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Other Body Fluids Part 1 (CSF, Semen, Synovial)

Total questions: 75

Worksheet time: 38mins

Name
Class
Date
1.

Decreased CSF glucose and increased wbc count (neutrophils)

a)

Bacterial Meningitis

b)

Lymphocyte Meningitis

c)

Viral Meningitis

d)

NOTA

2.

CSF lactate values of 37 mg/dL can be frequently seen with

a)

viral meningitis

b)

Bacterial meningitis

c)

tubercular meningitis

d)

fungal meningitis

3.

The normal concentration of CSF glutamine is

a)

15-45 mg/dL

b)

8- 18 mg/dL

c)

20-45 mg/dL

d)

5-15 mg/dL

4.

Rapid screening for detecting and identifying microorganisms in CSF

a)

VDRL

b)

ELISA

c)

Latex- agglutination tests

d)

RPR

5.

It is frequently used in detecting C. neoformans

a)

Gram Stain

b)

Hansel Stain

c)

India Ink

6.

CSF produced per hour in adults

a)

50mL

b)

30 mL

c)

15 mL

d)

20 mL

7.

Tube 3 is used for __ tests

a)

Chemical

b)

Hematology

c)

Serology

d)

Microbiology

8.

Xanthochromia may be cause of ____ present in CSF specimen

a)

WBCs

b)

Clotting Factors

c)

Radiographic contrast media

d)

Bilirubin

9.

A classic Web-like pellicle present in CSF specimen after refrigerated is associated with ___

a)

tubercular meningitis

b)

Viral meningitis

c)

Bacterial meningitis

d)

Fungal meningitis

10.

The normal CSF adult contains 5-10 WBCS/ uL

a)

True

b)

False. It must only be 0-5 WBCs/uL

c)

False. It must only be 0-2 WBCs/uL

11.

Intracranial Hemorrhage in CSF specimen is noticeable after ___.

a)

1 hour

b)

2 hours

c)

30 minutes

d)

5 minutes

12.

Cells found in normal CSF are primarily

a)

monocytes and lymphocytes

b)

lymphocytes and erythrocytes

c)

monocytes and granulocytes

13.

All diluents in Quality control of CSF should be checked ___

a)

every month

b)

daily

c)

weekly

d)

biweekly

14.

This is used in staining CSF during differential count.

a)

Wright stain

b)

Gram stain

c)

Hansel stain

d)

India ink

15.

Dilutions for total cell counts used _____.

a)

glacial acetic acid

b)

normal saline

c)

methylene blue

d)

3% glacial acetic acid

16.

Increased ____ are seen in patients with funga; infections (Coccidioides immitis)

a)

Neutrophils

b)

Lymphocytes

c)

Leukocytes

d)

Eosinophils

17.

Lower values of total CSF Proteins are observed in infants and people aged above 40 years old

a)

True

b)

False. It should be higher values.

c)

False. Only infants had a lower CSF total protein value

18.

This is present in CSF but not in serum

a)

Tau

b)

Fibrinogen

c)

IgM

d)

beta lipoprotein

19.

Two or more oligoclonal bands in CSF protein electrophoresis can be a valuable tool in diagnosing

a)

Multiple sclerosis

b)

Multiple Myeloma

c)

Hemorrhage

d)

Neurosyphillis

20.

CSF blood glucose should be drawn about 2 hours before spinal tap.

a)

True.

b)

False. It should be AFTER Spinal tap

c)

False, It should be an HOUR before spinal tap.

21.

Decreased CSF glucose ; increased lymphocytes

a)

Bacterial meningitis

b)

Viral Meningitis

c)

Fungal Meningitis

d)

Tubercular meningitis

22.

Normal CSF glucose ; increased lymphocytes

a)

Bacterial meningitis

b)

Viral Meningitis

c)

Fungal Meningitis

d)

Tubercular meningitis

23.

CSF Normal Lactate level is

a)

15-45 mg/dL

b)

10-24 mg/dL

c)

8- 18 mg/dL

24.

Showing starbust pattern under the microscope

a)

E. coli

b)

C. neoformans

c)

N. meningitidis

d)

L. monocytogenes

25.

This is used to detect the presence of neurosyphilis

a)

VDRL

b)

RPR

c)

FTA-ABS

d)

ELISA

26.

This is used to detect the presence of C. neoformans in serum and CSF

a)

Latex agglutination tests

b)

Acid-fast stains

c)

Fluorescent antibody stains

d)

ELISA

27.

Hemosiderin granules and hematoidin crystals are seen in

a)

Ependymal cells

b)

Macrophages

c)

Choroid cells

d)

Lymphoma cells

28.

The second most prevalent protein in serum is ___, wheras in CSF it is ___.

a)

globulin ; prealbumin

b)

albumin; transferrin

c)

IgG: prealbumin

d)

igM: transferrin

29.

This isthe specimen used in measuring ammonia.

a)

CSF protein

b)

CSF lactate

c)

CSF Glutamine

d)

CSF glucose

30.

CSF lactate lower than ___mg/dL indicates viral menignitis

a)

35

b)

25

c)

15

d)

20

31.

It is responsible for the gray appearance of semen

a)

Fructose

b)

Flavin

c)

leukocytes

d)

spermatids

32.

When first portion of ejaculate is missing, pH will be falsely ___

a)

increased

b)

decreased

33.

Percentage composition of seminal fluid in semen

a)

60-70%

b)

5%

c)

20-30%

34.

Prostate fluid is an ___ substance.

a)

acidic

b)

alkaline

c)

neutral

35.

Normal semen appearance

a)

white with flocculent discharge

b)

crystal clear

c)

gray-white; translucent; musty odor

36.

Normal Semen volume

a)

2 & 5 mL

b)

3 & 5 mL

c)

5 & 10 mL

d)

5& 7 mL

37.

Failure of semen to liquefy within 60 minutes indicate

a)

male infertility

b)

deficiency in prostatic enzyme

c)

Antispermicide in condom

d)

Prostatic infection

38.

Abnormal semen viscoscity

a)

longer than 2 mm

b)

longer than 2 cm

c)

longer than 1 cm

d)

longer than 1 mm

39.

Total sperm count greater than 40 Million per ejacualte is considered

a)

abnormal

b)

normal

40.

This is the diluting fluid constituents that helps immoblize sperm during sperm count

a)

acetic acid and saline

b)

saline and formalin

c)

sodium bicarbonate and saline

d)

sodium bicarbonate ad formalin

41.

greater than 1 million leukocytes/mL is associated with

a)

inflammation or infection of reproductive organs

b)

disruption of spermatogenesis

c)

viral infection

d)

exposure to toxic chemicals

42.

The normal pH of semen is

a)

7.2 -8.0

b)

3.8 -4.2

c)

4.5 - 8.0

43.

greater than 1 million spermatids /mL is associated with

a)

inflammation or infection of reproductive organs

b)

disruption of spermatogenesis

c)

viral infection

d)

exposure to toxic chemicals

44.

Normal sperm has an __ shaped head

a)

oval

b)

tapered

c)

amorphous

d)

pin

45.

Normal sperm has a flagellar tail approximately __ long; and a head with ___ long ___ wide.

a)

40um; 5um; 3 um

b)

40um: 3um; 5um

c)

45um;5um; 3um

d)

45um; 3um; 5um

46.

Normal vitality of sperm cells requires ____ or more living cells

a)

10%

b)

75%

c)

50%

d)

70%

47.

Large proprotion of vital cells but immobile indicates

a)

defective flagellum

b)

epididymal pathology

c)

androgen deficiency

d)

ejaculatory duct obstruction

48.

high number of immotile and nonviable sperm cells indicates

a)

defective flagellum

b)

epididymal pathology

c)

androgen deficiency

d)

ejaculatory duct obstruction

49.

Resorcinol Test is used to detect the presence of fructose which produces ___ color

a)

red

b)

blue

c)

orange

d)

yellow

50.

Normal quantitative fructose level in sperm cells per ejaculate

a)

10 umol

b)

13 umol

c)

15 umol

d)

20umol

51.

Semen specimen for fructose level testing should be tested within ____

a)

60 minutes

b)

120 minutes

c)

30 minutes

d)

45 minutes

52.

The presence of this is considered as one of the possible cause of infertility

a)

Antisperm antibodies

b)

alpha glucosidase

c)

glutamyl transpeptidase

d)

citric acid

53.

Test used to detect IgG antibodies in sperm

a)

Immunobead test

b)

MAR test

c)

PSA test

d)

Hamster egg penetration

54.

major component of seminal fluid

a)

globulins

b)

glucose

c)

fructose

d)

sucrose

55.

PRESENCE OF GLYCOPROTEIN P30 indicates

a)

unsuccesful vasectomy

b)

rape

c)

prostatic inflammation

d)

antisperm antibodies

56.

The normal volume of synovial fluid is

a)

3.5 mL

b)

>3.5 mL

c)

<3.5 mL

d)

25mL

57.

The normal viscosity of synovial fluid should form a string

a)

not longer than 2 cm

b)

4 to 6 cm long

c)

2-4 cm long

d)

6 cm long

58.

Synovial Fluid is normal when it clots within 1 hour

a)

True

b)

False. Normal synovial fluid don't clot.

c)

False. It must be within 2 hours

59.

arthrocentesis can be collected by a medical technologist

a)

true

b)

false

60.

greenish tinge in synovial fluid may indicate

a)

Bacterial infection

b)

Non inflammatory effusions

c)

Inflammatory Effusions

61.

This is responsible for the synovial fluid's viscosity

a)

Hyaluronic acid

b)

Zinc

c)

Citric acid

d)

synoviocytes

62.

WBC COUNT of 100,000 cells/uL in synovial fluid were considered as

a)

ABNORMAL

b)

NORMAL

63.

Increased nuetrophils in synovial fluid indicates

a)

non-septic inflammation

b)

septic inflammation

c)

pigmented villonodular synovitis

d)

Lupus Erythematosus

64.

PRIMARY CRYSTAL/S seen in synovial fluid

a)

MSU

b)

CPPD

c)

CHOLESTEROL

d)

MSU & CPPD

65.

other term for CALCIUM PHOSPHATE crystals

a)

struvite

b)

apatite

c)

sulfite

d)

aspartite

66.

CPPD Crystals should be examined using

a)

bright field microscope

b)

red compensated polarized microscope

c)

regular light microscope

d)

phase and contrast microscope

67.

MSU Crystals produced ___ color while CPPD produced ___ color.

a)

yellow; blue

b)

blue; yellow

c)

yellow; colorless

d)

blue; colorless

68.

Normal synovial fluid glucose should be _______ lower than the blood value

a)

not more than 10mg/dL

b)

not more than 5mg/dL

c)

10mg/dL

d)

5 mg/dL

69.

These are common organisms that infect synovial fluid except

a)

Streptococcus and Staphylococcus

b)

Haemophilus species

c)

Neisseria gonorrhea

d)

C. neoformans

70.

Not frequently performed test in synovial fluid

a)

Leukocyte count

b)

uric acid

c)

gram stain

d)

crystal examination

71.

crystal associated with pseudogout

a)

MSU

b)

CPPD

c)

Calcium oxalate

d)

Apatite

72.

these are crystals that can polarized light except

a)

apatite

b)

calcium carbonate

c)

MSU

d)

CPPD

73.

tube used for synovial cell count

a)

Sodium fluoride tube

b)

Non-anticoagulatedd tube

c)

EDTA tube

d)

Coagulation tube

74.

this is associated with crush injuries

a)

RA cells

b)

LE cells

c)

Lipid droplet

d)

hemosiderin granules

75.

synovial glucose determination should be placed in

a)

EDTA Tap

b)

Gray Tap

c)

Amber Tap

d)

Blue Tap