Sterilization Techniques and Applications Quiz

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Questions and Answers

What is the typical temperature used in autoclaving for sterilization?

  • 254°C
  • 121°C (correct)
  • 160°C
  • 100°C

Boiling water for 10-15 minutes is considered a true sterilization method.

False (B)

What is the primary method of killing microorganisms in dry heat sterilization?

oxidizing microbial cells

_______ is a physical sterilization method that uses gamma rays or electron beams to break down DNA in microorganisms.

<p>Ionizing Radiation</p> Signup and view all the answers

Match the following physical sterilization methods with their applications:

<p>Autoclaving = Sterilizing media and surgical tools Filtration = Heat-sensitive liquids and air Ultraviolet Radiation = Sterilizing air and surfaces Incineration = Destroying contaminated materials</p> Signup and view all the answers

Which physical sterilization method is suitable for sterilizing metal instruments?

<p>Dry Heat Sterilization (B)</p> Signup and view all the answers

UV-C light is effective for deep penetration through materials.

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

What is the maximum temperature used in dry heat sterilization typically?

<p>180°C</p> Signup and view all the answers

Which technique is primarily used for drug testing and toxicology?

<p>Gas Chromatography (GC) (A)</p> Signup and view all the answers

Automated analyzers are only useful for measuring glucose levels.

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

What is the purpose of electrophoresis in laboratory analysis?

<p>To separate proteins based on their charge and size.</p> Signup and view all the answers

In the laboratory, it is important to follow __________ protocols to handle pathogens safely.

<p>biosafety</p> Signup and view all the answers

What is the primary purpose of sterilization?

<p>To kill all living forms of microbes including spores (A)</p> Signup and view all the answers

Match the following safety measures with their purposes:

<p>First Aid Kits = Handling injuries like burns and cuts PPE = Protection against chemical exposure Fume Hoods = Working with volatile chemicals Biological Safety Cabinets = Handling pathogens safely</p> Signup and view all the answers

All disinfectants can be used as antiseptics.

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

Name two types of sterilization methods.

<p>Chemical sterilization and physical sterilization.</p> Signup and view all the answers

High level disinfectants can kill all forms of microbes including _____ and _____ after prolonged exposure.

<p>spores, vegetative bacteria</p> Signup and view all the answers

Which of the following is an example of a low level disinfectant?

<p>Povidone-Iodine (5% and 10%) (A)</p> Signup and view all the answers

Match the following disinfectants with their classifications:

<p>70% ethyl alcohol = Intermediate level disinfectant Hydrogen peroxide (3-6%) = High level disinfectant Povidone-Iodine (5% &amp; 10%) = Low level disinfectant Alcohol, formaldehyde, and acetone = Chemical vapor sterilization</p> Signup and view all the answers

Chemical vapor sterilization requires high heat for effective sterilization.

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

What is the minimum pressure and temperature required for the Chemiclave process?

<p>20 lbs pressure and 131°C.</p> Signup and view all the answers

Which staining technique is used primarily to detect Mycobacterium species, such as tuberculosis?

<p>Acid-Fast Staining (C)</p> Signup and view all the answers

Blood analysis can evaluate the components and characteristics of blood to detect only blood disorders.

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

What is the purpose of using agar plates in bacterial diagnosis?

<p>To culture samples on selective or differential media to promote bacterial growth.</p> Signup and view all the answers

The __________ technique is used to identify Gram-positive and Gram-negative bacteria based on their cell wall structure.

<p>Gram Staining</p> Signup and view all the answers

Match the following techniques with their primary usage:

<p>Catalase Test = Differentiate types of Staphylococcus PCR = Detect bacterial DNA or RNA Broth Cultures = Culture bacteria in liquid media DNA Sequencing = Provide specific identification and antibiotic resistance information</p> Signup and view all the answers

Which method is commonly used to differentiate among Gram-negative bacteria?

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

Name one automated system used for biochemical testing.

<p>VITEK or BD Phoenix</p> Signup and view all the answers

Phase-contrast and dark-field microscopy are useful for enhancing visualization of bacterial morphology and motility.

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

What is the primary function of automated hematology analyzers?

<p>To count blood cells and measure hemoglobin and hematocrit (B)</p> Signup and view all the answers

Blood smear microscopy is primarily used for the diagnosis of infections like malaria and leukemia.

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

What tests are used to assess blood coagulation?

<p>Prothrombin Time (PT) and Partial Thromboplastin Time (PTT)</p> Signup and view all the answers

The __________ analysis involves measuring electrolyte levels in blood.

<p>Electrolyte</p> Signup and view all the answers

Match the following tests with their functions:

<p>Spectrophotometry = Measures absorbance of light in substances Immunoassays = Detect specific proteins or hormones Bone Marrow Analysis = Evaluate blood cell production Flow Cytometry = Analyze blood cell populations</p> Signup and view all the answers

What condition can low levels of hemoglobin indicate?

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

Flow cytometry is primarily used for assessing organ function.

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

What does ELISA stand for?

<p>Enzyme-Linked Immunosorbent Assay</p> Signup and view all the answers

Flashcards

Sterilization

The process of killing all living microorganisms, including spores.

Disinfectants

Antimicrobial agents applied to non-living surfaces to kill or reduce the number of harmful microorganisms.

Antiseptics

Antimicrobial agents used on living tissues (like skin) to reduce the risk of infection.

Chemical Sterilization

A sterilization method using chemicals to eliminate microbes.

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Chemical Liquid Sterilization

Chemicals used to sterilize objects by immersion, usually used for heat-sensitive instruments.

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High-Level Disinfectants

Chemicals that kill a wide range of microbes, including spores, after prolonged exposure.

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Low-Level Disinfectants

Chemicals that kill a smaller range of microbes, less effective against spores.

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Chemical Vapor Sterilization

A method of sterilization using heated chemicals under pressure, typically used for heat-sensitive instruments.

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Autoclave Sterilization

A type of sterilization using high heat and pressure to kill all microorganisms, including spores. Common for medical instruments.

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Incineration

The process of destroying bacteria by burning them at high temperatures.

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Gram Staining

Gram Staining is a method of classifying bacteria based on their cell wall structure.

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Acid-Fast Staining

A specific stain used to identify bacteria that have a waxy cell wall, like those causing tuberculosis.

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Phase-Contrast Microscopy

A technique that uses special lenses to visualize bacteria and their movement.

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Agar Plates

A culture medium used to grow bacteria and identify them by their growth patterns.

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Coagulase Test

A test to differentiate Staphylococcus aureus from other Staphylococcus species based on the enzyme coagulase.

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What is autoclaving?

A method of sterilization using pressurized steam at high temperatures, typically 121°C (250°F) for 15–20 minutes. Effective for sterilizing media, lab instruments, surgical tools, and biohazard waste.

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What is dry heat sterilization?

Involves heating materials to high temperatures, usually around 160–180°C (320–356°F) for 1–2 hours in a dry heat oven. Suitable for sterilizing metal instruments, glassware, and powders. Works by oxidizing microbial cells, effectively killing them without moisture.

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What is filtration sterilization?

Removes microorganisms from liquids or air by passing them through a filter with pore sizes small enough (typically 0.2 microns) to trap microbes. Used for heat-sensitive liquids, such as vaccines or enzyme solutions, and in HEPA filters for air sterilization. Effective for removing bacteria and larger viruses but may not retain smaller viruses or prions.

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What is ionizing radiation sterilization?

Involves gamma rays or electron beams to sterilize materials by breaking down DNA in microorganisms. Used for sterilizing medical equipment, disposable plastics, and some pharmaceuticals. Penetrates deeply and is effective even for heat-sensitive materials.

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What is UV radiation sterilization?

Uses UV-C light (wavelength around 254 nm) to damage the DNA of microorganisms, preventing their replication. Commonly used to sterilize air, water, and surfaces in healthcare and lab settings. Limited penetration depth, effective only for surfaces or thin layers of water or air.

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What is boiling sterilization?

Boiling water (100°C or 212°F) for 10–15 minutes can kill most bacteria and viruses but may not be effective against all spores. Often used as a basic disinfection method rather than true sterilization. Useful for sterilizing certain household items, baby bottles, and non-heat-sensitive items in emergencies.

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What is incineration sterilization?

Destroys contaminated materials by burning them at very high temperatures.

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Automated Hematology Analyzers

Automated machines used to count blood cells and measure specific parameters including red blood cells (RBCs), white blood cells (WBCs), platelets, hemoglobin, and hematocrit.

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Blood Smear Microscopy

A microscopic examination of blood samples to study cell morphology. It's crucial for diagnosing infections like malaria and conditions involving cells like leukemia or anemia.

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Hemoglobin and Hematocrit Tests

Test that measures hemoglobin concentration and the portion of blood composed of red blood cells (RBCs). Low values suggest anemia, while high levels may indicate polycythemia.

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Blood Coagulation Tests

Tests like Prothrombin Time (PT) and Partial Thromboplastin Time (PTT) evaluate blood clotting ability. These are essential for diagnosing bleeding disorders and monitoring anticoagulant treatments.

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Flow Cytometry

A technique analyzing blood cell populations by tagging cells with fluorescent antibodies, which are then detected with a laser beam. Flow Cytometry is used to diagnose hematologic cancers like leukemia and lymphomas, as well as monitor immune function.

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Bone Marrow Analysis

A procedure where bone marrow is sampled via biopsy or aspiration to assess blood cell production. This is crucial in diagnosing hematologic cancers, anemias, and bone marrow disorders.

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Clinical Chemistry

This branch of clinical laboratory medicine analyzes the chemical composition of blood and other body fluids, providing information about organ function, metabolic status and the presence of diseases.

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Spectrophotometry

A technique that measures the absorbance of light by substances in blood, such as glucose, cholesterol, and proteins. Color changes are analyzed, which correlate with concentration levels.

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Chromatography

A laboratory technique used to separate compounds in a mixture based on their different rates of movement through a stationary phase, such as a solid absorbent (HPLC) or a gas (GC). It is useful for identifying and quantifying different substances, particularly in drug testing, toxicology, and monitoring therapeutic drug levels.

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Gas Chromatography (GC)

A chromatography technique used to separate and identify volatile compounds in a mixture by passing them through a heated column filled with a stationary phase. Commonly used in drug testing and environmental analysis.

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High-Performance Liquid Chromatography (HPLC)

A chromatography technique used to separate and identify components in a liquid mixture by passing them through a column packed with a stationary phase, then detected by a detector. This technique can be applied to various applications like drug testing, environmental analysis, and food chemistry.

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Electrophoresis

A laboratory method used to separate and identify proteins based on their electrical charge and size. This technique is crucial in protein analysis, particularly in detecting abnormalities in protein levels or patterns, as seen in multiple myeloma and other blood disorders.

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Automated Analyzers

Automated instruments used in laboratories to measure various biochemical markers in a high-throughput and rapid manner. Common applications include measuring glucose, lipids, liver enzymes, and kidney function markers, enabling efficient and fast diagnostics.

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Study Notes

Sterilization, Disinfectants, and Antiseptics

  • Sterilization is the killing of all living microbes, including spores.
  • Disinfectants are antimicrobial agents used on non-living objects to reduce pathogenic microorganisms.
  • Antiseptics are antimicrobial substances applied to living tissue to reduce infection or decay. Antiseptics must not damage the living tissue.
  • Not all disinfectants are antiseptics.

Sterilization Methods

  • Sterilization methods are categorized as chemical or physical.
  • Chemical sterilization is used for devices sensitive to high heat or irradiation (e.g., rubbers, plastics).
    • Chemical liquid sterilization
    • Chemical vapor sterilization
  • Physical sterilization uses physical agents to eliminate microorganisms. Examples include:
    • Autoclaving (Moist Heat): Uses pressurized steam at high temperatures (121°C or 250°F) for 15-20 minutes to sterilize heat-resistant items.
    • Dry Heat Sterilization: Uses high temperatures (160-180°C or 320-356°F) for extended time to sterilize heat-resistant materials.
    • Filtration: Removes microorganisms from liquids or air using filters with small pore sizes.
    • Radiation (Ionizing Radiation): Uses gamma rays or electron beams to sterilize materials by damaging microbial DNA.
    • Ultraviolet (UV) Radiation: Uses UV-C light (254 nm) to damage microbial DNA, preventing replication.
    • Boiling: Boiling water (100°C or 212°F) for 10-15 minutes kills most bacteria and some viruses. However, this method is not a sterilizing method.
    • Incineration: Destroys contaminated material by burning.

Additional Information

  • Classification of Disinfectants: Disinfectants are grouped into high-level, intermediate-level, and low-level based on their effectiveness against different organisms.
  • Chemical Vapor Under Pressure (Chemiclave): A process that uses chemical mixtures (alcohol, formaldehyde, ketone, acetone, water) heated under pressure to sterilize. Requires 20 minutes at 131° C and 20 lbs pressure.
  • Fumigation: A sterilization method employing potassium permanganate and formalin in a specific ratio.
  • Laboratory Safety: Follow safety protocols for handling chemicals, biological hazards, and equipment.

Diagnosis of Bacteria

  • Microscopy, Gram Staining: Used to classify bacteria (Gram-positive or Gram-negative) based on cell wall structure. 
  • Acid-Fast Staining: Useful for identifying bacteria like Mycobacterium (e.g., tuberculosis).
  • Biochemical tests: used to identify different types of bacteria, such as catalase and coagulase tests.
  • Automated systems: Methods like VITEK and BD Phoenix automate biochemical testing.
  • Molecular Methods, DNA Sequencing: Provides highly specific identification and information on antibiotic resistance.

Blood Analysis

  • Complete Blood Count (CBC): Evaluates blood components (RBCs, WBCs, platelets) to diagnose infections and disorders.
  • Automated Hematology Analyzers and Blood Smear Microscopy to diagnose infections and disorders.
  • Hemoglobin and Hematocrit tests: Assess RBC count and hemoglobin concentration, identifying conditions like anemia.
  • Blood Coagulation Tests (PT/PTT): Assess blood clotting function to diagnose bleeding disorders.
  • Platelet function Tests: Used to evaluate platelets adhesion and aggregation.
  • Flow Cytometry: Helps study blood cell populations using fluorescent antibodies.
  • Bone Marrow Analysis: Provides information about blood cell production, crucial for diagnosing hematological cancers, anemias, and bone marrow disorders.

Clinical Chemistry

  • Spectrophotometry: Measures light absorbance by substances in bodily fluids (blood, urine) to determine their concentration (e.g., glucose, cholesterol).
  • Enzymatic reactions: used in biochemical tests employing enzymatic reactions for analysis.
  • Electrolyte Analysis: Measures electrolytes (e.g., sodium, potassium) for assessing kidney disease, dehydration, or heart issues.
  • Immunoassays (ELISA): Detects specific proteins or hormones (e.g., insulin, TSH, troponin) using antibodies in blood samples.
  • Chromatography such as GC and HPLC: Separates and identifies compounds in bodily fluids to detect drug use or monitor therapeutic drug levels.
  • Electrophoresis: Separates proteins based on charge and size for detecting abnormal protein levels.
  • Automated analyzers are used in modern laboratories for multiple biochemical tests.

Laboratory Safety

  • First aid: necessary materials and personnel training are essential.
  • Biochemical hazards: appropriate storage, handling, and disposal of chemicals are critical.
  • Biological hazards: follow and adhere to biosafety protocols to minimize risks.
  • General safety: use of SOPs (Standard Operating Procedures) and proper equipment is necessary. Always report hazards.

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