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166 Cards in this Set

  • Front
  • Back

Which of the following substances is not a component of normal feces?



A. BacteriaB. Blood C. Electrolytes D. Water

B. Blood

All of the following actions can result in watery or diarrheal stools except:


A. decreased intestinal motility.


B. inhibition of water reabsorption.


C. inadequate time allowed for water reabsorption.


D. an excessive volume of fluid presented for reabsorption.

A. decreased intestinal motility.

Lactose intolerance caused by the lack of sufficient lactase primarily presents with


A. steatorrhea.


B. osmotic diarrhea.


C. secretory diarrhea.


D. intestinal hypermotility.

B. osmotic diarrhea.

Which of the following tests assists most in the differentiation of secretory and osmotic diarrhea?


A. Fecal fat


B. Fecal carbohydrates


C. Fecal occult blood


D. Fecal osmolality

D. Fecal osmolality

The inability to convert dietary foodstuffs into readily absorbable substances is called intestinalA. inadequacy.


B. hypermotility.


C. malabsorption


D. maldigestion.

D. maldigestion.

Intestinal motility is stimulated by each of the fol- lowing except


A. castor oil.


B. dietary fiber.


C. intestinal distention.


D. sympathetic nerve activity.

D. sympathetic nerve activity

Which of the following conditions is characterizedby the excretion of greasy, pale, foul-smelling feces?


A. Steatorrhea


B. Osmotic diarrhea


C. Secretory diarrhea


D. Intestinal hypermotility

A. Steatorrhea

The daily amount of fat excreted in the feces is normally less than


A. 0.7 g.


B. 7.0 g.


C.70g.


D. 700 g.

B. 7.0 g

Which of the following tests is used to diagnose steatorrhea?

A. Fecal fat

TRUE or FALSE




The amount of feces produced in 24 hours cor-relates poorly with food intake.

TRUE

Fecal fat excretion that exceeds 7 g per day is called?

Steatorrhea

what a common feature of patients withmalabsorption syndromes?

Steatorrheal fecal specimens




Damaged intestinal mucosa: ie. Celiac disease &Tropical sprue


Biochemical defect: ie. abetalipoproteinemiaLymphatic obstruction: ie LymphomaWhipple’s disease

Fecal characteristics

Fecal specimens may be tested for each of the following except:




A. fat.B. blood.C. bilirubin.D. carbohydrates.

C. bilirubin

What is the substance is responsible forthe characteristic color of normal feces?

Urobilins

Which of the following statements about fecal tests is true?


A. A fecal fat determination identifies the cause of steatorrhea.


B. A fecal leukocyte determination aids in differentiating the cause of diarrhea.


C. A fecal Clinitest identifies the enzyme deficiency that prevents sugar digestion.


D. A fecal blood screen aids in differentiating bacte- rial from parasitic infestations.

B. A fecal leukocyte determination aids in differentiating the cause of diarrhea.

Which of the following types of fat readily stain withSudan III or Oil Red O stain?


1. Fatty acids


2. Cholesterol


3. Soaps (fatty acid salts)


4. Neutral fats (triglycerides)


A. 1, 2, and 3 are correct.


B. 1 and 3 are correct.


C. 4 is correct.


D. All are correct.

C. 4 is correct.

Which of the following types of fat require acidifica-tion and heat before they stain with Sudan III or OilRed O stain?


1. Fatty acids


2. Cholesterol


3. Soaps (fatty acid salts)


4. Neutral fats (triglycerides)


A. 1, 2, and 3 are correct.


B. 1 and 3 are correct.


C. 4 is correct.


D. All are correct.

B. 1 and 3 are correct.

With the two-slide qualitative fecal fat determina-tion, the first slide produces a normal amount ofstaining fat present, whereas the second slide, following acid addition and heat, produces an abnormallyincreased amount of fat. These results indicate


A. malabsorption.


B. maldigestion.


C. parasitic infestation.


D. disaccharidase deficiency.

A. malabsorption

Mass screening in adults for fecal occult blood isperformed primarily to detect?

colorectal cancer.

Which of the following dietary substances can cause a false-negative guaiac-based fecal occult blood slidetest?


A. Fish


B. Red meat


C. Ascorbic acid


D. Fruits and vegetables

C. Ascorbic acid

Which of the following conditions can result in theexcretion of small amounts of occult blood in thefeces?


1. Hemorrhoids


2. Bleeding gums


3. Peptic ulcers


4. Intake of iron supplements


A.1,2and 3 are correct.


B.1, and 3 are correct


C.4 is correct.


D. All are correct.

D. All are correct.

Which of the following are clinical manifestations of a disaccharidase deficiency?


1. A positive fecal Clinitest


2. Constipation and gas


3.Afecal pH of 5.0


4. A positive fecal occult blood test


A. 1, 2, and 3 are correct.


B. 1 and 3 are correct.


C. 4 is correct.


D. All are correct.

B. 1 and 3 are correct.

Which of the following tests can differentiate inad-equate carbohydrate metabolism from inadequatecarbohydrate absorption?


A. Fecal Clinitest


B. Xylose absorption test


C. Oral carbohydrate tolerance tests


D. Carbohydrate thin-layer chromatography

B. Xylose absorption test

Which of the following statements regarding the testfor fetal hemoglobin in feces (the Apt test) is TRUE?


A. Any adult hemoglobin present should resist alkali treatment.


B. The Apt test is used to differentiate various hemoglobinopathies in the newborn.


C. Hemoglobin degraded to hematin usually pro- duces a positive test result.


D. A pink color following alkali treatment indicates the presence of fetal hemoglobin.

D. A pink color following alkali treatment indicates the presence of fetal hemoglobin.

Define secretory diarrhea?

increase in the active secretion, or there is an inhibition of absorption. There is little to no structural damage

Ingestion of which of the following substances can cause a false-positive guaiac-based fecal occult blood test?


1. Fish


2. Bananas


3. Cauliflower


4. Vitamin


A. 1, 2, and 3 are correct.


B. 1 and 3 are correct.


C. 4 is correct.


D. All are correct.

A. 1, 2, and 3 are correct.

What conditions could account for the occultblood results obtained?

1. Ulcers


2. Bleeding gums


3. Hemorrhoids


4. Colorectal cancer

If fecal fat is abnormal, perform xylose absorption test. If normal, patient has ____, if abnormal patient has _____

maldigestion, malabsorption

1. Which of the following structures contribute(s)secretions to semen?


1. Epididymis


2. Prostate gland


3. Seminal vesicles


4. Seminiferous tubules


A. 1, 2, and 3 are correct.


B. 1 and 3 are correct.


C. 4 is correct


D. All are correct.

D. All are correct.

 What type of diarrhea do these results suggest?

What type of diarrhea do these results suggest?

Due to the presence of WBCs in the sample as well as the normal fecal fat levels, the results suggest that this patient has secretory diarrhea.




note: actual osmolality is > 20mOsm/kg then the patient has osmotic diarrhea. If the difference is <20mOsm/kg then the patient has secretory diarrhea.

What chemical test can be done to evaluate the functional integrity of the seminal vesicles and ejaculatory ducts?

measure the fructose levels in the specimen.


and A pH of less than 7.2 of a fresh specimen can indicate an abnormality of the seminal vesicles.

The vitality (live-dead) test indicates 50% live sperm. The motility is 70%. What does this indicate?

These results seem erroneous, as the percentage of dead sperm should not exceed the percentage of immotile sperm. If the motility is found to be 70%, then the vitality test should indicate a maximum of 30% dead sperm.

morphology?

morphology?

1. rough head


2. bent tail


3. thick midpiece/tampered head

morphology?

morphology?

4. coiled tail


5. double tail


6. tapered head

A specimen is a questionable semen sample. What chemical test could be performed to help confirm that it is semen?

acid phosphatase activity can help identify if the specimen is indeed semen. Seminal fluid contains a greater concentration of acid phosphatase than anywhere else in the body.

in the sperm vitality test using eosin-nigrosin stain. Alive sperm will appear ____, dead sperm will appear ______

white, pink

Seminal fluid analysis is routinely performed to eval-uate which of the following?


A. Prostate cancer


B. Postvasectomy status


C. Penile implant status


D. Premature ejaculation

B. Postvasectomy status

Sperm is acidic by nature? True or False

True

Semen specimens should be maintained at what range of temperatures?


a. 20-40 C


b. 30-50 C


c. 25-35 C


d. 15-30 C

a. 20-40 C

Which of the following parameters directly relates to and provides a check of the sperm motility evaluation?


A. Agglutination evaluation


B. Concentration determination


C. Morphology assessment


D. Vitality assessment

D. Vitality assessment

What stain is used to detect sperm motility?


A. A. Eosin- nigrosin


B.Methylyne blue


C.Wright stai


D. b and c

A. A. Eosin- nigrosin

Which of the following is not an area of sperm observed for morphologic defects?


a. head


b. midpiece


c. foot


d. tail

d. tail

What in the seminal vesicle fluid causes semen to appear gray- opalescent in color?




a. Flavinb. Uric acidc. Acid phosphatased. Zinc

a. Flavin

Sperm production is regulated by ___________ in the seminiferous tubules, whereas production and secretion of the male sex hormone, testosterone, is the responsibility of the _____________, which is/are located in the interstitium of the testes, between the seminiferous tubules.


A. follicular cells, adluminar cells


B. Sertoli cells, Leydig cells


C. semiferous cells, Leydig cells


D. Sertoli cells, prostate

B. Sertoli cells, Leydig cells

Which of the following statements regarding sperm concentration is true?


A. Sperm concentration within a single individual is usually constant.


B. Sperm concentration depends solely on the period of abstinence.


C. In a normal ejaculate, sperm concentration ranges from 20 to 250 million per milliliter.


D. For fertility purposes, sperm concentration is more important than sperm motility.

C. In a normal ejaculate, sperm concentration ranges from 20 to 250 million per milliliter.

Microscopically, immature spermatogenic cells areoften difficult to distinguish from


A. bacteria.


B. erythrocytes.


C. leukocytes.


D. epithelial cells.

C. leukocytes

Fructose in semen assists in the evaluation of whichof the following?


1. The secretory function of the seminal vesicles


2. The functional integrity of the epididymis


3. The functional integrity of the vas deferens


4. The secretory function of the prostate gland


A. 1, 2, and 3 are correct.


B. 1 and 3 are correct.


C. 4 is correct.


D. All are correct.

B. 1 and 3 are correct.

Which of the following substances can be used toevaluate the secretory function of the prostate gland?




A. CarnitineB. Fructose C. pH or D. Zinc

D. Zinc

what is the cell? what is it seen in?

what is the cell? what is it seen in?

macrophage engulfing rbcs, hemorrhage in the central nervous system.

What is the traumatic tap appearance,


supernatant, presence of clots?

less blood in each tube,


clear,


yes due to fibrinogen

What are these cells?

What are these cells?

1. lymphocyte


2. seg


3. monocyte

CSF glucose levels are ____ in bacterial meningitis

decreased

CSF normal range for WBC

1-5mcL

CSF normal range for protein

15-45mg/dL

CSF normal range for lactate

1-22mg/dL

CSF normal range plasma glucose

80mg/dL

csf glucose should be ____% of plasma glucose

60-70

In what way does the CSF lactate value assist indeciding on a diagnosis for a patient?

in the diagnosis of acutebacterial meningitis and in the differentiation between viral and bacterialmeningitis. The high lactate indicates bacterial infection.

List 3 microorganisms that are frequently found in cases ofbacterial meningitis.

Streptococcus pneumonia,Neisseria meningitides, and Haemophilus influenza

cell? indicates?

cell? indicates?

ependymal or choroid plexus cell, patient has csf shunt

Between what 2 membranes is CSF located?


A. Dura mater and Arachnoid mater


B. Arachnoid mater and Pia mater


C. Dura mater and Arachnoid mater


D. both A and B

Answer: B

This was found in a CSF 3 days post
hemorrhage.  What is the golden material?

This was found in a CSF 3 days posthemorrhage. What is the golden material?

hematoidin crystal

This is typical field in a CSF from a patient
with meningitis.  What is the most likely type of organism causing the
problem?

This is typical field in a CSF from a patientwith meningitis. What is the most likely type of organism causing theproblem?

Viral meningitis




increased lymphocytes=viral meningitis

What the appropriate lab (from 1st, 2nd, to 3rd) in order of CSF tube # draw?


A. Chemistry, Hematology, Microbiology


B. Microbiology, Chemistry, Hematology


C. Chemistry, Microbiology, Hematology


D. Doesn't matter because its all equal fluid components

Answer: C

The presence of REACTIVE lymphocytes in CSF indicates what type of infection?




a. Bacterial b.Viral c. Fungal or d. Parasitic

b.Viral

It is often common and insignificant to see ependymal or choroid cells in a CSF sample from a patient that?


a. has septicemia


b. has low CSF pressure


c. is on antibiotic treatment


d. has a ventricular or cisternal shunt

d. has a ventricular or cisternal shunt

2. All of the following proteins are normally present in the CSF except




A. albumin


B. fibrinogen


C. transthyretin


D. transferrin

B. fibrinogen

An immunoglobulin G index greater than 0.70 indicates


A. intrathecal synthesis of immunoglobulin G


B. a compromised blood brain barrier


C. active demyelination of neutral proteins


D. increased transport of immunoglobulin G from plasma into the CSF

A. intrathecal synthesis of immunoglobulin G

This layer of the vertebrae is penetrated to collect CSF?


A.Pia matter


B.Gray matter


C.Dura matter


D.Plexi matter

Dura matter

Choose the CSF glucose concentration that is outside normal range


A. 67 mg/dL


B. 110 mg/dL


C. 60 mg/dL


D. 55 mg/dL

B. 110 mg/dL

Which protein in the CSF is used to monitor the integrity of the blood-brain barrier?

albumin

Which cell type predominates in CSF during a classic case of bacterial meningitis?

Neutrophils

An unknown fluid can be positively identified as CSF by determining the



A. lactate concentration.


B. albumin concentration.


C. presence of oligoclonal banding on electro-phoresis.



D. presence of carbohydrate-deficient transferrin on electrophoresis.


D. presence of carbohydrate-deficient transferrin on electrophoresis.


Which of the following procedures frequently provides a rapid presumptive diagnosis of bacterial meningitis?



A. A blood culture


B. A CSF culture



C. A CSF Gram stain


D. Immunologic tests on CSF for microbial antigens


C. A CSF Gram stain

1. Patients that have experienced a hemorrhage will have _______ in their CSF.




a. Xanthochromia


b. clotting


c. siderophages


d. A and C

d. A and C

csf oligoclonal banding in nambla region indicates

multiple sclerosis

multiple sclerosis patients exhibit ____ csf glucose, and ____ csf protein

decreased, increased

To enhance the visualization of WBC nuclei in CSF ____ must be added to the hematocytometer, before WBCs can be counted.


a. glacial acetic acid


b. NaOH


c. 5% Hydrogen Peroxide


d. Periodic Acid

a. glacial acetic acid

When performing a cell count of a CSF sample, what types of cells are considered to be a part of the normal count( in very small numbers (0-5))? a. Lymphocytes and Neutrophils


b. RBCs and Mast Cells


c. Monocytes and Lymphocytes


d. Lymphocytes and Eosinophils

c. Monocytes and Lymphocytes

True or False


Increased turbidity may be caused by pleocytosis or microorganisms.

TRUE

TRUE

How many leukocytes are normally present in the CSF obtained from an adult (cells/mL)?




A. 0-5


B. 0-10


C. 10-15


D. 20-30

A. 0-5

Which of the following substances are not typically found in CSF?




a. Glucose b. Lactate c. Bacteria or d. Protein

c. Bacteria

Cerebrospinal fluid (CSF) is produced primarily from


A. secretions by the choroid plexus.


B. diffusion from plasma into the central nervous system.


C. ultrafiltration of plasma in the ventricles of the brain.


D. excretions from ependymal cells lining the brain and spinal cord.

A. secretions by the choroid plexus.

Which of the following statements regarding CSF istrue?


A. Cerebrospinal fluid is constantly produced.


B. Cerebrospinal fluid is reabsorbed into the blood at the choroid plexus.


C. Cerebrospinal fluid is essentially composed of diluted plasma.


D. Cerebrospinal fluid circulates through the brain and spinal cord because of active and passive diffusion processes.

A. Cerebrospinal fluid is constantly produced.

Which of the following is not an analytical concernwhen the processing and testing of CSF are delayed?


A. The viability of microorganisms


B. The lability of the immunoglobulins


C. The lysis of leukocytes and erythrocytes


D. Alterations in the chemical composition

B. The lability of the immunoglobulins

All of the following can cause xanthochromia in CSF except


A. high concentrations of protein.


B. high concentrations of bilirubin.


C. increased numbers of leukocytes.


D. erythrocytes from a traumatic tap.

C. increased numbers of leukocytes.

Which of the following proteins in the CSF is usedto monitor the integrity of the blood-brain barrier?


A. Albumin


B. Transthyretin


C. Transferrin


D. Immunoglobulin G

A. Albumin

India ink preparations and microbial antigen tests on CSF can aid in the diagnosis of


A. bacterial meningitis.


B. fungal meningitis.


C. tuberculous meningitis.


D. viral meningitis.

B. fungal meningitis

Which of the following tasks is a function of synovial fluid?


1. Providing lubrication for a joint


2. Assisting in the structural support of a joint


3. Transporting nutrients to articular cartilage


4. Synthesizing hyaluronate and degradative enzymes


A. 1, 2, and 3 are correct.


B. 1 and 3 are correct.


C. 4 is correct.


D. All are correct.

B. 1 and 3 are correct.

what are these cell?

what are these cell?

synovial cells

what are the 4 categories for Joint disorder classification?

Which of the following statements is a characteristicof normal synovial fluid?


A. Synovial fluid is viscous.


B. Synovial fluid is slightly turbid.


C. Synovial fluid is dark yellow.


D. Synovial fluid forms small clots on standing.

A. Synovial fluid is viscous.

Which of the following components is not normally present in synovial fluid?


A. Fibrinogen


B. Neutrophils


C. Protein


D. Uric acid

A. Fibrinogen

Which of the following substances will not increase the turbidity of synovial fluid?




A. FatB. CrystalsC. Hyaluronate or D. WBCs

C. Hyaluronate

A synovial fluid specimen is received in the laboratory 2 hours after collection. Which of the followingchanges to the fluid will most likely have taken place?


A. The specimen will have clotted.


B. The uric acid concentration will have decreased.


C. Crystals may have precipitated or dissolved.


D. The lactate concentration will have decreasedbecause of anaerobic glycolysis.

C. Crystals may have precipitated or dissolved.

A synovial fluid specimen has a high cell count andrequires dilution to be counted. Which of the fol-lowing diluents should be used?


A. Normal saline


B. Dilute acetic acid (2%)


C. Dilute methanol (1%)


D. Phosphate buffer solution (0.050 mol/L)

A. Normal saline

Which of the following results from synovial fluidanalysis indicates a joint disease process?


A. A few synoviocytes present in the fluid


B. A WBC count lower than 200 cells/mL


C. An RBC count lower than 2000 cells/mL


D. A differential count showing greater than 25% neutrophils

D. A differential count showing greater than 25% neutrophils

Which of the following synovial fluid group should result is a positive culture?


A. Inflammatory


B. Septic


C. Hemorrhagic


D. A and C

B. Septic

True or False


Thoracentesis is the removal of fluid from the abdominal cavity.

False its from the pleural cavity.

Which of the following is NOT one of the four principal Join Disorder classifications?




a. Inflammatory


b. Septic


c. Bacteremic


d. Hemorrhagic

c. Bacteremic

What is the typical volume of synovial fluid?




a. 0.01-3.50mL


b. 0.5-5.0mL


c. 0.1-3.5mL


d. 0.1-5.0mL

c. 0.1-3.5mL

Which of the following tasks is a function of synovial fluid?


1. Providing lubrication for a joint


2. Assisting in the structural support of a joint


3. Transporting nutrients to articular cartilage


4. Synthesizing hyaluronate and degradative enzymes


A. 1, 2, and 3 are correct.


B. 1 and 3 are correct.


C. 4 is correct.


D. All are correct.

B. 1 and 3 are correct.*

Assuming that a patient is fasting, which of the following analytes is normally present in the synovial fluid in essentially the same concentration as in the blood plasma?


1. Glucose


2. Lactate


3. Uric acid


4. Protein


A. 1, 2, and 3 are correct.


B. 1 and 3 are correct.


C. 4 is correct.


D. All are correct.

B. 1 and 3 are correct.*

What type of WBC predominates most exudates of pleural and peritoneal fluid?


a. Lymphocytes


b. Monocytes


c. Neutrophils


d. Eosinophils

c. Neutrophils

The pathologic accumulation of fluid in a body cavity is called


A. An abscess


B. An effusion


C. Pleocytosis


D. Paracentesis

B. An effusion

The microscopic examination of synovial fluid for crystals can be difficult because


1. numerous artifacts are also birefringent.


2. few crystals may be present.


3. free-floating crystals can become enmeshed or hidden in fibrin.


4. different crystals can closely resemble each other morphologically.


A. 1, 2, and 3 are correct.


B. 1 and 3 are correct.


C. 4 is correct.


D. All are correct.

D. All are correct.

Analysis of a synovial fluid specimen reveals the following:


• Cloudy, yellow-green fluid of low viscosity


• Total leukocyte count of 98,000 cells/μL


• Plasma–synovial fluid glucose difference of 47 mg/dL


this specimen most likely would be classified as


A. noninflammatory.


B. inflammatory.


C. septic.


D. hemorrhagic.

C. septic.

Which of the following conditions cause effusions that are classified as transudate?


1. Congestive heart failure


2. Trauma or surgery


3. Hepatic cirrhosis


4. Infections


A. 1 and 3 are correct


B. 4 is correct.


C. 1, 2, and 3 are correct.


D. All are correct.

C. 1, 2, and 3 are correct.

An analysis of a synovial fluid specimen reveals the following:


-Yellow fluid of high viscosity


-Total leukocyte count of 300 cells/μL


-Plasma–synovial fluid glucose difference of 17 mg/dL: this specimen would most likely be classified as?


A. noninflammatory.


B. inflammatory.


C. septic.


D. hemorrhagic.

A. noninflammatory.

What is the most likely identity of the crystalsobserved in the synovial fluid?

Monosodium Urate Crystal

What would you report about the physical characteristics of
the crystals? w polarizing scope 

What would you report about the physical characteristics ofthe crystals? w polarizing scope

CPPD

CPPD, dihydrate, pseudogout


blue axisI II________ Iyellow

What would you report about the physical characteristics of the crystals? w polarizing scope

What would you report about the physical characteristics of the crystals? w polarizing scope

MSU

MSU, gouty arthritis


yellow axisI II_______ Iblue

What cell is this, Mesothelial or Malignant?in pleural fluid

What cell is this, Mesothelial or Malignant?in pleural fluid

Mesothelial cell

What cell is this, Mesothelial or Malignant? in pleural fluid

What cell is this, Mesothelial or Malignant? in pleural fluid

Malignant?

What cell is this, Mesothelial or Malignant?
    in pleural fluid    

What cell is this, Mesothelial or Malignant?


in pleural fluid

Clump of mesothelial cells in pleural fluid, 500× (Wright’s stain)

What the difference between, Mesothelial & Malignant cells in pleural fluid ?

Based on the protein data, is the pleural fluid a transudateor an exudate?

Transudate

Is this nuclear moldingcell in Mesothelial or Malignant? 

Is this nuclear moldingcell in Mesothelial or Malignant?

In Malignant nuclear molding does not occur in mesothelial cells

is this cannibalism in Mesothelial or Malignant?

is this cannibalism in Mesothelial or Malignant?

in Malignant cannibalism does not occur in mesothelial cells

 this windowing and vacoulization in Mesothelial or Malignant?

this windowing and vacoulization in Mesothelial or Malignant?

In Mesothelial there is no vacoulization in Malignant cells

Which of the following statements about serousfluid–filled body cavities is true?


1. A parietal membrane is attached firmly to thebody cavity wall.


2.Serous fluid acts as a lubricant betweenopposing membranes.


3. A serous membrane is composed of a singlelayer of flat mesothelial cells.


4. The visceral and parietal membranes ofan organ are actually a single continuousmembrane.


A.1, 2, and 3 are correct.


B.1 and 3 are correct.


C.4 is correct.


D.All are correct.

D.All are correct.

Which of the following conditions enhances the formation of serous fluid in a body cavity?


A. Increased lymphatic absorption


B. Increased capillary permeability


C. Increased plasma oncotic pressure


D. Decreased capillary hydrostatic pressure

B. Increased capillary permeability

Paracentesis and serous fluid testing are performed to


1. remove serous fluids that may be compress- ing a vital organ.


2. determine the pathologic cause of an effusion.3. identify an effusion as a transudate or an exudate.


4. prevent volume depletion caused by the accu- mulation of fluid in body cavities.


A. 1, 2, and 3 are correct.


B. 1 and 3 are correct.


C. 4 is correct.


D. All are correct.

A. 1, 2, and 3 are correct.

Which of the following parameters best identifies a fluid as a transudate or an exudate?


A. Color and clarity


B. Leukocyte and differential counts


C. Total protein and specific gravity measurements


D. Total protein ratio and lactate dehydrogenase ratio

D. Total protein ratio and lactate dehydrogenase ratio

Chylous and pseudochylous effusions are differentiated by their


A. physical examinations.


B. cholesterol concentrations.


C. triglyceride concentrations.


D. leukocyte and differential counts.

. triglyceride concentrations.

Which of the following conditions is most oftenassociated with the formation of a transudate?




A. Pancreatitis


B. Surgical procedures


C. Congestive heart failure


D. Metastatic neoplasm

C. Congestive heart failure

A pleural or peritoneal fluid amylase level two timeshigher than the serum amylase level can be found ineffusions resulting from


A. pancreatitis.


B. hepatic cirrhosis.


C. rheumatoid arthritis.


D. lymphatic obstruction.

A. pancreatitis.

A glucose concentration difference greater than30 mg/dL between the serum and an effusion isassociated with


A. pancreatitis.


B. hepatic cirrhosis.


C. rheumatoid arthritis.


D. lymphatic obstruction.

C. rheumatoid arthritis

in terms of color, what is suspected if an exudate is yellow-white, red-brown, yellow-brown, or milky-green?

inflammation, hemorrhage, bilirubin, chylous fluid

in terms of turbitidy, transudates are ____, while exudates are _____

clear and watery, cloudy and vicous

transudates have a specific gravity ____ than 1.015, while exudates have a specific gravity ____ than 1.015

less, greater




same for protein less than 3 is transudates, greater than 3 is exudates

If the lecithin/sphingomyelin ratio (L/S) is ____ than 2.0, fetal lungs are mature

greater

Lamellar body counts can be used to determine

fetal lung maturity

A lamellar body count less than ____/mcL denotes immature fetal lungs

15,000

Lamellar bodies are secreted into alveolar lumen after ____ weeks of gestation

20-24

what does this cell indicate?

what does this cell indicate?

BacterialVaginosis


--Clue cells

Identify the cell on the right from a vaginal fluid seen in a case
of vaginal inflammation.

Identify the cell on the right from a vaginal fluid seen in a caseof vaginal inflammation.

Trichomonas vaginalis

What would you report if this is what is seen in
this vaginal wet prep

What would you report if this is what is seen inthis vaginal wet prep

Candidiasis

How do you differentiate between urine and amniotic fluid?

Urine: Urea +


Amniotic fluid: Urea –

All are considered normal in a vaginal specimen EXCEPT:


A. Clue cells


B. Lactobacilli


C. Epithial cells


D. Few WBC

A. Clue cells

What important amniotic fluid component does not show up until 35 weeks of gestation?


a. Phosphatidyl Glycerol


b. Bilirubin


c. Lecithin


d. Meconium

a. Phosphatidyl Glycerol

What group of bacteria makes up 50% to 90% of the bacterial flora of the healthy vagina?


a. Gardnerella spp.


b. Lactobacilli spp.


c. Bacteroides spp.


d. Corynebacterium spp.

b. Lactobacilli spp.

Which of the following substances is responsible for the foul, fishy odor obtained when the “whiff” test is performed on vaginal secretions?


A. Lactic acid


B. Polyamine


C. Trimethylamine


D. Hydrogen peroxide

C. Trimethylamine

Which of the following conditions can cause erythroblastosis fetalis?


A. Immaturity of the fetal liver


B. Decreased amounts of amniotic fluid


C. Inadequate fetal pulmonary surfactants


D. Maternal immunization by fetal antigens

D. Maternal immunization by fetal antigens

1 Which of the following substances, when present in amniotic fluid, is affected adversely by refrigeration?


a) bilirubin


b) fetal cells


c) protein


d) phospholipids

b) fetal cells

Analysis for which of the following substances can aid in the differentiation of amniotic fluid from urine?


1) Urea


2) Glucose


3) Creatinine


4) Protein


A. 1,2, and 3 are correct


B. 1 and 3 are correct


C. 4 is correct


D. All are correct

D. All are correct

Lectin/sphingomyelin ratio (L/S) ratio

Lectin – major pulmonary surfactant


Sphingomyelin – phospholipid in cell membranes (role unknown)


Produced in equal amounts for the first 33 weeks34-36 weeks


– lectin increases, sphingomyelin stays constantL/S ratio increasesL/S ratio greater than or equal to 2.0 indicates mature lung


-Blood and meconium affect results

Foam Stability Index (FSI) – “shake test”

-Stable foam produced by surfactant when shaken with ethanol


-Highest concentration of ethanol with stable foam = FSI


-Greater than or equal to 0.48 indicates a mature lung


-Blood and meconium affect results

When does the L/S ration being to increase?


a. 34-36 weeks


b. 30-32 weeks


c. 36-40 weeks


d. 32-40 weeks

a. 34-36 weeks

What is the healthy range for vaginal secretions?




a. 3.0-4.5


b. 5.0-7.0


c. 5.0-6.0


d. 3.8-4.5

d. 3.8-4.5

Which of the following are pulmonary surfactants?


1. Lecithin


2. Sphinogmeyelin


3. Albumin


4. Phosphatidylglycerol


A. 2, and 3 are correct.


B. 1 and 2 are correct.


C. 4 is correct. or D, All are correct.

B. 1 and 2 are correct.

When semi-automated urine chemistry analyzers are used, the color that develops on the reaction pads is measured by


A. spectrophotometry.


B. reflectance photometry.


C. fluorescence photometry.


D. comparing reaction pads with a color chart.

B. reflectance photometry.

Which of the following elements is consideredabnormal when present in vaginal secretions?




A. Bacteria


B. Pseudohyphae


C. Yeast


D. White blood cells

B. Pseudohyphae

Which of the following vaginal secretion results cor- relate with health?


A. pH 3.9; white blood cells, 3+


B. pH 4.2; white blood cells, 1+


C. pH 4.8; white blood cells, rare


D. pH 5.5; white blood cells, 2+

B. pH 4.2; white blood cells, 1+

Which of the following tests is most helpful in dif-ferentiating red blood cells from yeast in vaginal secretions?


A. pH


B. Amine test


C. Wet mount examination


D. KOH preparation and examination

D. KOH preparation and examination

Select the condition that correlates best with thefollowing vaginal secretion results: pH: 5.9Amine test: positive KOH examination: negativeWet mount examination: bacteria: mixed bacterial floraWBC: 4+


A. Normal, indicating a healthy vagina


B. Bacterial vaginosis


C. Candidiasis


D. Trichomoniasis

D. Trichomoniasis

Select the condition that correlates best with thefollowing vaginal secretion results: pH: 4.6Amine test: negativeKOH examination: negative Wet mount examination: bacteria: large rodspredominate WBC: 1+


A. Normal, indicating a healthy vagina


B. Bacterial vaginosis


C. Candidiasis


D. Trichomoniasis

A. Normal, indicating a healthy vagina

What is the purpose of the color compensation padon reagent strips?


A. To compensate for the effect of specific gravity on urine color


B. To calibrate the instrument for color assessment of reaction pads


C. To account for the contribution of urine color to the colors on the reaction pads


D. To detect substances (e.g., phenazopyridine) that mask color development on the reaction pads

C. To account for the contribution of urine color to the colors on the reaction pads

Which of the following statements is NOT an issue for the instruments used to perform body fluidanalysis?


A. Unable to perform five-part WBC differentials B.Have difficulty detecting and enumerating RBCs


C. Unable to detect and specifically identify malignant cells


D. Unable to perform accurate and precise counting of low WBC numbers (<20 cells/μL).

B.Have difficulty detecting and enumerating RBCs

In the pretreatment of a synovial fluid with hyal-uronidase, a 1:10 dilution is made, after which aWBC count is performed using a 1:20 dilution ofthis fluid. The WBCs in the four large corner squares(“W”) and the center square are counted in eachchamber (i.e., 5 mm2). Both sides of the hemacytom-eter were evaluated with 37 cells and 43 cells countedin chamber 1 and chamber 2, respectively. What isthe average cell count that should be reported?



C. 16,000 WBCs/μL

Distortions observed on cytocentrifuge slide prepa-rations have been associated with


A. viscous fluids.


B. high cell counts.


C.use of fresh body fluid specimens.


D. fluids that have a high protein concentration.

B. high cell counts.

An air displacement pipette cannot accurately dispense


A. CSF.


B. pleural fluid.


C. peritoneal fluid.


D. synovial fluid.

D. synovial fluid.

Which of the following diluents should be usedwhen an RBC count is requested?


A. Dilute acetic acid


B. Hypotonic saline


C. Isotonic saline


D. Turk’s solution

C. Isotonic saline

Which of the following diluents will cause synovial fluid to form a mucin clot?


A. Hyaluronidase buffer solution


B. Hypotonic saline


C. Isotonic saline


D. Turk’s solution

D. Turk’s solution

Which of the following statements is NOT associated with the performance of cell counts using amanual hemacytometer?


A. Procedure is time-consuming.


B. Quantitative pipetting is required.


C. Body fluids with low cell counts cannot be analyzed.


D. High variability in results is obtained between laboratorians.

C. Body fluids with low cell counts cannot be analyzed.