ch8 Flashcards

(30 cards)

1
Q

What is the primary responsibility of the IVF laboratory?

A

To ensure a stable, nontoxic, pathogen-free environment with optimum parameters for oocyte fertilization and embryo development.

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2
Q

What wavelengths of light are potentially harmful in ART procedures?

A

Near UV wavelengths of 300-400 nm are associated with increased apoptosis in mouse blastocysts.

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3
Q

What percentage of radiation exposure in embryology laboratories comes from microscopes?

A

95% of radiation exposure is from microscopes.

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4
Q

What is the maximum number of cases that should be housed in a single large incubator at one time?

A

A single large incubator should not be used to house more than 12 cases at a time.

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5
Q

What is the physiological oxygen concentration within the female reproductive tract?

A

Approximately 5%

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6
Q

Which Grade classification represents the most stringent air quality requirements for IVF laboratories?

A

Grade A (equivalent to Class 100, ISO 5) is the most stringent, used for high-risk operations requiring complete asepsis.

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7
Q

What is the recommended air change rate per hour for clean rooms classified as Grade B, C, and D?

A

At least 20 changes of air per hour are required.

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8
Q

Which type of biological safety cabinet is recommended for IVF laboratory manipulations?

A

Class II biological safety cabinets provide product, personnel, and environment protection and are recommended for IVF manipulations.

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9
Q

What is the optimal pH range for culture media in IVF procedures?

A

pH 7.35-7.45 (with physiological pH range of body fluids being 7.2-7.5)

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10
Q

What is the osmolarity range of tubal/uterine secretions?

A

275-305 mOsm/L

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11
Q

What are the four separate work areas that should be equipped in an IVF laboratory?

A

Andrology (semen assessment, sperm preparation)

Embryology (oocyte retrieval, fertilization, embryo culture)

Cryopreservation (sperm, oocytes, embryos, tissues)

Micromanipulation (ICSI, assisted hatching, biopsy)

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12
Q

What is the recommended CO2 concentration for most IVF incubators?

A

5-6% CO2

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13
Q

What size particles do HEPA filters remove?

A

HEPA filters remove particles smaller than 0.3 μm in diameter.

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14
Q

What does RFID stand for in electronic witnessing systems?

A

Radio Frequency Identification

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15
Q

What are the major advantages of oil overlays in tissue culture systems?

A
  1. Acts as physical barrier from atmosphere/airborne particles
  2. Prevents evaporation and delays gas diffusion
  3. Keeps pH, temperature, and osmolality stable during manipulations
  4. Allows use of non-humidified incubators
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16
Q

What is the molecular weight and amino acid count of serum albumin?

A

Serum albumin contains 650 amino acids with a molecular weight of 65,000 kDa.

17
Q

What are the four most common air pollutants in IVF laboratories?

A
  1. Volatile organic compounds (VOCs)

2.Small inorganic molecules (N2O, SO2, CO)

3.Substances from building materials (aldehydes, benzenes)

4.Pesticides/aerosols containing butane/iso-butane

18
Q

What is the recommended equilibration time for oil overlays in CO2 incubators?

A

A minimum of 8 hours equilibration (ideally overnight) is required for even small volumes (50 μL) of medium.

19
Q

What chemicals are used to generate CO2 in the simplified IVF system?

A

Citric acid and sodium bicarbonate

20
Q

What percentage of HSA (Human Serum Albumin) does human serum contain?

A

Human serum contains approximately 4.5% albumin (45 mg/mL).

21
Q

Which buffering system maintains stable pH in room atmosphere?

A

HEPES buffer maintains relatively stable pH even in ambient air and is used for sperm preparation, oocyte harvesting/washing, and ICSI procedures.

22
Q

What is the recommended pressure differential between adjacent rooms with different clean area classifications?

A

10-15 pascals, with the highest pressure in the most critical areas.

23
Q

What was the conclusion of the Cochrane evaluation regarding low oxygen culture?

A

Culturing embryos under low oxygen concentrations (around 5%) improves success rates of IVF/ICSI, resulting in an increase in live birth rate.

24
Q

What is the recommended air velocity for laminar flow in clean rooms?

A

0.3-0.45 meters per second at uniform velocity

25
What concentration of heparin may be added to follicular flushing media?
2 units/mL
26
What is the reason of adding heparin in follicular flushing media?
Primarily to prevent blood clotting during oocyte retrieval in IVF. [AI]
27
Which contaminant has been reported in silicone oil?
Zinc (Zn2+) contamination has been found in silicone oil. Washing with EDTA can remove this toxicity factor.
28
What is the recommended washing ratio for oil preparation?
5:1 (oil:aqueous solution), using either Milli-Q water, sterile saline, or simple culture medium without protein or lipid-soluble components.
29
What are the four mechanisms by which co-culture systems may improve embryo development?
1. Metabolic locks - supply of small molecular weight metabolites 2. Supply of growth factors essential for development 3/Removal/recycling of toxic compounds (heavy metals, ammonia, urea) 4.Synthesis of reducing agents to prevent free radical formation
30
What is the typical shelf life for complex culture media?
Approximately 4-6 weeks. More complex media generally have shorter useful lifespans. All media must be equilibrated for 4-6 hours (ideally overnight) before use.