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Histopathology Midterms Review

Total questions: 118

Worksheet time: 1hrs 3mins

Name
Class
Date
1.

Process whereby the clearing agent is completely removed

a)

Impregnation

b)

Embedding

2.

Process whereby the impregnated tissue is placed into a precisely arranged position in a mold

a)

Embedding

b)

Impregnation

3.

4 types of impregnation and embedding medium

a)

Paraffin wax

Celloidin

Gelatin

Plastic

b)

Paraplast

Embeddol

Ester wax

Carbowax

4.

Simple, most common and best embedding medium used for routine tissue processing

a)

Paraffin

b)

Xylene

5.

Paraffin wax is solid at room temperature but its melting point is

a)

65°C - 70°C

b)

60°C - 65°C

6.

Most common melting point of paraffin wax for histological use

a)

56°C - 58°C

b)

65°C - 70°C

7.

Temperature to decrease viscosity and improve infiltration of the tissue

a)

60°C - 65°C

b)

39°C - 68°C

8.

Paraffin wax is traditionally marketed by what melting points

a)

39°C - 68°C

b)

60°C - 65°C

9.

Which common waxes is normally used for routine work

a)

45°C

b)

52°C

c)

56°C

d)

58°C

10.

Ways by which paraffin wax impregnation and embedding may be performed

a)

Manual processing

b)

Automatic processing

c)

Vacuum embedding

11.

Requires at least 4 changes of wax at 15 mins intervals

a)

Manual

b)

Automatic

c)

Vacuum embedding

12.

Only 2-3 changes of wax, rapid diagnosis with less technicality

a)

Manual

b)

Automatic

c)

Vacuum embedding

13.

An automatic tissue processing machine

a)

Elliott Bench-Type Processor

b)

Elliot Bench-Type Processor

14.

The frequency with which fluids are changed depends on the number and sizes of the tissues processed

a)

True

b)

False

15.

The presence of odor in the clearing agent during final paraffin wax bath indicates that the paraffin wax needs to be changed

a)

True

b)

False

16.

Dehydrating fluids should be changed frequently

a)

True

b)

False

17.

The first 100% ethanol bath should be discarded

a)

True

b)

False

18.

The clearing agent and the dilute ethanols should be changed at least once a week

a)

True

b)

False

19.

Wax bath thermostats should be set at least 3°C above the melting point of the wax

a)

True

b)

False

20.

Involves wax impregnation under negative atmospheric pressure. Recommend for urgent biopsies.

a)

Manual

b)

Automatic

c)

Vacuum embedding

21.

Vacuum infiltration consists of

a)

Wax bath

b)

Fluid trap

c)

Vacuum gauge

22.

Requires a vacuum infiltrator or embedding oven to which a vacuum of up to 760 mm Hg is applied

a)

Vacuum infiltration

b)

Vacuum embedding

23.

Time required for complete impregnation in vacuum embedding

a)

Reduced by 25% - 75%

b)

Reduced by 20% - 70%

24.

Which gives the fastest results among the 3 methods of paraffin wax impregnation

a)

Manual

b)

Automatic

c)

Vacuum embedding

25.

Tissues should not be left in the paraffin oven for more than

a)

4 hours

b)

2 hours

26.

Paraffin oven must be maintained at a temperature of

a)

2°C - 5°C

b)

65°C - 70°C

27.

Coarse filter paper for wax

a)

Green's No. 904

b)

Blue's No. 904

28.

Substitutes for paraffin wax

a)

Paraplast

b)

Embeddol

c)

Ester wax

d)

Water soluble wax

e)

Dimethyl sulphoxide (DMSO)

29.

Highly purified paraffin and synthetic plastic polymers.

Melting point: 56 - 57°C

Winter: 54 - 56°C

Summer: 60 - 63°C

a)

Paraplast

b)

Embeddol

c)

Ester wax

d)

Water soluble wax

e)

Dimethyl sulphoxide (DMSO)

30.

Less brittle and less compressible

Melting point: 56 - 58°C

a)

Paraplast

b)

Embeddol

c)

Ester wax

d)

Water soluble wax

e)

Dimethyl sulphoxide (DMSO)

31.

A semisynthetic wax recommended for embedding eyes

a)

Bio/aid

b)

Tissue mat

32.

Produce of paraffin and containing rubber

a)

Bio/aid

b)

Tissue mat

33.

Not soluble in water but soluble in 95% ethyl alcohol

Melting point: 46 - 48°C

a)

Paraplast

b)

Embeddol

c)

Ester wax

d)

Water soluble wax

e)

Dimethyl sulphoxide (DMSO

34.

Used for impregnation without prior clearing of tissue

a)

Paraplast

b)

Embeddol

c)

Ester wax

d)

Water soluble wax

e)

Dimethyl sulphoxide (DMSO)

35.

May be used as clearing agent in Ester wax

a)

Cellosolve

b)

Ethylene glycol monoethyl ether

c)

Xylene

36.

Are plastic polymers, mostly polyethylene glycols

Melting point: 38 - 42°C or 45 - 56%

a)

Paraplast

b)

Embeddol

c)

Ester wax

d)

Water soluble wax

37.

Most commonly used polyethylene glycol

a)

Carbowax

b)

Paraffin wax

c)

Celloidin

d)

Gelatin

38.

True on carbowax

a)

Four changes: 1 in 70%, 1 in 90%, 2 in 100%

b)

Temperature: 56°C

c)

30 mins, 45 mins, 1 hr

39.

Will reduce tissue distortion and promote flattening and floating out of sections

a)

Additing soap to water

b)

10% Polyethylene glycol

40.

Proprietary blends of plastic polymer paraffin waxes reduces infiltration times and facilitates thin sectioning

a)

Paraplast

b)

Embeddol

c)

Ester wax

d)

Dimethyl sulphoxide (DMSO)

41.

Purified form of nitrocellulose

a)

Paraffin wax

b)

Celloidin

c)

Gelatin

d)

Plastic

42.

Suitable for specimens with large hollow cavities, hard and dense tissues, and whole embryo

a)

Paraffin wax

b)

Celloidin

c)

Gelatin

d)

Plastic

43.

Recommend for bones, teeth, brain, whole organs

a)

Wet celloidin

b)

Dry celloidin

44.

Ether and alcohol: 12 - 24 hrs

Thin celloidin (2-4%): 5 - 7 days

Medium celloidin (4-6%): 5 - 7 days

Thick celloidin (8-12%): 3 - 5 days

a)

Wet celloidin

b)

Dry celloidin

45.

Preferred for processing whole eye sections

a)

Wet celloidin

b)

Dry celloidin

46.

Equal parts of chloroform and cedarwood oil

a)

Gilson's mixture

b)

Gravin's mixture

47.

More explosive than celloidin

a)

Wet celloidin

b)

Dry celloidin

c)

Low viscosity nitrocellulose (LVN)

48.

Plasticizers that prevent tissues from cracking in LVN

a)

Oleum ricini

b)

Castor oil

c)

Cedarwood oil

d)

Chloroform

49.

Rarely used except when dehydration is to be avoided. It is water soluble and does not require dehydration and clearing

a)

Paraffin wax

b)

Celloidin

c)

Gelatin

d)

Plastic

50.

Serves to prevent the growth of molds

a)

1% phenol

b)

2% phenol

51.

The process by which a tissue is arranged in precise positions in the mold

a)

Orientation

b)

Positioning

52.

Types of blocking out molds

a)

Leuckhart's embedding mold

b)

Compound embedding unit

c)

Plastic embedding ring and base mold

d)

Disposable embedding mold

53.

2 L shaped strips

a)

Leuckhart's embedding mold

b)

Compound embedding unit

c)

Plastic embedding ring and base mold

d)

Disposable embedding mold

54.

Series of interlocking plates resting on a flat metal base

a)

Leuckhart's embedding mold

b)

Compound embedding unit

c)

Plastic embedding ring and base mold

d)

Disposable embedding mold

55.

Special stainless steel base mold

a)

Leuckhart's embedding mold

b)

Compound embedding unit

c)

Plastic embedding ring and base mold

d)

Disposable embedding mold

56.

Disposable embedding mold

a)

Peel-away

b)

Plastic ice tray

c)

Paper boat

57.

Disposable thin plastic embedding molds, available in 3 different sizes

a)

Peel-away

b)

Plastic ice tray

c)

Paper boat

58.

Recommend for busy routine laboratories

a)

Peel-away

b)

Plastic ice tray

c)

Paper boat

59.

Embedding celloidin blocks but are useful for paraffin wax blocks. Cheap and easy to make.

a)

Peel-away

b)

Plastic ice tray

c)

Paper boat

60.

X is drawn with soft lead pencil on the inner surface of the bottom

a)

Peel-away

b)

Plastic ice tray

c)

Paper boat

61.

Types of celloidin

a)

Wet celloidin

b)

Dry celloidin

c)

Low viscosity nitrocellulose (LVN)

62.

Types of plastic (resin)

a)

Epoxy

b)

Polyester

c)

Acrylic

63.

Recommended for embedding hard tissues such as bones, teeth and eyes

a)

Celloidin

b)

Nitrocellulose

64.

Used to control the rate or evaporation of solvent

a)

Bell jar

b)

Urn

65.

Process by which tissues are first embedded or fully infiltrated with a supporting medium such as agar or nitrocellulose, then infiltrate a second time with paraffin wax

a)

Celloidin

b)

Nitrocellulose

c)

Double-embedding

66.

Made up of a balance mixture of epoxy plastic, catalysts, and accelerators

a)

Epoxy

b)

Polyester

c)

Acrylic

67.

Originally introduced for electron microscopy in the mid 1950s, now seldomly used

a)

Epoxy

b)

Polyester

c)

Acrylic

68.

Made up of esters of acrylic or methacrylic acid, and are used extensively for light microscopy

a)

Epoxy

b)

Polyester

c)

Acrylic

69.

Types of epoxy

a)

Bisphenol A (Araldite)

b)

Glycerol (Epon)

c)

Cyclohexene dioxide (Spurr)

70.

Low viscosity mixture which provides rapid infiltration of tissues

a)

Bisphenol A

b)

Glycerol

c)

Cyclohexene dioxide

d)

Spurr's Resin

71.

A carcinogenic component of epoxy

a)

Vinyl cyclohexane dioxide (VCD)

b)

Glycol methacrylate (GMA)

c)

Methyl methacrylate (MMA)

72.

Types of acrylic

a)

Vinyl cyclohexane dioxide (VCD)

b)

Glycol methacrylate (GMA)

c)

Methyl methacrylate (MMA)

73.

A catalyst that decomposes to form phenyl radicals acting as an active site for the polymerization of acrylics

a)

Benzoyl peroxide

b)

Chloroform

c)

Aniline oil

74.

Process whereby alcohol is removed from the tissue

a)

Clearing

b)

Dehydration

75.

Most common clearing agent

a)

Xylene

b)

Toluene

c)

Benzene

76.

Used when the tissue is to be cleared directly from water

a)

Xylene

b)

Toluene

c)

Benzene

d)

Glycerin and Gum syrup

77.

Has a lower boiling point than xylene but takes longer to clear

a)

Toluene

b)

Benzene

c)

Chloroform

78.

Affects the speed of penetration of the clearing agent

a)

Prolonged exposure

b)

Viscosity

c)

Boiling point

79.

Clearing time of xylene

a)

30 mins to 1 hour

b)

15 mins to 30 mins

c)

Both

80.

Better at preserving tissue structures. Substitute for xylene and benzene

a)

Cedarwood oil

b)

Chloroform

c)

Toluene

81.

Clearing time of toluene

a)

1 to 2 hours

b)

30 mins to 1 hour

c)

15 mins to 1 hour

82.

Penetrates amd clears tissues rapidly. Highly carcinogenic and strongly discouraged

a)

Chloroform

b)

Benzene

c)

Carbon tetrachloride

83.

Clearing time of benzene

a)

1 to 2 hours

b)

30 mins to 1 hour

c)

15 mins to 1 hour

84.

Clearing agent that does not become translucent. Can process thicker tissue blocks

a)

Chloroform

b)

Cedarwood oil

c)

Aniline oil

85.

Clearing time of chloroform

a)

6 to 24 hours

b)

2 to 3 days

c)

25 mins to 45 mins

86.

Clears both paraffin and celloidin sections. Recommend for CNS and Cytological studies

a)

Aniline oil

b)

Terpene

c)

Cedarwood oil

87.

Clearing time of cedarwood oil

a)

2 to 3 days

b)

6 to 24 hours

c)

1 to 2 hours

88.

Recommended for embryos, insects, and very delicate specimens

a)

Terpene

b)

Aniline oil

c)

Clove oil

89.

Tissues become brittle, aniline dyes are removed, and celloidin is dissolved

a)

Clove oil

b)

Aniline oil

c)

Terpene

90.

Similar to chloroform but cheaper

a)

Tetrahydrofuran

b)

Carbon tetrachloride

c)

Dioxane

91.

Ability to perform two processes at the same time, dehydrating and clearing

a)

Tetrahydrofuran

b)

Carbon tetrachloride

c)

Dioxane

92.

Miscible both with water and paraffin. Used primarily when time is important

a)

Tetrahydrofuran

b)

Carbon tetrachloride

c)

Dioxane

93.

Found in essential oils. Earliest transition solvents to be used

a)

Terpene

b)

Limonene

c)

Orange oil

94.

Found in citrus peels such as lemons and oranges

a)

Terpene

b)

Limonene

c)

Orange oil

95.

Lowest hazard rating of all xylene alternatives

a)

Terpene

b)

Limonene

c)

Orange oil

96.

Government regulations have restricted most of the effective solvents in this class

a)

Chlorinated hydrocarbon

b)

Carbine tetrachloride

c)

Benzene

97.

Process of removing intercellular and extracellular water from the tissue

a)

Clearing

b)

Dehydration

98.

Removal of water by evaporation from a solid, semi-solid, or liquid

a)

Drying

b)

Dehydration

99.

General rule of dehydration:

Amount in each step should not be less than __ the volume of the tissue

a)

5x

b)

10x

c)

20x

100.

Commonly used dehydrating agents

a)

Alcohol

b)

Acetone

c)

Dioxane

d)

Cellosolve

e)

Triethyl phosphate

Tetrahydrofuran

101.

Solutions utilized to make dehydration possible. Alcohols of various types. Used in increasing strengths to remove aqueous tissue fluids with little disruption to the tissue caused by diffusion currents

a)

Drying

b)

Dehydration

c)

Dehydrating agents

102.

Anhydrous fluid can be used as a dehydrating agent for the

reason that

a)

It does not damage the tissue proteins

b)

Miscible with the fluids to be used subsequently

c)

Dehydrate even fatty tissues

d)

Dehydrate rapidly without producing considerable shrinkage or distortion of

tissues

103.

Recommended alcohol for routine dehydration of tissues.

Clear, colorless flammable liquid

Fast-acting and penetrates tissues easily

Not poisonous and not very expensive

a)

Ethyl

b)

Methyl

c)

Butyl

104.

Toxic dehydrating agent

Primarily employed for: blood & tissue films and for smear

preparations

a)

Ethyl

b)

Methyl

c)

Butyl

105.

Slow dehydrating agent

Utilized in plant & animal micro-techniques

Recommended for tissues which do not require rapid processing

a)

Ethyl

b)

Methyl

c)

Butyl

106.

A temperature of 37C will hasten dehydration time required for urgent examinations such as

a)

Fibrous organs

b)

Fragmentary biopsies

c)

CNS biopsies

107.

Boiling point of 78.3C

a)

Ethanol

b)

Butanol

c)

Tertiary butanol

d)

Isopropanol

e)

Pentanol

108.

Boiling point of 117.7C

a)

Ethanol

b)

Butanol

c)

Tertiary butanol

d)

Isopropanol

109.

Boiling point of 82.8C

Universal solvent

a)

Ethanol

b)

Butanol

c)

Tertiary butanol

d)

Isopropanol

110.

Boiling point of 82.3C

The best all-around substitute for ethyl alcohol

a)

Ethanol

b)

Butanol

c)

Tertiary butanol

d)

Isopropanol

111.

Boiling point of 128C

a)

Pentanol

b)

Acetone

c)

Dioxane

112.

Boiling point of 56C

For urgent biopsies which it dehydrates in 30 mins to 2 hours

a)

Pentanol

b)

Acetone

c)

Dioxane

113.

Boiling point of 101.5C

Excellent dehydrating and clearing agent

a)

Pentanol

b)

Acetone

c)

Dioxane

114.

Boiling point of 156.4C

Combustible at 110-120F

a)

Cellosolve

b)

Triethyl phosphate

c)

Tetrahydrofuran (THF)

115.

Boiling point of 215C

Used to dehydrate sections and smears following certain stains

a)

Cellosolve

b)

Triethyl phosphate

c)

Tetrahydrofuran (THF)

116.

Also a dehydrating and clearing agent. May cause conjunctival irritation

a)

Cellosolve

b)

Triethyl phosphate

c)

Tetrahydrofuran (THF)

117.

As a transition fluid

a)

Acetonitrile

b)

Propylene oxide

118.

A good substitute for propylene oxide

a)

Acetonitrile

b)

Cellosolve

c)

Dioxane