Medical Technology Licensure Examination

Quality Assurance

Suggested Guidelines for Record and Specimen Retention Record / Specimen Type Retention Requisition 2 years Accession Logs 2 years Maintenance / Instrument logs 2 years Quality Control Records 2 years Blood bank donor / receipt records 10 years Blood bank patient records 10 years Blood bank employee signatures / initials 10 years Clinical Pathology test records …

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Exfoliative Cytology

Fixation: 50% alcohol – all types  70% alcohol – sputum  95% alcohol – most commonly used; urine, bronchial & gastric  Equal parts of ethanol & ether → BEST fixative! (but highly volatile & flammable)  Saccomano’s fixative → 50% ethanol + 2% carbowax  Spray fixatives – 1 ft. away!  2-3 slides should be prepared per patient  …

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Pathology

ABNORMALITIES IN CELL GROWTH RETROGRESSIVE CHANGES Agenesis Complete non-appearance of an organ Aplasia Incomplete or defective development (usually seen inpaired organs) Atresia Failure of an organ to form an opening Atrophy Partial or complete decrease in size of normally mature organ Hypoplasia Failure of an organ to reach its matured size PROGRESSIVE CHANGES Hyperplasia Increased …

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Histopathologic Techniques

FRESH TISSUE EXAMINATION  No addition of chemicals (eg. Fixatives) 1. Teasing – tissue is placed in a watch glass with isotonic solution then observed under a microscope 2. Squash Preparation (Crushing) – <1mm tissue is literally crushed (between 2 slides) 3. Smear Preparation  Streaking (zigzag pattern)  Spreading  Pull-apart  Touch preparation 4. Frozen Section  Uses either …

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Histology

Histology is the study of tissues   Type Location EPITHELIAL TISSUES Simple squamous Endothelium, mesothelium, alveoli,glomerulus Simple columnar Fallopian tube (ciliated), gallbladder(non-ciliated) Simple cuboidal Walls of thyroid follicles Stratifiedsquamous Skin (keratinized), vagina (nonkertinized) Stratified columnar Urethra of male Pseudostratifiedcolumnar Trachea (ciliated) Stratified cuboidal Ducts of sebaceous glands Transitional Linings of urinary tract  CONNECTIVE TISSUES    …

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Transfusion Reaction

Transfusion Reaction Information Prevention / Treatment FNHTR 1°C increase in temperature Cause: Anti-leukocyte antibodies (patient) Leukoreduced RBCs Allergic Cause: donor plasma with foreign proteins Washed RBCs Anaphylactic Patient has IgA deficiency w/ anti IgA antibodies Patient is afebrile (no fever) Washed RBCs IgA-deficient donor (rare) Anaphylactoid Patient has normal IgA with anti-IgA antibodies Patient is …

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Antihuman Globulin test

DIRECT ANTIGLOBULIN TEST Detection of sensitization of red cells in vivo Examples: AIHA, HDN, HTR INDIRECT ANTIGLOBULIN TEST Detection of sensitization of red cells in vitro Sensitization occurred during incubation period Examples: Weak D testing, AHG-phase compatibility testing, antibody screen and identification

Compatibility Testing

  Aka serologic crossmatch test Test to detect unexpected antibodies Ensures to produce a blood product safe for transfusion MAJOR CROSSMATCH (DCPS) Tests for alloantibodies in patient’s plasma against donor cells Donor’s cell + Patient’s plasma MINOR CROSSMATCH (DSPC) Tests for alloantibodies in donor’s plasma against patient’s cells POTENTIATORS aka enhancement media (increases reactivity of …

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Blood Donation

1. Registration collection of patient information date of last donation 2 days or more – after plasmapheresis, plateletpheresis or leukapheresis 4 weeks – after infrequent plasmapheresis 8 weeks – between whole blood donations 16 weeks – after 2-unit red cell collection 2. Health history interview Deferrals Permanent Tegison medication – for severe psoriasis Persons with …

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