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Body Fluids > End of Chapter Questions: Synovial Fluid > Flashcards

End of Chapter Questions: 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 hyaluronic acid
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 is not a frequently performed test
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 
Normal synovial fluid resembles:
A. Egg white
B. Normal serum
C. Dilute urine
D. Lipemic serum
A

A. Egg white

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6
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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7
Q 
Addition of a cloudy, yellow synovial fluid to acetic acid
produces a/an:
A. Yellow-white precipitate
B. Easily dispersed clot
C. Solid clot
D. Opalescent appearance
A

B. Easily dispersed clot

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8
Q

Which of the following could be the most significantly
affected 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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9
Q 
The highest WBC count can be expected to be seen with:
A. Noninflammatory arthritis
B. Inflammatory arthritis
C. Septic arthritis
D. Hemorrhagic arthritis
A

C. Septic arthritis

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10
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

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11
Q 
The lowest percentage of neutrophils would be seen in:
A. Noninflammatory arthritis
B. Inflammatory arthritis
C. Septic arthritis
D. Hemorrhagic arthritis
A

A. Noninflammatory arthritis

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12
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

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13
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

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14
Q 
Crystals associated with pseudogout are:
A. Monosodium urate
B. Calcium pyrophosphate dihydrate
C. Apatite
D. Corticosteroid
A

B. Calcium pyrophosphate dihydrate

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15
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

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16
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

A. Corticosteroid, B. Monosodium urate, C. Calcium oxalate

17
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

18
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

19
Q

Negative birefringence occurs under red-compensated polarized light when:
A. Slow light is impeded more than fast light
B. Slow light is less impeded 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

20
Q 
The most frequently performed chemical test on synovial
fluid is:
A. Total protein
B. Uric acid
C. Calcium
D. Glucose
A

D. Glucose

21
Q

Which of the following chemistry tests can be performed
on synovial fluid to determine the severity of RA?
A. Glucose
B. Protein
C. Lactate
D. Uric acid

A

C. Lactate

22
Q

Serologic 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

Body Fluids (17 decks)

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