14 EXAMINATION OF BODY FLUIDS AND MISCELLANEOUS SPECIMENS Flashcards
Which of the following fluids is not an ultrafiltrate of plasma?
a. Cerebrospinal fluid
b. Peritoneal fluid
c. Pleural fluid
d. Synovial fluid
a. Cerebrospinal fluid
Regarding gross appearance, normal spinal fluid is:
a. Crystal clear
b. Pale yellow
c. Slightly cloudy
d. Xanthochromatic
a. Crystal clear
In cerebrospinal fluid (CSF) examination, which of the following characterizes bilirubin from past hemorrhage?
a. Pale-pink or pale-orange xanthochromasia in supernatant
b. Three sequentially collected tubes that are equally bloody
c. Three sequentially collected tubes that are progressively less bloody, with the third being clear or almost clear
d. Yellow xanthochromasia in supernatant fluid
d. Yellow xanthochromasia in supernatant fluid
Which of the following characterizes the normal CSF appearance?
a. Cloudy fluid in all tubes
b. Crystal clear fluid in all tubes
c. Pale-pink or pale-orange xanthochromasia in supernatant
d. Three sequentially collected tubes that are equally bloody
b. Crystal clear fluid in all tubes
In CSF examination, which of the following characterizes
a subarachnoid hemorrhage?
a. Cloudy fluid in all tubes
b. Crystal clear fluid in all tubes
c. Three sequentially collected tubes that are equally bloody
d. Three sequentially collected tubes that are progressively less bloody, with the third being clear or almost clear
c. Three sequentially collected tubes that are equally bloody
Which of the following characterizes a traumatic spinal tap?
a. Cloudy fluid in all tubes
b. Crystal clear fluid in all tubes
c. Three sequentially collected tubes that are equally bloody
d. Three sequentially collected tubes that are progressively less bloody, with the third being clear or almost clear
d. Three sequentially collected tubes that are progressively less bloody, with the third being clear or almost clear
A lower-than-normal CSF glucose level in relation to blood glucose is most characteristic of which of the following?
a. Bacterial meningitis
b. Brain tumor
c. Diabetic coma
d. Viral meningitis
a. Bacterial meningitis
Increased cerebrospinal fluid with increased CSF white cell count and a preponderance of neutrophils is most characteristic of which of the following?
a. Bacterial meningitis
b. Tuberculosis
c. Viral meningitis
d. Yeast infection
a. Bacterial meningitis
Exudate is:
a. Normal serous fluid
b. An effusion usually the result of an inflammatory process
c. An increase in serous fluid volume
d. Around the abdominal and pelvic organs
b. An effusion usually the result of an inflammatory process
Serous fluids are:
a. Normal body fluids
b. An effusion usually the result of an inflammatory process
c. Around the joints
d. Normal fluids contained within the closed cavities of the body
d. Normal fluids contained within the closed cavities of the body
Synovial fluid is:
a. Normal serous fluid
b. An effusion usually the result of an inflammatory process
c. Around the joints
d. Normal fluid contained within the closed cavities of the body
c. Around the joints
Transudate is:
a. Normal serous fluid
b. An effusion usually the result of an inflammatory process
c. Around the joints
d. An increase in serous fluid volume
a. Normal serous fluid
Degenerative joint disease is characterized by:
a. Crystal-induced fluid
b. Hemorrhagic fluid
c. Infectious fluid
d. Noninflammatory fluid
c. Infectious fluid
Gout is characterized by:
a. Crystal-induced fluid
b. Hemorrhagic fluid
c. Infectious fluid
d. Inflammatory fluid
a. Crystal-induced fluid
Hemophilia A is characterized by:
a. Crystal-induced fluid
b. Hemorrhagic fluid
c. Infectious fluid
d. Inflammatory fluid
b. Hemorrhagic fluid
Immunologic disease is characterized by:
a. Crystal-induced fluid
b. Hemorrhagic fluid
c. Infectious fluid
d. Inflammatory fluid
d. Inflammatory fluid
The viscosity of synovial fluid may be assessed by which of the following?
a. Mucin clot test
b. String test
c. Specific gravity
d. More than one of the above
d. More than one of the above
The presence of monosodium urate (MSU) crystals in the synovial fluid is characteristic of:
a. Gout
b. Osteoarthritis
c. Pseudogout
d. Rheumatoid arthritis
a. Gout
The presence of calcium pyrophosphate dihydrate (CPPD) crystals in the synovial fluid is characteristic of:
a. Gout
b. Osteoarthritis
c. Pseudogout
d. Rheumatoid arthritis
c. Pseudogout
The final identification of crystals in crystal-induced arthritis is best accomplished with:
a. Brightfield microscopy
b. Compensated polarized light microscopy
c. Phase-contrast microscopy
d. Polarized light microscopy
b. Compensated polarized light microscopy
In normal semen, all the following statements are false except:
a. Spermatozoa are the minority of cells seen.
b. Qualitative semen analysis is subjective, and further testing is generally required.
c. Qualitative semen analysis must take place before liquefaction of the specimen.
d. Semen specimens can be analyzed for best results 8 hours after collection.
a. Spermatozoa are the minority of cells seen.
The chemical composition of amniotic fluid is mostly:
a. Protein
b. Carbohydrate
c. Calcium
d. Water
d. Water
Saliva can be used to test for all the following except:
a. Microbial studies
b. Therapeutic drugs
c. Secretors of certain blood group antigens
d. Detection of alcohol levels
d. Detection of alcohol levels
