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Body fluid review
final
| Question | Answer |
|---|---|
| CSF is collected utilizing this procedure | lumbar puncture |
| This location is routinely used for the collection of CSF | L3, L4, L5 |
| This number of sterile tubes are collected during CSF collection | 3 |
| The CSF tubes are sent to these departments | chemistry, microbiology, hematology, serology |
| CSF hematology tubes must be tested within | immediately, STAT, or within an hour |
| The cell count most commonly done on CSF is | WBC count |
| The cells found in normal CSF are | 70% lymphocytes, 30% monocytes |
| The finding of these cells in CSF are abnormal | neutrophils, macrophages, blast, lymphoma, ependymal, eosinophils |
| A high CSF count consisting mainly of neutrophils indicates | bacterial meningitis |
| A CSF with a moderately elevated WBC count and a high % of lymps and Monos suggest | meningitis; viral tubercular, fungal, or parasitic origin, multiple sclerosis |
| CSF sample with increased eosinophils indicate | parasitic, fungal infections, foreign material, shunts and medication |
| The normal value for CSF protein is | 15 - 45 mg/dL |
| CSF gamma globulin is primarily | IgG |
| IgM and beta lipoproteins are found in normal CSF | False |
| These are the two most common causes of elevated CSF protein | meningitis and hemorrhage |
| Name 2 routinely used techniques for measuring CSF protein are | turbidity production or dye binding |
| What will CSF protein electrophoresis provide | separation of protein |
| Normal CSF glucose vs. plasma glucose is | CSF glucose value is 60% to 70% of plasma glucose |
| A high CSF glucose is a result of | plasma elevation |
| A low CSF glucose is a result of | Meningitis; alteration of glucose transport across the blood brain barrier and increased use of glucose by the brain cells |
| Name all the immunological procedures used for CSF testing | ELISA (enzyme linked immuno sorbent), BAT (bacterial antigen test), Latex aggulation, FTA-ABS |
| What is the name of the procedure used to diagnose neurosyphilis | Serologic testing, FTA-ABS |
| Name 2 reasons why seminal fluid is analysed | infertility and post vasectomy |
| What parameters are used when evaluating infertility | Volume, Viscosity, pH, Motility, Morphology |
| Presence of semen can be determined by the presence of this enzyme | prostatic acid phosphatase |
| What is another name for synovial fluid | joint fluid |
| Synovial fluid will clot | False, because synovial fluid doesn't have fibrinogen |
| What departments are synovial fluid sent to | Microbiology, hematology, chemistry, and serology |
| Low glucose levels in synovial fluids may indicate what | inflammation or septic disorders |
| Blood glucose vs. synovial glucose | close but should not be more than 10mg/dL lower than blood value |
| Name additional chemistry tests can be ordered on synovial fluid | Total protein and uric acid |
| What role does microbiology department play with regard to synovial fluid | detection of organisims |
| Name 3 closed body cavities | Plural, pericardia, peritoneal |
| Body cavities are lined with ______ membranes | serous |
| Name the procedure name for an abdominal cavity aspiration | paracentesis |
| Name the procedure name for the collection of pleural cavity | thoracentesis |
| Classify effusions of serous fluid | Transudate and exudate |
| Effusion that form a systemic disorder that disrupts filtration and re absorption of fluids is | Transudate |
| Effusion that forms because of a condition involving the cavity membranes is called | exudate |
| Name the test(s) that is useful for differentiate between a hemothorax and a hemorrhagic exudate | hematocrit |
| Name commonly ordered chemistry tests on pleural fluid | glucose, pH, ADA, and amylase |
| Name the procedure for collecting amniotic fluid | amniocentesis |
| What is the name of the test that can determine if a preterm delivery can be safely concidered | L/S ratio (lecithin-sphingomylein) |
| Routine fecal screening test include | microscopic, macroscopic, and chemical analysis |
| The term "occult" means | not seen/ hidden |
| What is the normal pH of stool | 7 to 8 |
| Name the test that is useful for differentiating pleural fluid transudates and exudates | pleural fluid cholesterol, fluid serum cholesterol ratio; and the pleural fluid and serum total bilirubin ratio |