WorksheetsOther Body Fluids Part 1 (CSF, Semen, Synovial)
Total questions: 75
Worksheet time: 38mins
Decreased CSF glucose and increased wbc count (neutrophils)
Bacterial Meningitis
Lymphocyte Meningitis
Viral Meningitis
NOTA
CSF lactate values of 37 mg/dL can be frequently seen with
viral meningitis
Bacterial meningitis
tubercular meningitis
fungal meningitis
The normal concentration of CSF glutamine is
15-45 mg/dL
8- 18 mg/dL
20-45 mg/dL
5-15 mg/dL
Rapid screening for detecting and identifying microorganisms in CSF
VDRL
ELISA
Latex- agglutination tests
RPR
It is frequently used in detecting C. neoformans
Gram Stain
Hansel Stain
India Ink
CSF produced per hour in adults
50mL
30 mL
15 mL
20 mL
Tube 3 is used for __ tests
Chemical
Hematology
Serology
Microbiology
Xanthochromia may be cause of ____ present in CSF specimen
WBCs
Clotting Factors
Radiographic contrast media
Bilirubin
A classic Web-like pellicle present in CSF specimen after refrigerated is associated with ___
tubercular meningitis
Viral meningitis
Bacterial meningitis
Fungal meningitis
The normal CSF adult contains 5-10 WBCS/ uL
True
False. It must only be 0-5 WBCs/uL
False. It must only be 0-2 WBCs/uL
Intracranial Hemorrhage in CSF specimen is noticeable after ___.
1 hour
2 hours
30 minutes
5 minutes
Cells found in normal CSF are primarily
monocytes and lymphocytes
lymphocytes and erythrocytes
monocytes and granulocytes
All diluents in Quality control of CSF should be checked ___
every month
daily
weekly
biweekly
This is used in staining CSF during differential count.
Wright stain
Gram stain
Hansel stain
India ink
Dilutions for total cell counts used _____.
glacial acetic acid
normal saline
methylene blue
3% glacial acetic acid
Increased ____ are seen in patients with funga; infections (Coccidioides immitis)
Neutrophils
Lymphocytes
Leukocytes
Eosinophils
Lower values of total CSF Proteins are observed in infants and people aged above 40 years old
True
False. It should be higher values.
False. Only infants had a lower CSF total protein value
This is present in CSF but not in serum
Tau
Fibrinogen
IgM
beta lipoprotein
Two or more oligoclonal bands in CSF protein electrophoresis can be a valuable tool in diagnosing
Multiple sclerosis
Multiple Myeloma
Hemorrhage
Neurosyphillis
CSF blood glucose should be drawn about 2 hours before spinal tap.
True.
False. It should be AFTER Spinal tap
False, It should be an HOUR before spinal tap.
Decreased CSF glucose ; increased lymphocytes
Bacterial meningitis
Viral Meningitis
Fungal Meningitis
Tubercular meningitis
Normal CSF glucose ; increased lymphocytes
Bacterial meningitis
Viral Meningitis
Fungal Meningitis
Tubercular meningitis
CSF Normal Lactate level is
15-45 mg/dL
10-24 mg/dL
8- 18 mg/dL
Showing starbust pattern under the microscope
E. coli
C. neoformans
N. meningitidis
L. monocytogenes
This is used to detect the presence of neurosyphilis
VDRL
RPR
FTA-ABS
ELISA
This is used to detect the presence of C. neoformans in serum and CSF
Latex agglutination tests
Acid-fast stains
Fluorescent antibody stains
ELISA
Hemosiderin granules and hematoidin crystals are seen in
Ependymal cells
Macrophages
Choroid cells
Lymphoma cells
The second most prevalent protein in serum is ___, wheras in CSF it is ___.
globulin ; prealbumin
albumin; transferrin
IgG: prealbumin
igM: transferrin
This isthe specimen used in measuring ammonia.
CSF protein
CSF lactate
CSF Glutamine
CSF glucose
CSF lactate lower than ___mg/dL indicates viral menignitis
35
25
15
20
It is responsible for the gray appearance of semen
Fructose
Flavin
leukocytes
spermatids
When first portion of ejaculate is missing, pH will be falsely ___
increased
decreased
Percentage composition of seminal fluid in semen
60-70%
5%
20-30%
Prostate fluid is an ___ substance.
acidic
alkaline
neutral
Normal semen appearance
white with flocculent discharge
crystal clear
gray-white; translucent; musty odor
Normal Semen volume
2 & 5 mL
3 & 5 mL
5 & 10 mL
5& 7 mL
Failure of semen to liquefy within 60 minutes indicate
male infertility
deficiency in prostatic enzyme
Antispermicide in condom
Prostatic infection
Abnormal semen viscoscity
longer than 2 mm
longer than 2 cm
longer than 1 cm
longer than 1 mm
Total sperm count greater than 40 Million per ejacualte is considered
abnormal
normal
This is the diluting fluid constituents that helps immoblize sperm during sperm count
acetic acid and saline
saline and formalin
sodium bicarbonate and saline
sodium bicarbonate ad formalin
greater than 1 million leukocytes/mL is associated with
inflammation or infection of reproductive organs
disruption of spermatogenesis
viral infection
exposure to toxic chemicals
The normal pH of semen is
7.2 -8.0
3.8 -4.2
4.5 - 8.0
greater than 1 million spermatids /mL is associated with
inflammation or infection of reproductive organs
disruption of spermatogenesis
viral infection
exposure to toxic chemicals
Normal sperm has an __ shaped head
oval
tapered
amorphous
pin
Normal sperm has a flagellar tail approximately __ long; and a head with ___ long ___ wide.
40um; 5um; 3 um
40um: 3um; 5um
45um;5um; 3um
45um; 3um; 5um
Normal vitality of sperm cells requires ____ or more living cells
10%
75%
50%
70%
Large proprotion of vital cells but immobile indicates
defective flagellum
epididymal pathology
androgen deficiency
ejaculatory duct obstruction
high number of immotile and nonviable sperm cells indicates
defective flagellum
epididymal pathology
androgen deficiency
ejaculatory duct obstruction
Resorcinol Test is used to detect the presence of fructose which produces ___ color
red
blue
orange
yellow
Normal quantitative fructose level in sperm cells per ejaculate
10 umol
13 umol
15 umol
20umol
Semen specimen for fructose level testing should be tested within ____
60 minutes
120 minutes
30 minutes
45 minutes
The presence of this is considered as one of the possible cause of infertility
Antisperm antibodies
alpha glucosidase
glutamyl transpeptidase
citric acid
Test used to detect IgG antibodies in sperm
Immunobead test
MAR test
PSA test
Hamster egg penetration
major component of seminal fluid
globulins
glucose
fructose
sucrose
PRESENCE OF GLYCOPROTEIN P30 indicates
unsuccesful vasectomy
rape
prostatic inflammation
antisperm antibodies
The normal volume of synovial fluid is
3.5 mL
>3.5 mL
<3.5 mL
25mL
The normal viscosity of synovial fluid should form a string
not longer than 2 cm
4 to 6 cm long
2-4 cm long
6 cm long
Synovial Fluid is normal when it clots within 1 hour
True
False. Normal synovial fluid don't clot.
False. It must be within 2 hours
arthrocentesis can be collected by a medical technologist
true
false
greenish tinge in synovial fluid may indicate
Bacterial infection
Non inflammatory effusions
Inflammatory Effusions
This is responsible for the synovial fluid's viscosity
Hyaluronic acid
Zinc
Citric acid
synoviocytes
WBC COUNT of 100,000 cells/uL in synovial fluid were considered as
ABNORMAL
NORMAL
Increased nuetrophils in synovial fluid indicates
non-septic inflammation
septic inflammation
pigmented villonodular synovitis
Lupus Erythematosus
PRIMARY CRYSTAL/S seen in synovial fluid
MSU
CPPD
CHOLESTEROL
MSU & CPPD
other term for CALCIUM PHOSPHATE crystals
struvite
apatite
sulfite
aspartite
CPPD Crystals should be examined using
bright field microscope
red compensated polarized microscope
regular light microscope
phase and contrast microscope
MSU Crystals produced ___ color while CPPD produced ___ color.
yellow; blue
blue; yellow
yellow; colorless
blue; colorless
Normal synovial fluid glucose should be _______ lower than the blood value
not more than 10mg/dL
not more than 5mg/dL
10mg/dL
5 mg/dL
These are common organisms that infect synovial fluid except
Streptococcus and Staphylococcus
Haemophilus species
Neisseria gonorrhea
C. neoformans
Not frequently performed test in synovial fluid
Leukocyte count
uric acid
gram stain
crystal examination
crystal associated with pseudogout
MSU
CPPD
Calcium oxalate
Apatite
these are crystals that can polarized light except
apatite
calcium carbonate
MSU
CPPD
tube used for synovial cell count
Sodium fluoride tube
Non-anticoagulatedd tube
EDTA tube
Coagulation tube
this is associated with crush injuries
RA cells
LE cells
Lipid droplet
hemosiderin granules
synovial glucose determination should be placed in
EDTA Tap
Gray Tap
Amber Tap
Blue Tap
