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2A STRASINGER CHAPTER QUESTIONS > 12 SYNOVIAL FLUID > Flashcards

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
Q

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

A

B. Yellow

26
Q

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

A

C. Blue

27
Q

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

A

C. Fast light runs against the molecular grain of the crystal

28
Q

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

A. Neisseria gonorrhoeae

29
Q

The chemical test performed most frequently on
synovial fluid is:
A. Total protein
B. Uric acid
C. Calcium
D. Glucose

A

D. Glucose

30
Q

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

A

C. Acid phosphatase

31
Q

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

A. Pseudogout

2A STRASINGER CHAPTER QUESTIONS (18 decks)

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