Synovial Fluid

Question 1

Non selective ultrafiltrate of plasma

Answer 1

Synovial fluid

Question 2

Fxn of synovial fluid

Answer 2

Lubricates joints
Reduce friction
Provides nutrients
Lessen shock

Question 3

What do u call the collection of synovial fluid

Answer 3

Arthrocentesis

Question 4

Normal adult knee is

Answer 4

< 3.5 mL

Question 5

Fasting before arthrocentesis

Answer 5

4-6 hrs

Question 6

Fluid from disease joint may contain

Answer 6

Fibrinogen

Question 7

Anticoagulant used for gram stain and culture

Answer 7

Sterile heparin or SPS

Question 8

Anticoagulant use for cell counts

Answer 8

Liquid EDTA and heparin

Question 9

Anticoagulant use for glucose analysis

Answer 9

Sodium fluoride

Question 10

Normal appearance of synovial fluid

Answer 10

Clear or pale yellow

Question 11

Deeper yellow signifies

Answer 11

Inflammation

Question 12

Greenish tinge signifies

Answer 12

Infxn

Question 13

Red signifies

Answer 13

Trauma

Question 14

Milky signifies

Answer 14

Presence of crystals

Question 15

String tedt measures ______ to be considered as normal

Answer 15

4-6 cm

Question 16

Ropes or mucin clot test reagent

Answer 16

2-5% of acetic acid

Question 17

Normal synovial fluid in ropes or mucin clot test forms

Answer 17

Solid clot surrounded by clear fluid

Question 18

Grading of synovial fluid imusing ropes or mucin clot test

Answer 18

Good: solid clot
Fair: soft clot
Low: friable clot
Poor: No clot

Question 19

If synovial fluid is present in toluidine blue test, the drops of fluid will stain_____

Answer 19

Blue color

Question 20

Very viscous fluid may pre- treated by adding

Answer 20

1 drop of 0.05% hyaluronidase in phosphate buffer per mL of fluid and incubate at 37 celsius for 5 mins

Question 21

Diluent use for synovial fluid

Answer 21

Normal saline

Question 22

Crystal found in synovial fluid

Answer 22

Monosodium urate
Calcium pyrophosphate
Apatite
Cholesterol
CaOx
Corticosteroids

Question 23

Common organism that infects the synovial fluid

Answer 23

Staphylococcus
Streptococcus
Haemophilus
N. gonorrhoea

Question 24

Most frequently requested test in synovial fluid

Answer 24

Glucose

Question 25

The difference between blood glucose anf synovial fluid glucose shoul be

Answer 25

< 10 mg/dL

Question 26

Normal synovial fluid PROTEIN contains

Answer 26

< 3 g/dL

Question 27

Increased level of protein are found in

Answer 27

Inflammatory and hemorrhagic disorders

Question 28

T od F:
Synovial fluid URIC ACID is equal to the blood value

Answer 28

True

Question 29

Increased lactic acid level is associated with

Answer 29

Septic arthritis