Unlock hundreds more features
Save your Quiz to the Dashboard
View and Export Results
Use AI to Create Quizzes and Analyse Results

Sign inSign in with Facebook
Sign inSign in with Google

Histopathology Quiz: Check Your Lab Techniques and Slide Skills

Quick, free practice with histopathology questions. Instant feedback and score.

Editorial: Review CompletedCreated By: Maria FranciscaUpdated Aug 27, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art illustration for histopathology quiz on golden yellow background

This histopathology quiz helps you practice fixation, staining, artifacts, and slide interpretation, so you can spot weak areas and strengthen your lab skills. Get instant results with helpful feedback to guide your next review session. For more practice, try our histology identification quiz, build microscopy skills with a cytology quiz, or sharpen basics with a tissue identification quiz.

Which fixative is most commonly used for routine histopathology of surgical specimens?
Glutaraldehyde 2%
Bouin solution
70% ethanol
10% neutral buffered formalin
undefined
The ideal thickness for routine paraffin sections for H&E staining is closest to which value?
4 micrometers
20 micrometers
0.5 micrometers
10 micrometers
undefined
During tissue processing, the primary purpose of graded alcohols is to
Decalcify tissue by chelation
Dehydrate tissue by removing water
Clear tissue by replacing xylene
Fix tissue by crosslinking proteins
undefined
In H&E staining, hematoxylin primarily stains which cellular component?
Collagen fibers
Cytoplasmic proteins
Elastic fibers
Nuclei
undefined
A flotation water bath for paraffin sections is typically maintained at approximately
70 to 75 degrees Celsius
40 to 45 degrees Celsius
20 to 25 degrees Celsius
55 to 60 degrees Celsius
undefined
Formalin fixation preserves tissue primarily by
Oxidizing lipids into aldehydes
Chelating calcium ions
Crosslinking amino groups of proteins
Hydrolyzing nucleic acids
undefined
Which special stain best highlights fungal cell walls in tissue sections?
Grocott methenamine silver (GMS)
Oil Red O
Alcian blue pH 2.5
Prussian blue
undefined
The optimal cryostat chamber temperature for most soft tissue sections is approximately
-20 degrees Celsius
+4 degrees Celsius
-60 degrees Celsius
0 degrees Celsius
undefined
In IHC, antigen retrieval by heating in high pH buffer is primarily used to
Enhance silver impregnation
Block endogenous peroxidase
Reverse formalin-induced crosslinks and unmask epitopes
Fix lipids to prevent extraction
undefined
Which decalcifying agent is best for preserving antigenicity for IHC in bone marrow biopsies?
Nitric acid
Strong hydrochloric acid
Formic acid with heat
EDTA
undefined
Which control best verifies the effectiveness of diastase digestion in a PAS-D stain?
Liver with glycogen before and after diastase treatment
Kidney for basement membranes only
Spleen for iron stores
Skeletal muscle for lipids
undefined
A common cause of incomplete antigen retrieval is
Insufficient time or temperature during HIER
Using xylene instead of alcohols in dehydration
Overfixation in 70% ethanol
Overdecalcification with EDTA
undefined
To minimize cross-contamination (floaters) between slides in the water bath, it is best to
Add detergent to dissolve tissue
Raise bath temperature to 55 C continuously
Skip wiping forceps between blocks
Change water frequently and avoid overloading ribbons
undefined
In automated tissue processors, vacuum and pressure cycles primarily
Prevent decalcification
Blue nuclei more intensely
Fix tissue faster than formalin
Enhance reagent penetration and exchange
undefined
Which mounting medium is preferred for DAB-based IHC slides?
Xylene-based resinous medium
Gelatin-based medium
No mounting, air dry only
Aqueous glycerol medium
undefined
OSHA's permissible exposure limit (PEL) for formaldehyde as an 8-hour TWA is closest to
5.0 ppm
0.75 ppm
2.0 ppm
0.05 ppm
undefined
During gross margin assessment, the standard practice for orienting a lumpectomy is to
Discard orientation sutures before inking
Ink margins with multiple colors and document orientation
Avoid slicing until after paraffin embedding
Rinse specimen to remove all ink prior to fixation
undefined
A key strategy to reduce preanalytic variability in HER2 IHC is to
Stain without controls to reduce batch effects
Use decalcification before fixation
Standardize fixation time between 6 and 72 hours in NBF
Omit antigen retrieval to avoid variability
undefined
Tissue processor carryover of reagents is best minimized by
Shortening all station times to speed workflow
Using multiple intermediate stations and adequate agitation
Running all tissues without cassettes
Combining clearing and dehydration in one step
undefined
In FISH on FFPE tissue, adequate pretreatment typically includes
Extended xylene incubation post-hybridization
Deparaffinization, protease digestion, and controlled denaturation
Silver impregnation of nuclei
Acid-fast staining before probe hybridization
undefined
0

Study Outcomes

  1. Understand Tissue Staining Methods -

    By completing this histopathology quiz, you will grasp the principles and applications of essential staining techniques such as H&E, PAS, and immunohistochemistry.

  2. Analyze Microscopic Tissue Features -

    You will learn to differentiate normal and abnormal cellular structures and apply histopathology techniques to interpret visual findings accurately.

  3. Apply Laboratory Protocols Correctly -

    This section covers best practices for sample preparation, slide handling, and safety procedures in response to common lab histopathology questions.

  4. Evaluate Troubleshooting Strategies -

    After the quiz, you will be able to identify and resolve common errors in staining, fixation, and sectioning to improve diagnostic quality.

  5. Assess Your Diagnostic Proficiency -

    End-of-quiz scoring and case-based questions will help you benchmark your skills against standard histopathology practice test scenarios.

Cheat Sheet

  1. Tissue Fixation Fundamentals -

    Proper fixation preserves cellular architecture by cross-linking proteins and preventing autolysis; formalin (10% neutral buffered formalin) is the gold standard as noted by the College of American Pathologists. Quick immersion and a fixative-to-tissue ratio of at least 10:1 ensure complete penetration. To remember fixation order, use the mnemonic "F.A.B.E.R." (Formalin, Alcohol, Buffer, EtOH, Rinse).

  2. Essential Staining Protocols -

    Hematoxylin and eosin (H&E) staining remains the cornerstone of histopathology techniques, with hematoxylin binding nucleic acids (blue-purple) and eosin highlighting cytoplasmic proteins (pink). According to the Journal of Histotechnology, optimal pH ranges for hematoxylin mordanting are 2.7 - 2.9. Special stains like PAS for glycogen or Masson's trichrome for connective tissue add diagnostic depth in your histopathology practice test.

  3. Precision in Microtomy -

    Consistent section thickness (typically 3 - 5 µm) is crucial for uniform staining intensity and is recommended by the International Academy of Pathology to avoid overstaining or poor resolution. Proper blade angle (5 - 10°) and regular blade replacement prevent chatter artifacts. Remember the phrase "Thin, clean, keen": thin sections, clean blade, keen eye for quality when tackling lab histopathology questions.

  4. Artifact Recognition -

    Artifacts such as tissue folds, knife marks, and air bubbles can mimic pathological changes and mislead diagnosis; PubMed studies emphasize training to distinguish real lesions from prep errors. Gentle floating of sections on a 40 - 45 °C water bath and proper mounting techniques reduce wrinkles. Use the mnemonic "F.A.B." (Folds, Air bubbles, Bookmarks) to recall common issues during your pathology techniques quiz.

  5. Microscopic Interpretation Skills -

    Develop systematic scanning of low to high power fields to assess architecture before cellular detail, a method endorsed by the World Health Organization tumor classification guidelines. Incorporate immunohistochemistry panels judiciously to confirm lineage markers and avoid false positives. For a confidence boost, practice with virtual slide libraries from academic research repositories to sharpen skills for your histopathology quiz.

Powered by: Quiz Maker