American Society for Clinical Pathology (ASCP) Histotechnologist Practice Test

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What is a primary characteristic of acetic acid as a fixative?

  1. It fixes carbohydrates effectively

  2. It does not fix lipids and penetrates rapidly

  3. It is effective for preserving lipid structures

  4. It has high toxicity levels

The correct answer is: It does not fix lipids and penetrates rapidly

Acetic acid is primarily recognized for its ability to penetrate tissues rapidly and its limited fixation of lipids. When used as a fixative, it works by denaturing proteins and causing the precipitation of nucleic acids. This rapid penetration is crucial because it allows for quick preservation of cellular structures, which is particularly beneficial in histological preparations. Moreover, acetic acid does not fix lipids, which can be an advantage depending on the desired outcome of the sample preparation. In some cases, the fixation of lipids may be detrimental to preserving the morphology of certain tissues or cells. Therefore, understanding acetic acid's characteristics, particularly its rapid penetration and minimal interaction with lipid structures, aids histotechnologists in selecting the appropriate fixative for specific applications in histopathology.