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1
What is the first and most critical step in histotechnology?
Fixation
2
What terminates any ongoing biochemical reactions?
Fixation
3
What increases the mechanical strength or stability of the treated tissues?
Fixation
4
What inhibits the growth of bacteria and molds that give rise to putrefactive changes?
Fixation
5
What is the primary aim of fixation?
Preserve the morphologic and chemical integrity of the cell in as life-like a manner as possible
6
What is the secondary aim of fixation?
Harden and protect the tissue from the trauma of further handling, so that it is easier to cut and process for microscopy
7
What are the objectives of fixation?
To Preserve the Tissue; To Prevent Breakdown of Cellular Elements; To Coagulate or Precipitate Protoplasmic Substances
8
What mechanism involves the chemical constituent of the fixative being taken in and becoming a part of the tissue?
Additive
9
What mechanism involves the fixing agent not being taken into tissue but altering the tissue composition and stabilizing the tissue?
Non Additive
10
What is the traditional volume of fixative?
10 times the volume of tissue
11
What volume of fixative provides maximum effectiveness?
20 times
12
What volume is used for Osmium tetroxide?
5-10 times
13
What volume is used for Museum Preparation?
Not be less than 50 times
14
What pH range is best for fixation?
6-8
15
What temperature is used for routine fixation?
40°C
16
What temperature is used for Electron Microscopy?
0-4°C
17
What is the thickness of section for Electron Microscopy?
1 to 2 mm2
18
What is the thickness of section for Light Microscopy?
2 cm2 and no more than 0.4 cm
19
What osmolality usually gives the best results?
400-450 mOsm
20
What concentration is widely used?
10% Formalin
21
What concentration is ideal for Electron Microscopy?
3% Glutaraldehyde
22
What can be used to cut down fixation time?
Heat, vacuum, agitation or microwave
23
When should tissues be fixed to prevent autolysis or putrefaction?
Immediately after removal or death
24
What fixative is made up of only one component substance?
Simple
25
What fixative is made up of two or more fixatives?
Compound
26
What fixatives permit the general microscopic study of tissue structures without altering the structural pattern and normal intercellular relationship of the tissues in question?
Microanatomical Fixatives
27
What fixatives must never contain Osmic acid because it inhibits hematoxylin?
Microanatomical Fixatives
28
What fixatives preserve specific parts and particular microscopic elements of the cell itself?
Cytological Fixatives
29
What fixatives preserve the nuclear structures?
Nuclear Fixatives
30
What fixatives contain glacial acetic acid as their primary component due to its affinity for nuclear chromatin?
Nuclear Fixatives
31
What is the pH of Nuclear Fixatives?
4.6 or less
32
What fixatives preserve cytoplasmic structures?
Cytoplasmic Fixatives
33
What fixatives must NEVER contain glacial acetic acid which destroys mitochondria and Golgi bodies?
Cytoplasmic Fixatives
34
What is the pH of Cytoplasmic Fixatives?
More than 4.6
35
What fixatives preserve the chemical constituents of cells and tissues?
Histochemical Fixatives
36
What is the process of placing an already fixed tissue in a second fixative?
Secondary Fixation
37
What process facilitates and improves the demonstration of particular substances?
Secondary Fixation
38
What process makes special staining techniques possible with the secondary fixative acting as a mordant?
Secondary Fixation
39
What process ensures further and complete hardening and preservation of tissues?
Secondary Fixation
40
What form of secondary fixation places a primarily fixed tissue in aqueous solution of 2.5-3% potassium dichromate for 24 hours?
Post-Chromatization
41
What process removes excess fixative from the tissue after fixation to improve staining and remove artefacts?
Washing out
42
What removes excess chromates from tissues fixed in Kelly's, Zenker's, and Flemming's solutions?
Tap water
43
What removes excess formalin and osmic acid?
Tap water
44
What removes excess amount of picric acid from Bouin's solution?
50 to 70% Alcohol
45
What removes excessive mercuric fixatives?
Alcoholic Iodine
46
How thick should tissues be except lung edema?
Not more than 5mm thick
47
How thick may tissue slices be in lung edema?
1–2cm thick
48
What organs should be packed cotton soaked in fixative or completely opened before being immersed in adequate fixing solution?
Hollow organs
49
What are examples of hollow organs?
Stomach, intestines
50
What organ may float on fixative?
Air filled lungs
51
What may be used to maintain air filled lungs under the surface?
Several layers of gauze
52
What should not be dissected before fixation because it may lead to immediate tissue collapse and wrinkling due to escape of vitreous humor?
Eyes
53
What should be injected before immersing the eyes in the fixative?
Formol alcohol
54
What method involves hard tissues being washed out in running water overnight and immersed in 4% aqueous phenol solution for 1–3 days?
Lendrum’s method
55
What is one of the most commonly used fixatives?
10% formalin
56
What is usually buffered at pH 7.0 with phosphate buffer?
Formaldehyde
57
What is the fixative of choice for immunohistochemistry and interphase Fluorescent in-Situ Hybridization?
Formaldehyde
58
What is recommended for fixation of central nervous tissues and general post-mortem tissues for histochemical examination?
10% Formol-Saline
59
What is recommended for preservation and storage of surgical, post mortem and research specimens?
10% Neutral-Buffered Formalin
60
What is the best fixative for tissues containing iron pigments?
10% Neutral-Buffered Formalin
61
What is recommended for routine post-mortem tissues?
Formol-Corrosive (Formol-Sublimate)
62
What is the polymerized form of formaldehyde, usually obtained as a fine white powder?
Paraformaldehyde
63
What depolymerizes back to formalin when heated?
Paraformaldehyde
64
What fixative consists of 4% Paraformaldehyde-1% Glutaraldehyde in 0.1M Phosphate Buffer?
Karnovsky’s Fixative
65
What fixative is suitable for preparing samples for light microscopy in resin embedding and sectioning, and for electron microscopy?
Karnovsky’s Fixative
66
What fixative is made up of two formaldehyde residues, linked by a three carbon chain?
Glutaraldehyde
67
What fixative is satisfactory for electron microscopy with Osmium tetroxide as a secondary fixative?
Glutaraldehyde
68
What solution is used for small tissue fragments and needle biopsies fixed in 2-4 hours at room temperature?
2.5% Glutaraldehyde
69
What solution is recommended for larger tissues less than 4 mm thick, fixed in 6-8 hours up to 24 hours?
4% Glutaraldehyde
70
What is excellent for fixing dry and wet smears, blood smears and bone marrow tissues?
100% Methyl Alcohol
71
What alcohol is used for fixing touch preparations for certain special staining procedures such as Wright-Giemsa?
95% Isopropyl Alcohol
72
What alcohol causes RBC's to become hemolyzed and WBC's inadequately preserved if lower concentrations are used?
70% to 100% Ethyl Alcohol
73
What alcohol preserves nucleoproteins and nucleic acids and is used for histochemistry, especially for enzyme studies?
70% to 100% Ethyl Alcohol
74
What is the most rapid fixative and may be used for urgent biopsy specimens?
Carnoy’s Fixative
75
What fixative is used to fix brain tissue for the diagnosis of rabies?
Carnoy’s Fixative
76
What solution is recommended for frozen sections and smears?
Clarke’s Solution
77
What can be used for fixation or post-fixation of large fatty specimens, particularly breast?
Alcoholic formalin
78
What is sometimes used to fix diagnostic cryostat sections?
Formol-acetic alcohol
79
What fixative is good for preservation of glycogen and for micro-incineration technique?
Gendre's Fixative
80
What fixative is used to fix sputum since it coagulates mucus?
Gendre's Fixative
81
What fluid is recommended for fixing mucopolysaccharides and nuclear proteins?
Newcomer's Fluid
82
What is the most common metallic fixative?
Mercuric Chloride
83
What is the routine fixative of choice for preservation of cell detail in tissue photography?
Mercuric Chloride
84
What metallic fixative is recommended for renal tissue, fibrin, connective tissue and muscle?
Mercuric Chloride
85
What solution permits brilliant staining of nuclear and connective tissue fibers?
Zenker's Solution
86
What solution is recommended for congested specimens such as lung, heart and blood vessels?
Zenker's Solution
87
What solution gives good results with PTAH and trichrome staining?
Zenker's Solution
88
What solution is an excellent fixative for bone marrow, extramedullary hematopoiesis and intercalated discs of cardiac muscle?
Zenker-Formol (Helly’s) Solution
89
What is an excellent microanatomic fixative for pituitary gland, bone marrow and blood containing organs such as spleen and liver?
Zenker-Formol (Helly’s) Solution
90
What fixative enhances nuclear detail important for identifying normal and abnormal cell types in hematopoietic tissue?
Lillie’s B-5 Fixative
91
What fixative is used for cytology of bone marrow biopsies?
Lillie’s B-5 Fixative
92
What solution is recommended mainly for tumor biopsies especially of the skin?
Heidenhain's Susa Solution
93
What is traditionally used in electron microscopy both as a fixative and a heavy metal stain?
Osmium Tetroxide
94
What is a good fixative and excellent stain for lipids in membranous structures and vesicles?
Osmium Tetroxide
95
What fixes myelin and peripheral nerves well and is used extensively for neurological tissues?
Osmium Tetroxide
96
What preserves cytoplasmic structures well, such as Golgi bodies and mitochondria?
Osmium Tetroxide
97
What is the most common chrome-osmium acetic acid fixative used?
Flemming's Solution
98
What is an excellent fixative for nuclear structures such as chromosomes?
Flemming's Solution
99
What is recommended for cytoplasmic structures particularly the mitochondria?
Flemming’s Solution without Acetic Acid
100
What is used in 1-2% aqueous solution, usually as a constituent of a compound fixative?
Chromic Acid
101
What precipitates all proteins and adequately preserves carbohydrates?
Chromic Acid
102
What preserves mitochondria if used in pH 4.5-5.2?
Potassium Dichromate
103
What fluid is recommended for the demonstration of chromatin, mitochondria, mitotic figures, Golgi bodies, RBC and colloid-containing tissues?
Regaud’s (Muller's) Fluid
104
What fluid is recommended for study of early degenerative processes and tissue necrosis?
Orth's Fluid
105
What fluid demonstrates Rickettsiae and other bacteria?
Orth's Fluid
106
What fixatives are recommended for acid mucopolysaccharides?
Lead Fixatives
107
What fixatives fix connective tissue mucin?
Lead Fixatives
108
What fixatives are excellent for glycogen demonstration?
Picric Fixatives
109
What fixatives are suitable for Aniline stains such as Mallory’s, Heidenhain’s or Masson’s Trichrome Methods?
Picric Fixatives
110
What acid is highly explosive when dry?
Picric acid
111
What solution is recommended for fixation of embryos and pituitary biopsies?
Bouin’s Solutions
112
What solution is sometimes recommended for gastro-intestinal tract biopsies, animal embryos and endocrine gland tissue?
Bouin’s Solutions
113
What solution is recommended for gastro-intestinal tract specimens and fixation of endocrine tissues?
Hollande’s Solution
114
What solution is highly recommended for the preservation of glycogen and other carbohydrates?
Gendre’s solution
115
What is an essential constituent of most compound nuclear fixatives?
Glacial Acetic Acid
116
What solidifies at 17°C?
Glacial Acetic Acid
117
What fixes and precipitates nucleoproteins?
Glacial Acetic Acid
118
What is contradicted for cytoplasmic fixation?
Glacial Acetic Acid
119
What is used for the precipitation of proteins and nucleic acids?
Trichloroacetic Acid (TCA)
120
What is used as a decalcifier and fixative in microscopy?
Trichloroacetic Acid (TCA)
121
What is not recommended as morphological fixative for tissue blocks?
Acetone
122
What is used to fix specimens at cold temperatures of 0 to 4°C?
Acetone
123
What is recommended for the study of water diffusible enzymes especially phosphatases and lipases?
Acetone
124
What is used in fixing brain tissues for diagnosis of rabies?
Acetone
125
What provides a stable medium for transport of fresh unfixed tissues such as renal, skin and oral mucosa biopsies?
Michel’s Solution
126
What solution is used for tissues that will undergo subsequent frozen section and immunofluorescence studies?
Michel’s Solution
127
What solution is not suitable for transporting cells for flow cytometry or for tissues used for fluorescent in-situ hybridization (FISH)?
Michel’s Solution
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