12 SYNOVIAL FLUID Flashcards

1
Q

The functions of synovial fluid include all of the following except:
A. Lubrication for the joints
B. Removal of cartilage debris
C. Cushioning joints during jogging
D. Providing nutrients for cartilage

A

B. Removal of cartilage debris

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2
Q

The primary function of synoviocytes is to:
A. Provide nutrients for the joints
B. Secrete protein
C. Regulate glucose filtration
D. Prevent crystal formation

A

A. Provide nutrients for the joints

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3
Q

Which of the following tests is not performed frequently on synovial fluid?
A. Uric acid
B. WBC count
C. Crystal examination
D. Gram stain

A

A. Uric acid

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4
Q

The procedure for collecting synovial fluid is called:
A. Synovialcentesis
B. Arthrocentesis
C. Joint puncture
D. Arteriocentesis

A

B. Arthrocentesis

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5
Q

Identify the appropriate group of the disorder:

GOUT

A. Noninflammatory
B. Inflammatory
C. Septic
D. Hemorrhagic

A

B. Inflammatory

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6
Q

Identify the appropriate group of the disorder:

Neisseria gonorrhoeae infection

A. Noninflammatory
B. Inflammatory
C. Septic
D. Hemorrhagic

A

C. Septic

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7
Q

Identify the appropriate group of the disorder:

Systemic lupus erythematosus

A. Noninflammatory
B. Inflammatory
C. Septic
D. Hemorrhagic

A

B. Inflammatory

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8
Q

Identify the appropriate group of the disorder:

Osteoarthritis

A. Noninflammatory
B. Inflammatory
C. Septic
D. Hemorrhagic

A

A. Noninflammatory

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9
Q

Identify the appropriate group of the disorder:

Hemophilia

A. Noninflammatory
B. Inflammatory
C. Septic
D. Hemorrhagic

A

D. Hemorrhagic

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10
Q

Identify the appropriate group of the disorder:

Rheumatoid arthritis

A. Noninflammatory
B. Inflammatory
C. Septic
D. Hemorrhagic

A

B. Inflammatory

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11
Q

Identify the appropriate group of the disorder:

Heparin overdose

A. Noninflammatory
B. Inflammatory
C. Septic
D. Hemorrhagic

A

D. Hemorrhagic

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12
Q

Normal synovial fluid resembles:
A. Egg white
B. Normal serum
C. Dilute urine
D. Lipemic serum

A

A. Egg white

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13
Q

Before testing, very viscous synovial fluid should be treated with:
A. Normal saline
B. Hyaluronidase
C. Distilled water
D. Hypotonic saline

A

B. Hyaluronidase

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14
Q

The color of the synovial fluid from a patient with a bacterial infection may be:
A. Yellow tinged
B. Green tinged
C. Red streaked
D. Opalescent

A

B. Green tinged

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15
Q

Which of the following could be affected most
significantly if a synovial fluid is refrigerated before testing?
A. Glucose
B. Crystal examination
C. Mucin clot test
D. Differential

A

B. Crystal examination

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16
Q

The highest WBC count can be expected to be seen in patients with:
A. Noninflammatory arthritis
B. Inflammatory arthritis
C. Septic arthritis
D. Hemorrhagic arthritis

A

C. Septic arthritis

17
Q

When diluting a synovial fluid WBC count, all of the following are acceptable except:
A. Acetic acid
B. Isotonic saline
C. Hypotonic saline
D. Saline with saponin

A

A. Acetic acid

18
Q

The lowest percentage of neutrophils would be seen in patients with:
A. Noninflammatory arthritis
B. Inflammatory arthritis
C. Septic arthritis
D. Hemorrhagic arthritis

A

A. Noninflammatory arthritis

19
Q

All of the following are abnormal when seen in synovial fluid except:
A. Neutrophages
B. Ragocytes
C. Synovial lining cells
D. Lipid droplets

A

C. Synovial lining cells

20
Q

Synovial fluid crystals that occur as a result of purine metabolism or chemotherapy for leukemia are:
A. Monosodium urate
B. Cholesterol
C. Calcium pyrophosphate
D. Apatite

A

A. Monosodium urate

21
Q

Synovial fluid crystals associated with inflammation in
patients on dialysis are:
A. Calcium pyrophosphate dihydrate
B. Calcium oxalate
C. Corticosteroid
D. Monosodium urate

A

B. Calcium oxalate

22
Q

Crystals associated with pseudogout are:
A. Monosodium urate
B. Calcium pyrophosphate dihydrate
C. Apatite
D. Corticosteroid

A

B. Calcium pyrophosphate dihydrate

23
Q

Synovial fluid for crystal examination should be
examined as a/an:
A. Wet preparation
B. Wright’s stain
C. Gram stain
D. Acid-fast stain

A

A. Wet preparation

24
Q

Crystals that have the ability to polarize light are:
A. Corticosteroid
B. Monosodium urate
C. Calcium oxalate
D. All of the above

A

D. All of the above

25
In an examination of synovial fluid under compensated polarized light, rhomboid-shaped crystals are observed. What color would these crystals be when aligned parallel to the slow vibration? A. White B. Yellow C. Blue D. Red
B. Yellow
26
If crystals shaped like needles are aligned perpendicular to the slow vibration of compensated polarized light, what color are they? A. White B. Yellow C. Blue D. Red
C. Blue
27
Negative birefringence occurs under red-compensated polarized light when: A. Slow light is impeded more than fast light B. Slow light is impeded less than fast light C. Fast light runs against the molecular grain of the crystal D. Both B and C
C. Fast light runs against the molecular grain of the crystal
28
Often synovial fluid cultures are plated on chocolate agar to detect the presence of: A. Neisseria gonorrhoeae B. Staphylococcus agalactiae C. Streptococcus viridans D. Enterococcus faecalis
A. Neisseria gonorrhoeae
29
The chemical test performed most frequently on synovial fluid is: A. Total protein B. Uric acid C. Calcium D. Glucose
D. Glucose
30
Which of the following chemistry tests can be performed on synovial fluid to determine the severity of RA? A. Glucose B. Protein C. Acid phosphatase D. Uric acid
C. Acid phosphatase
31
Serological tests on patients’ serum may be performed to detect antibodies causing arthritis for all of the following disorders except: A. Pseudogout B. Rheumatoid arthritis C. Systemic lupus erythematosus D. Lyme arthritis
A. Pseudogout