes with stain uptake leading to incomplete or uneven staining

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Cell Block: Direct Sedimentation

Cells sediment, are centrifuged, and embedded in paraffin.

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Cell Block: Agar Method

Cell suspension mixed with melted agar, solidified, and embedded in paraffin.

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Cell Block: Plasma-Thrombin Method

Cell suspension mixed with plasma and thrombin to form a clot before embedding.

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Cell Block: Gelatin Method

Mix cell suspension with melted gelatin; let solidify, then embed in paraffin.

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Pap Stain Purpose

Screens for cervical cancer, detects abnormal cells, infections, and monitors hormonal status.

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Hematoxylin

Stains cell nuclei blue.

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Orange G

Stains keratinized cells orange.

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EA (Eosin Azure)

Stains cytoplasm pink (mature) or green (active).

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Error: Inadequate Fixation

Poor cell preservation and staining quality due to lack of appropriate action.

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Corrective Action: Over/Under staining

Adjust staining times and concentrations for best visualization of cells.

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Error: Contamination of Staining Reagents

Contamination leads to non-specific staining and artifacts on the target specimen.

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Corrective Action: Poor Slide Preparation

Use proper smear technique and avoid air bubbles during slide preparation of target specimen.

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Cross-Contamination Occurrence

Improper handling without cleaning or using the wrong reagents leads to transfer of contaminants.

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Techniques to Prevent Cross-Contamination

Maintain asepsis, use dedicated reagents, clean equipment, label and separate specimens.

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Primary Reagents and/or Dyes

Reagents used for staining in the Papanicolaou staining technique for detection of cancer.

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Study Notes

  • A neuron is a specialized cell transmitting nerve impulses
  • Glia are supportive cells in the central nervous system that do not conduct electrical impulses
  • Glial fibers are extensions from glial cells
  • Nissl substance is a granular body in neurons consisting of rough endoplasmic reticulum and ribosomes, used for protein synthesis
  • Myelin is an insulating layer around nerves, made of protein and fatty substances
  • An axon (axis cylinder) is the long threadlike part of a nerve cell that impulses are conducted along

Techniques Classified by Element Demonstrated

  • Cresyl echt violet stains Nissl substance (rough endoplasmic reticulum in neurons)
  • Bodian stains nerve fibers and neurofibrils
  • Holmes silver nitrate stains nerve fibers
  • Bielschowsky stains nerve fibers and neurofibrils
  • Sevier-Munger stains nerve fibers and neurofibrils
  • Thioflavin S stains amyloid
  • Phosphotungstic acid-hematoxylin (PTAH) stains muscle striations, fibrin, and glial fibers
  • Holzer stains glial fibers
  • Cajal stain stains astrocytes
  • Weil stains myelin
  • Luxol fast blue stains myelin
  • Acid-fast techniques (Kinyoun, Ziehl-Neelsen, Fite): Mycobacteria (e.g., Mycobacterium tuberculosis)
  • Auramine-rhodamine: Mycobacteria (e.g., Mycobacterium tuberculosis)
  • Gram stain modifications: Bacteria (differentiates between Gram-positive and Gram-negative bacteria)
  • Giemsa: Protozoans and bacteria (e.g., Plasmodium species, Helicobacter pylori)
  • Alcian yellow-toluidine blue: Helicobacter pylori (bacteria)
  • Periodic acid-Schiff (PAS): Fungi and certain bacteria (e.g., Candida species, Tropheryma whipplei)
  • Chromic acid-Schiff (CAS): Fungi (e.g., Histoplasma species)
  • Gridley fungus stain: Fungi (e.g., Aspergillus species)
  • Grocott modification of Gomori methenamine-silver: Fungi (e.g., Pneumocystis jirovecii)
  • Mayer mucicarmine: Fungi and Cryptococcus species (bacteria)
  • Warthin-Starry: Spirochetes (e.g., Treponema pallidum)
  • Dieterle: Spirochetes (e.g., Legionella species)
  • Steiner and Steiner: Bacteria, including spirochetes and Helicobacter pylori
  • Prussian blue demonstrates ferric iron (Fe³⁺)
  • Turnbull blue demonstrates ferrous iron (Fe²⁺)
  • Schmorl ferric-ferricyanide reduction demonstrates reducing substances like melanin, lipofuscin, and argentaffin cells
  • Fontana-Masson demonstrates melanin and argentaffin granules
  • Grimelius demonstrates argyrophil granules
  • Churukian-Schenk demonstrates argyrophil granules
  • Gomori methenamine-silver demonstrates basement membranes and fungi
  • Hall (Fouchet) demonstrates bilirubin
  • Von Kossa demonstrates calcium
  • Alizarin red S demonstrates calcium
  • Rhodanine demonstrates copper

Cresyl Echt Violet Stain Details

  • Formalin is the most desirable fixative
  • Refixation in formalin may be necessary if another fixative has been used
  • Cresyl echt violet stains Nissl substance (rough endoplasmic reticulum) in neurons
  • Nissl bodies in neurons appear violet after staining
  • Brain tissue known to have Nissl substance is appropriate control material
  • Adjust staining time to correct overstaining or understaining problems
  • Cresyl echt violet binds to RNA in the Nissl substance
  • Use chemically clean glassware
  • Uses light microscopy

Bodian Stain Details

  • Formalin is the most desirable fixative
  • Refixation in formalin may be necessary if another fixative has been used
  • Protargol (silver protein) stains nerve fibers and neurofibrils
  • Nerve fibers and neurofibrils appear black after staining
  • Nervous tissue known to have nerve fibers and neurofibrils is appropriate control material
  • Ensure proper timing and washing steps to fix incomplete impregnation or overstaining
  • A silver impregnation technique where silver binds to neurofibrils
  • Use chemically clean glassware
  • Uses light microscopy

Holmes Silver Nitrate Stain Details

  • Formalin is the most desirable fixative
  • Refixation in formalin may be necessary if another fixative has been used
  • Silver nitrate stains nerve fibers and neurofibrils
  • Nerve fibers and neurofibrils appear black after staining
  • Nervous tissue known to have nerve fibers and neurofibrils is appropriate control material
  • Ensure proper timing and washing steps to fix incomplete impregnation or overstaining
  • A silver impregnation technique where silver binds to nerve fibers and neurofibrils
  • Use chemically clean glassware
  • Uses light microscopy

Bielschowsky Stain Details

  • Formalin is the most desirable fixative
  • Refixation in formalin may be necessary if another fixative has been used
  • Silver nitrate stains nerve fibers and neurofibrils
  • Nerve fibers and neurofibrils appear black after staining
  • Nervous tissue known to have nerve fibers and neurofibrils is appropriate control material
  • Ensure proper timing and washing steps to fix incomplete impregnation or overstaining
  • A silver impregnation technique where silver binds to nerve fibers and neurofibrils
  • Use chemically clean glassware
  • Uses light microscopy

Sevier-Munger Stain Details

  • Formalin is the most desirable fixative
  • Refixation in formalin may be necessary if another fixative has been used
  • Silver nitrate stains nerve fibers and neurofibrils
  • Nerve fibers and neurofibrils appear black after staining
  • Nervous tissue known to have nerve fibers and neurofibrils is appropriate control material
  • Ensure proper timing and washing steps to fix incomplete impregnation or overstaining
  • A silver impregnation technique where silver binds to nerve fibers and neurofibrils
  • Use chemically clean glassware
  • Uses light microscopy

Thioflavin S Stain Details

  • Formalin is the most desirable fixative
  • Refixation in formalin may be necessary if another fixative has been used
  • Thioflavin S is a fluorescent dye used to stain amyloid
  • Amyloid deposits will fluoresce green under UV light
  • Tissue known to contain amyloid deposits is appropriate control material
  • Adjust staining time and avoid prolonged exposure to light to correct overstaining or photobleaching
  • Thioflavin S binds to beta-pleated sheet structures in amyloid fibrils, causing them to fluoresce
  • Requires a UV light source for visualization
  • Uses fluorescence microscopy

Phosphotungstic Acid-Hematoxylin (PTAH) Stain Details

  • 10% neutral buffered formalin is the most desirable fixative
  • The tissue can be post-fixed in formalin or Bouin's solution if another fixative has been used
  • PTAH solution stains muscle striations, fibrin, and glial fibers blue, and collagen red-brown
  • Muscle striations, fibrin, and glial fibers appear blue, while collagen appears red-brown
  • Tissue sections containing muscle, fibrin, and glial fibers are appropriate control material
  • Ensure proper timing and concentration of reagents to correct overstaining or understaining
  • PTAH binds to tissue components based on their affinity for phosphotungstic acid and hematoxylin
  • Use chemically clean glassware
  • Uses light microscopy

Holzer Stain Details

  • 10% neutral buffered formalin is the most desirable fixative
  • The tissue can be post-fixed in formalin if another fixative has been used
  • Crystal violet stains glial fibers; phosphomolybdic acid differentiates the staining
  • Glial fibers appear blue or purple
  • Brain tissue sections containing glial fibers are appropriate control material
  • Ensure proper timing and concentration of reagents can occur to fix overstaining or understaining
  • Crystal violet binds to glial fibers, and phosphomolybdic acid differentiates the staining
  • Use chemically clean glassware
  • Uses light microscopy

Cajal Stain Details

  • Formalin or ammonium bromide are the most desirable fixatives
  • Refixation in formalin or ammonium bromide may be necessary if another fixative has been used
  • Gold sublimate stains astrocytes, formalin is used for fixation
  • Astrocytes appear black against a yellow or light brown background
  • Brain tissue known to contain astrocytes is appropriate control material
  • Adjust staining time or concentration of reagents to correct overstaining or understaining
  • Impregnation of astrocytes with gold sublimate
  • Use chemically clean glassware
  • Uses light microscopy

Weil Stain Details

  • 10% formalin is the most desirable fixative
  • Refixation in 10% formalin may be necessary if another fixative has been used
  • Hematoxylin stains myelin sheaths, ferric ammonium sulfate is a mordant, borax ferricyanide is a differentiator
  • Myelin sheaths appear blue-black, and the background is colorless or pale yellow
  • Spinal cord or brain tissue known to contain myelin is appropriate control material
  • Adjust differentiation time to correct overdifferentiation which can remove the stain from myelin
  • Staining of myelin sheaths with hematoxylin and differentiation with ferric ammonium sulfate and borax ferricyanide
  • Use chemically clean glassware
  • Uses light microscopy

Luxol Fast Blue Stain Details

  • 10% formalin is the most desirable fixative
  • Refixation in 10% formalin may be necessary if another fixative has been used
  • Luxol fast blue stains myelin, cresyl echt violet counterstains Nissl substance
  • Myelin appears blue, and Nissl substance appears violet
  • Brain or spinal cord tissue known to contain myelin and Nissl substance is appropriate control material
  • Adjust staining time or concentration of reagents to correct overstaining or understaining
  • Staining of myelin with Luxol fast blue and counterstaining of Nissl substance with cresyl echt violet
  • Use chemically clean glassware
  • Uses light microscopy

Definitions of Microorganisms

  • Bacteria are single-celled microorganisms which can be free-living or parasitic
    • Examples include Escherichia coli and Streptococcus pneumoniae
  • Cocci are spherical-shaped bacteria
    • Examples include Staphylococcus aureus and Streptococcus pyogenes
  • Bacilli are rod-shaped bacteria
    • Examples include Bacillus anthracis and Mycobacterium tuberculosis
  • Spirochetes are spiral-shaped bacteria
    • Examples include Treponema pallidum (causes syphilis) and Borrelia burgdorferi (causes Lyme disease)
  • Mycobacteria is a genus of bacteria that includes pathogens known to cause serious diseases in mammals
    • Examples include Mycobacterium tuberculosis (causes tuberculosis) and Mycobacterium leprae (causes leprosy)
  • Fungi are a group of eukaryotic organisms which includes microorganisms such as yeasts and molds, as well as the more familiar mushrooms
    • Examples include Aspergillus and Penicillium
  • Yeasts are a type of fungus that is single-celled and can ferment carbohydrates
    • Examples include Saccharomyces cerevisiae (brewer's yeast) and Candida albicans (can cause infections in humans)
  • Protozoans are single-celled eukaryotes that can be free-living or parasitic
    • Examples include Plasmodium (causes malaria) and Giardia lamblia (causes giardiasis)
  • Hyphae are the long, branching filamentous structures of a fungus
    • Examples include molds like Rhizopus and Aspergillus
  • Mycelia is the vegetative part of a fungus, consisting of a network of fine white filaments (hyphae)
    • Examples include mushrooms and molds

Acid-Fast Techniques (Kinyoun, Ziehl-Neelsen, Fite) Stain Details

  • This stains Mycobacteria, for example, Mycobacterium tuberculosis.
  • 10% neutral buffered formalin is the most desirable fixative.
  • Tissue should be washed thoroughly if another fixative has been used to remove any residual fixative before staining.
  • Carbol fuchsin stains acid-fast bacilli.
  • Acid-alcohol decolorizes, removing the primary stain from non-acid-fast cells.
  • Methylene blue or malachite green counterstains the background.
  • Acid-fast bacilli appear red, and the background appears blue or green after staining.
  • Tissue containing Mycobacterium tuberculosis is appropriate control material.
  • Over-decolorization can lead to false negatives, so ensure proper timing and concentration of decolorizer.
  • Mycolic acid in the cell walls of mycobacteria retains the carbol fuchsin dye even after decolorization with acid-alcohol.
  • Use chemically clean glassware to avoid contamination.
  • Uses a light microscope with an oil immersion lens.

Auramine-Rhodamine Stain Details

  • This stains Mycobacteria, for example, Mycobacterium tuberculosis
  • 10% neutral buffered formalin is the most desirable fixative
  • Tissue should be washed thoroughly if another fixative has been used to remove any residual fixative before staining
  • Auramine O is the primary stain, a fluorescent dye that binds to mycobacteria
  • Rhodamine B is a secondary stain that enhances fluorescence
  • Acid-alcohol decolorizes and removes non-specific staining
  • Potassium permanganate is a counterstain which reduces background fluorescence
  • Mycobacteria fluoresce yellow or orange under UV light after staining
  • Tissue known to contain Mycobacterium tuberculosis is appropriate control material
  • Over-decolorization can lead to false negatives; ensure proper timing and concentration of decolorizer
  • The fluorescent dyes bind to the mycolic acids in the cell walls of mycobacteria
  • Use chemically clean glassware to avoid contamination
  • Uses a fluorescence microscope

Gram Stain Modifications Stain Details

  • This stains stains bacteria, differentiating between Gram-positive and Gram-negative bacteria.
  • Methanol or heat fixation is the most desirable fixative.
  • Ensure the sample is adequately fixed to prevent washing off during staining if another fixative has been used.
  • Crystal violet is the primary stain, which stains all cells.
  • Iodine is a mordant and forms a complex with crystal violet.
  • Alcohol or acetone is a decolorizer which removes the primary stain from Gram-negative cells.
  • Safranin counterstains Gram-negative cells.
  • Gram-positive bacteria appear purple, and Gram-negative bacteria appear pink/red after staining.
  • Known Gram-positive and Gram-negative bacterial cultures make appropriate control material.
  • Over-decolorization or under-decolorization can be a source of error, so ensure proper timing and technique during the decolorization step.
  • Crystal violet stains all cells, iodine forms a complex with crystal violet, alcohol or acetone decolorizes Gram-negative cells, and safranin counterstains Gram-negative cells.
  • Use chemically clean glassware to avoid contamination.
  • Uses a light microscope.

Giemsa Stain Details

  • Stains protozoans and bacteria (e.g., Plasmodium species, Helicobacter pylori)
  • Methanol is the most desirable fixative
  • Ensure the sample is adequately fixed to prevent washing off during staining if another fixative has been used
  • Giemsa stain (a mixture of eosin and methylene blue) stains nucleic acids and cytoplasmic components
  • Protozoans and bacteria are stained in shades of blue to purple, with the background appearing pink after staining
  • Known samples containing the target protozoans or bacteria is appropriate control material
  • Ensure proper fixation and follow staining protocol accurately; inadequate fixation or staining time can be a source of error
  • Giemsa stain binds to nucleic acids and cytoplasmic components, differentiating cellular structures
  • Use chemically clean glassware to avoid contamination
  • Uses a light microscope

Alcian Yellow-Toluidine Blue Stain Details

  • This stains Helicobacter pylori (bacteria)
  • Formalin is the most desirable fixative
  • Ensure the tissue is adequately washed and processed to remove any residual fixative that may interfere with staining if another fixative has been used
  • Alcian yellow stains Helicobacter pylori yellow
  • Toluidine blue: Stains the background tissue blue
  • Helicobacter pylori bacteria appear yellow against a blue background after staining
  • Tissue known to be infected with Helicobacter pylori is appropriate control material
  • Ensure proper fixation and follow staining protocol accurately; inadequate fixation or improper staining technique can lead to poor visualization of bacteria
  • Alcian yellow binds to the acidic components of the bacterial cell wall, while toluidine blue binds to the tissue background
  • Use chemically clean glassware to avoid contamination
  • Uses a light microscope

Periodic Acid-Schiff (PAS)

  • This stains fungi and certain bacteria (e.g., Candida species, Tropheryma whipplei)
  • Formalin is the most desirable fixative
  • Ensure the tissue is adequately washed and processed to remove any residual fixative that may interfere with staining if another fixative has been used
  • Periodic acid oxidizes carbohydrates to aldehydes
  • Schiff reagent reacts with aldehydes to produce a magenta color
  • Fungi and certain bacteria appear magenta against a light pink or colorless background after staining
  • Tissue known to be infected with fungi or specific bacteria like Candida species or Tropheryma whipplei is appropriate control material
  • Ensure proper oxidation and follow staining protocol accurately; inadequate oxidation or improper staining technique can lead to poor visualization
  • Periodic acid oxidizes carbohydrates in the cell walls of fungi and bacteria, and Schiff reagent binds to the resulting aldehydes, producing a magenta color
  • Use chemically clean glassware to avoid contamination
  • Uses a light microscope

Chromic Acid-Schiff (CAS) Stain Details

  • This stains fungi (e.g., Histoplasma species)
  • 10% neutral buffered formalin is the most desirable fixative
  • Ensure the tissue is adequately washed to remove any residual fixative that might interfere with the staining process if another fixative has been used
  • Chromic acid oxidizes polysaccharides in fungal cell walls
  • Schiff reagent reacts with aldehyde groups formed by oxidation to produce a magenta color
  • Fungal elements (e.g., Histoplasma species) will appear magenta against a light pink or colorless background after staining
  • Tissue known to contain fungal elements, such as a sample with confirmed Histoplasma infection is appropriate control material
  • Incorrect timing and concentration of chromic acid can cause Incomplete oxidation
  • Adjusting the time in Schiff reagent can fix overstaining or understaining
  • Chromic acid oxidizes polysaccharides in fungal cell walls to aldehydes, which then react with Schiff reagent to produce a magenta color
  • Use chemically clean glassware to avoid contamination that could interfere with the staining reaction
  • Uses a light microscope

Gridley Fungus Stain Detail

  • This stains fungi (e.g., Aspergillus species)
  • 10% neutral buffered formalin is the most desirable fixative
  • Ensure the tissue is adequately washed to remove any residual fixative that might interfere with the staining process if another fixative has been used
  • Chromic acid oxidizes polysaccharides in fungal cell walls
  • Schiff reagent reacts with aldehyde groups formed by oxidation to produce a magenta color
  • Aldehyde fuchsin stains fungal elements
  • Fungal elements (e.g., Aspergillus species) will appear deep purple to black against a yellow background after staining
  • Tissue known to contain fungal elements, such as a sample with confirmed Aspergillus infection is appropriate control material
  • Incorrect timing and concentration of chromic acid can cause incomplete oxidation
  • Adjusting the time in Schiff reagent and aldehyde fuchsin can fix overstaining or understaining
  • Chromic acid oxidizes polysaccharides in fungal cell walls to aldehydes, which then react with Schiff reagent and aldehyde fuchsin to produce a deep purple to black color
  • Use chemically clean glassware to avoid contamination that could interfere with the staining reaction
  • Uses a light microscope

Grocott Modification of Gomori Methenamine-Silver Stain Details

  • This stains fungi (e.g., Pneumocystis jirovecii)
  • 10% neutral buffered formalin is the most desirable fixative
  • The tissue can be post-fixed in 10% neutral buffered formalin if another fixative has been used
  • Methenamine-silver nitrate solution stains fungal cell walls black
  • Chromic acid oxidizes polysaccharides in fungal cell walls
  • Sodium bisulfite removes excess chromic acid
  • Gold chloride tones the silver stain
  • Sodium thiosulfate removes unreacted silver
  • Fungal elements, including Pneumocystis jirovecii, appear black against a green or pale yellow background after staining
  • Tissue known to contain fungal elements is appropriate control material
  • Ensure proper timing and reagent preparation; over-staining or under-staining can occur
  • Inadequate oxidation can result in weak staining
  • The chromic acid oxidizes polysaccharides in the fungal cell walls, which then react with the methenamine-silver nitrate solution to form a black precipitate
  • Use chemically clean glassware to avoid contamination and ensure accurate staining
  • Uses a light microscope

Mayer Mucicarmine Stain Details

  • This stains fungi and Cryptococcus species (bacteria)
  • 10% neutral buffered formalin is the most desirable fixative
  • The tissue can be post-fixed in 10% neutral buffered formalin if another fixative has been used
  • Mucicarmine solution stains acidic mucopolysaccharides and capsule of Cryptococcus species red
  • Weigert's iron hematoxylin stains nuclei black
  • Metanil yellow counterstains background
  • Acidic mucopolysaccharides and capsules of Cryptococcus species appear red, nuclei appear black, and the background appears yellow after staining
  • Tissue known to contain Cryptococcus species is appropriate control material
  • Ensure proper timing and reagent preparation: over-staining or under-staining can occur
  • Inadequate differentiation can result in poor contrast
  • The mucicarmine solution stains acidic mucopolysaccharides and the capsule of Cryptococcus species, while Weigert's iron hematoxylin stains nuclei and metanil yellow provides a contrasting background
  • Use chemically clean glassware to avoid contamination and ensure accurate staining
  • Uses a light microscope

Warthin-Starry Stain Details

  • This stains spirochetes (e.g., Treponema pallidum)
  • 10% neutral buffered formalin is the most desirable fixative
  • Ensure tissue is well-fixed and consider postfixation in formalin if necessary if another fixative has been used
  • Silver nitrate (impregnation) is used for staining spirochetes
  • Hydroquinone (developer) develops the silver stain
  • Spirochetes appear black against a pale yellow to light brown background after staining
  • Tissue known to contain spirochetes is appropriate control material
  • Control development time carefully; overdevelopment can cause non-specific staining
  • Ensure proper washing steps to avoid background staining
  • This is a silver impregnation technique where silver ions are reduced to visible metallic silver by the developer
  • Use chemically clean glassware to avoid contamination
  • Uses a light microscope

Dieterle Stain Details

  • This stains spirochetes (e.g., Legionella species)
  • 10% neutral buffered formalin is the most desirable fixative
  • Ensure tissue is well-fixed and consider postfixation in formalin if necessary if another fixative has been used
  • Silver nitrate (impregnation) is used for staining spirochetes and Legionella species
  • Uranyl nitrate (sensitizer) sensitizes the tissue for better silver impregnation
  • Hydroquinone (developer) develops the silver stain
  • Spirochetes and Legionella species appear black against a yellow to brown background after staining
  • Tissue known to contain Legionella or spirochetes is appropriate control material
  • Control development time carefully; overdevelopment can cause non-specific staining
  • Ensure proper washing steps to avoid background staining
  • This is a silver impregnation technique where silver ions are reduced to visible metallic silver by the developer
  • Use chemically clean glassware to avoid contamination
  • Uses a light microscope

Steiner and Steiner Stain Details

  • This stains Bacteria, including Spirochetes and Helicobacter pylori
  • 10% neutral buffered formalin is the most desirable fixative
  • Ensure tissue is well-fixed and consider postfixation in formalin if necessary if another fixative has been used
  • Silver nitrate (impregnation) is used for staining bacteria, including spirochetes and Helicobacter pylori
  • Uranyl nitrate (sensitizer) sensitizes the tissue for better silver impregnation
  • Hydroquinone (developer) develops the silver stain
  • Bacteria, including spirochetes and Helicobacter pylori, appear black against a yellow to brown background after staining
  • Tissue known to contain the target bacteria is appropriate control material
  • Control development time carefully; overdevelopment can cause non-specific staining
  • Ensure proper washing steps to avoid background staining
  • This is a silver impregnation technique where silver ions are reduced to visible metallic silver by the developer
  • Use chemically clean glassware to avoid contamination
  • Uses a light microscope

Pigments

  • Endogenous pigments originate within the body
    • Melanin (skin and hair color) and lipofuscin (age pigment) are examples
  • Exogenous pigments come from outside the body
    • Carbon from smoke/pollution (black lung deposits) and tattoo ink are examples
  • Hematogenous pigments are derived from blood
    • Hemoglobin (red pigment in red blood cells) and bilirubin (yellow pigment from red blood cell breakdown) are examples
  • Anthracotic pigment is an exogenous pigment from inhaled carbon particles
    • Pollution or smoking are typical sources, leading to black lung deposits
  • Endogenous, nonhematogenous pigments are endogenous but not blood-derived
    • Melanin and lipofuscin are examples
  • Minerals are inorganic substances essential for bodily functions
    • Calcium (bones/teeth) and iron (hemoglobin component) are examples

Argentaffin Reaction

  • This reaction shows the ability of cells/tissues to reduce silver salts to metallic silver without an external reducing agent
  • Mechanism: Substances like melanin or certain proteins directly reduce silver ions, forming a black or brown precipitate
  • Argentaffin cells are found in the gastrointestinal tract

Argyrophil Reaction

  • This reaction involves cells/tissues binding silver ions but needing an external reducing agent to precipitate metallic silver
  • Mechanism: Argyrophil cells lack intrinsic reducing properties; after silver ion binding, an external reducing agent (like formalin) develops the silver into a visible precipitate
  • Argyrophil cells are also found in the gastrointestinal tract and other tissues, but their staining requires an additional reduction step

Argentaffin vs Argyrophil Reactions

  • Similarities: Both reactions use silver staining to visualize specific cells/tissues; they are used in histology to identify cells with particular chemical properties
  • Differences: Argentaffin cells reduce silver ions on their own, while argyrophil cells require an external reducing agent for silver precipitation

Prussian Blue Stain Details

  • Demonstrates ferric iron (Fe³⁺)
  • Alcohol-based fixatives or neutral buffered formalin are the most desirable fixatives
  • Washing the tissue thoroughly in water before staining can help if a non-alcoholic fixative has been used
  • Potassium ferrocyanide and hydrochloric acid react with ferric iron to form an insoluble blue compound
  • Ferric iron deposits appear as blue or blue-green granules after staining
  • Tissue known to contain ferric iron deposits makes appropriate control material
  • Ensure proper timing and reagent concentration to avoid overstaining/understaining
  • Ferric iron and potassium ferrocyanide react, forming Prussian blue
  • Use chemically clean glassware to avoid contamination
  • Light microscope is used

Turnbull Blue Stain Details

  • Demonstrates ferrous iron (Fe²⁺)
  • Alcohol-based fixatives or neutral buffered formalin are the most desirable fixatives
  • Washing the tissue thoroughly in water before staining can help if a non-alcoholic fixative has been used
  • Potassium ferricyanide and hydrochloric acid reacts with ferrous iron to form an insoluble blue compound
  • Ferrous iron deposits appear as blue or blue-green granules after staining
  • Tissue known to contain ferrous iron deposits makes appropriate control material
  • Ensure proper timing and reagent concentration to avoid overstaining/understaining
  • Ferrous iron and potassium ferricyanide react, forming Turnbull blue
  • Use chemically clean glassware to avoid contamination
  • Light microscope is used

Schmorl Ferric-Ferricyanide Reduction Test Details

  • Demonstrates reducing substances like melanin, lipofuscin, and argentaffin cells
  • 10% neutral buffered formalin is the most desirable fixative
  • Thorough washing is important to remove any residual fixative
  • Ferric chloride and potassium ferricyanide are the primary reagents, reacting with reducing substances to form a blue or green color
  • Positive staining results in a blue or green color
  • Tissue known to contain melanin or argentaffin cells makes appropriate control material
  • Inadequate washing of fixative can lead to non-specific staining; ensure thorough washing steps
  • Ferric-ferricyanide reacts with reducing substances in the tissue, resulting in a color change
  • Use chemically clean glassware to avoid contamination
  • Light microscope is used

Fontana-Masson Stain Details

  • Demonstrates melanin and argentaffin granules
  • 10% neutral buffered formalin is the most desirable fixative
  • Thorough washing is important to remove any residual fixative
  • Silver nitrate binds to melanin and argentaffin granules, then reduced to visible metallic silver
  • Positive staining results in black deposits
  • Tissue known to contain melanin or argentaffin granules makes appropriate control material
  • Control the exposure time carefully; overexposure to silver nitrate can lead to non-specific staining
  • Silver nitrate binds to melanin and argentaffin granules and is reduced to metallic silver, which is visible under the microscope
  • Use chemically clean glassware to avoid contamination
  • Light microscope is used

Grimelius Stain Details

  • Demonstrates argyrophil granules
  • 10% neutral buffered formalin is the most desirable fixative
  • Thorough washing is important to remove any residual fixative
  • Silver nitrate binds to argyrophil granules, then reduced to visible metallic silver using an external reducing agent
  • Positive staining results in black or dark brown granules
  • Tissue known to contain argyrophil granules makes appropriate control material
  • Control the exposure time carefully; overexposure to silver nitrate can lead to non-specific staining
  • Silver nitrate binds to argyrophil granules and is reduced to metallic silver, which is visible under the microscope
  • Use chemically clean glassware to avoid contamination
  • Light microscope is used

Churukian-Schenk Stain Details

  • Demonstrates argyrophil granules
  • 10% neutral buffered formalin is the most desirable fixative
  • Thorough washing is important to remove any residual fixative
  • Silver nitrate binds to argyrophil granules, then reduced to visible metallic silver using an external reducing agent
  • Positive staining results in black or dark brown granules
  • Tissue known to contain argyrophil granules makes appropriate control material
  • Control the exposure time carefully; overexposure to silver nitrate can lead to non-specific staining
  • Silver nitrate binds to argyrophil granules and is reduced to metallic silver, which is visible under the microscope
  • Use chemically clean glassware to avoid contamination
  • Light microscope is used

Gomori Methenamine-Silver (GMS) Stain Details

  • Demonstrates basement membranes and fungi
  • 10% neutral buffered formalin is the most desirable fixative
  • If another fixative has been used thorough washing is important to remove any residual fixative
  • Methenamine-silver nitrate solution stains basement membranes and fungi black
  • Chromic acid oxidizes tissue components
  • Sodium bisulfite removes excess chromic acid
  • Gold chloride tones the silver
  • Sodium thiosulfate removes unreacted silver
  • Basement membranes and fungi appear black, while background tissue appears light green
  • Tissue known to contain basement membranes and fungi, such as kidney or lung tissue makes appropriate control material
  • Ensure proper timing and concentration; over-oxidation with chromic acid can lead to non-specific staining
  • Ensure thorough washing steps; incomplete washing can result in background staining
  • Silver ions are reduced to metallic silver by aldehyde groups in the basement membranes and fungi, resulting in a black deposit
  • Use chemically clean glassware to avoid contamination and ensure accurate results
  • Light microscope is used

Hall (Fouchet) Stain Details

  • Demonstrates bilirubin
  • 10% neutral buffered formalin is the most desirable fixative
  • If another fixative has been used thorough washing is important to remove any residual fixative
  • Fouchet's reagent oxidizes bilirubin to biliverdin, which is green
  • Van Gieson's stain counterstains collagen and muscle fibers
  • Bilirubin appears green, collagen appears red, and muscle fibers appear yellow
  • Liver tissue known to contain bilirubin makes appropriate control material
  • Ensure proper timing and concentration; over-oxidation can lead to loss of bilirubin staining
  • Ensure thorough washing steps; incomplete washing can result in background staining
  • Fouchet's reagent oxidizes bilirubin to biliverdin, which is green
  • Use chemically clean glassware to avoid contamination and ensure accurate results
  • Light microscope is used

Von Kossa Stain Details

  • Demonstrates calcium
  • 10% neutral buffered formalin is the most desirable fixative
  • Decalcify the tissue if necessary
  • Silver nitrate solution reacts with calcium to form black deposits
  • Sodium thiosulfate removes unreacted silver
  • Nuclear fast red counterstains
  • Calcium deposits appear black, nuclei and background appear red
  • Tissue known to contain calcium deposits makes appropriate control material
  • Insure proper fixation and decalcification; incomplete fixation or decalcification can cause errors
  • Silver ions replace calcium ions, forming silver phosphate which is then reduced to metallic silver
  • Use chemically clean glassware to avoid contamination
  • Light microscope is used

Alizarin Red S Stain Details

  • Demonstrates calcium
  • 10% neutral buffered formalin is the most desirable fixative
  • Decalcify the tissue if necessary
  • Alizarin red S solution binds to calcium, forming an orange-red complex
  • Calcium deposits appear orange-red after staining
  • Tissue known to contain calcium deposits makes appropriate control material
  • Insure proper fixation and decalcification; incomplete fixation or decalcification can cause errors
  • Alizarin red S binds to calcium ions, forming a colored complex
  • Use chemically clean glassware to avoid contamination
  • Light microscope is used

Rhodanine Stain Details

  • Demonstrates copper
  • 10% neutral buffered formalin is the most desirable fixative
  • Ensure tissue is properly fixed and processed
  • Rhodanine solution binds to copper, forming a red complex
  • Mayer's hematoxylin counterstain
  • Copper deposits appear red, nuclei appear blue after staining
  • Tissue known to contain copper deposits makes appropriate control material
  • Incomplete fixation or processing can cause errors, ensure proper fixation and processing
  • Rhodanine binds to copper ions, forming a colored complex
  • Use chemically clean glassware to avoid contamination
  • Light microscope is used

Prussian Blue vs Turnbull Blue

  • Prussian Blue Reaction detects ferric iron (Fe³⁺)
    • Ferric ions react with potassium ferrocyanide in acidic conditions, forming insoluble Prussian blue that appears as blue deposits
    • Tissue known to contain ferric iron, like spleen or liver tissue with hemosiderin deposits can be used for control
  • Turnbull Blue Reaction detects ferrous iron (Fe²⁺)
    • Ferrous ions react with potassium ferricyanide in acidic conditions, forming insoluble Turnbull blue that appears as blue deposits
    • Tissue known to contain ferrous iron can be used for control
  • Key Differences
    • Prussian blue detects ferric iron (Fe³⁺) and uses potassium ferrocyanide
    • Turnbull blue detects ferrous iron (Fe²⁺) and uses potassium ferricyanide

Melanin Locations

  • Skin: Present in the epidermis, giving skin its color
  • Hair: Found in the hair follicles, determining hair color
  • Eyes: Present in the iris, giving it color and providing protection against UV radiation

Granules and Minerals Not Demonstrated By the Above Techniques

  • Calcium Oxalate
    • Method: Pizzolato Method
    • Primary Reagents: Pizzolato’s reagent (silver nitrate solution) which reacts with oxalate to form a black or brown precipitate
    • Results: Calcium oxalate appears as black or brown deposits
  • Copper (other than Rhodanine)
    • Method: Rubeanic Acid Method
    • Primary Reagents: Rubeanic acid (dithiooxamide) which binds to copper, forming a green or blue complex
    • Results: Copper deposits appear green or blue
  • Urate Crystals
    • Method: De Galantha Method
    • Primary Reagents: Silver nitrate and methenamine, which react with urate crystals to form a black precipitate
    • Results: Urate crystals appear as black deposits
  • Amyloid
    • Method: Congo Red Stain
    • Primary Reagents: Congo red dye which binds to amyloid, giving it a red color under light microscopy and apple-green birefringence under polarized light
    • Results: Amyloid deposits appear red under light microscopy and apple-green under polarized light

Method for Bleaching Melanin Pigment

  • Fixation: Ensure the tissue is properly fixed, typically with 10% neutral buffered formalin
  • Pre-treatment: Deparaffinize and hydrate the tissue sections through graded alcohols to water
  • Bleaching Reagent: Prepare a bleaching solution, commonly using hydrogen peroxide (H₂O₂) or potassium permanganate (KMnO₄) followed by oxalic acid
    • Hydrogen Peroxide Method: Use 3-10% hydrogen peroxide in distilled water
    • Potassium Permanganate Method: Use 0.25-0.5% potassium permanganate followed by 1% oxalic acid to remove the brown precipitate
  • Application: Apply the bleaching solution to the tissue sections for an appropriate time, generally 10-30 minutes
  • Rinse: Rinse the sections thoroughly with distilled water to remove excess bleaching reagent
  • Staining: Proceed with the desired staining protocol to visualize other tissue components
  • Dehydration and Mounting: Dehydrate the sections through graded alcohols, clear in xylene, and mount with a suitable medium

Differentiation of Anthracotic Pigment From Other Dark Brown to Black Pigments

  • Anthracotic Pigment: Appears as fine black granules, typically found in the lungs of individuals exposed to polluted air or smokers
    • Test: Anthracotic pigment is insoluble in strong acids and alkalis, and it does not bleach with potassium permanganate or hydrogen peroxide
  • Formalin Pigment: Appears as dark brown to black granules formed by the reaction of formaldehyde with blood
    • Test: Formalin pigment can be removed by treatment with alcoholic picric acid
  • Melanin Pigment: Appears as dark brown to black granules, found in skin, hair, and certain organs
    • Test: Melanin pigment can be bleached with hydrogen peroxide or potassium permanganate followed by oxalic acid.
  • In summary:
    • Anthracotic pigment is insoluble in acids and alkalis and does not bleach
    • Formalin pigment can be removed with alcoholic picric acid
    • Melanin pigment can be bleached with hydrogen peroxide or potassium permanganate

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