Synovial Fluid
Serous Fluid
CSF
Manual cell counts
MISC
100

Milky synovial fluid is usually due to 

crystals


*** Turbid caused by increased cells and fibrin

100

A pathological condition causing a build up of serous fluid is referred to as 

effusion

100

4 tubes were drawn from a lumbar puncture for CSF. The first tube was Red and the 3rd tube was a light pink . What do you contribute the color of the CSF to ? 

Traumatic tap

100

A patient had a CSF cell count ordered. When counting the WBCs the tech counted 10 cells on the entire side of the hemocytometer. How would you report this WBC ? 

11.1 cells/ul

100

When preparing a  slide for morphologic examination what is the reason for adding a drop of albumin to the cerebrospinal fluid sample prior to cytocentrifugation?

Preserve the integrity of the cells 

200

The crystal seen in a synovial fluid of a patient with gout is 

Monosodium Urate 

200

Serous fluid that results from an inflammatory process , infections , malignancies is 

Exudate 

200

a patients serum glucose is 100 , what would you expect their CSF glucose to be 

60-70

200

a patient's synovial fluid needs a RBC count done. It is very bloody so you do a 1:20 dilution on it. you count a total of 350 RBC in the 5 squares that we typically count RBCs in . What is your reported RBC ? 

350,000/mm3

200

The Lecithin/ Sphingomyelin (L/S) ratio determination of amniotic fluid is useful in assessing the probablilty of :

Respiratory distress syndrome

300

The crystal seen in a synovial fluid of a patient with pseudogout is 

calcium pyrophosphate

300

The fluid that fills the cavity enclosing the lungs is called_____ and an aspiration of this fluid is called ________

Pleural fluid / thoracentesis 

300

plasma cells seen in CSF indicate 

Multiple sclerosis or lymphocytic reaction


*** NOT Multiple myeloma

300

Your perform a WBC count on a CSF and count a total of 40 WBC in the 4 corner cells we typically count WBC in . What is your reported WBC ? 

1600/mm3

300

A patient presents to the emergency room with severe headache nausea vomiting . CSF chemistry results are as follows:

Protein- 74 mg/dl ( 15-45mg/dl)

Glucose – 53 mg/dl ( 40-85 mg/dl)

What is the probably diagnosis?

Viral memingitis

400
This is an unusual cell that can be found in synovial fluid. it is a neutrophil that has phagocytized a nucleus of another cell 

LE cell 

400

cells normally found in serous fluid which are large ( 12-3-um) with a light gray to blue cytoplasm and a nucleus making up 1/3 to 1/2 the cell 

Mesothelial cell

400

name in order the departments that you would do testing on ; Tube 1, Tube 2, Tube 3

Chemistry, Microbiology , Hematology 

400

What is a normal CSF WBC count ? 

0-5 / ul

400

A cloudy , yellow-green synovial fluid with 122,000 WBCs which are predominantly neutrophils , and decreased glucose is classified as what condition:

Septic

500

a tech had to do a cell count on a synovial fluid. She made a 1:10 dilution using acetic acid. What might you see with this sample ? 

clumping - acetic acid causes clumping of synovial fluid. If doing dilutions you should use saline. You can also add hyaluronidase to prevent clumps

500

Peritoneal fluid was brought to the laboratory with a green color. This most likely indicates issues with what organ? 

gallbladder 

500

The supernatant from a spun CSF is compared to a white background and found to have a orange hue.. what term describes this                                                                                                                                                                                                                                                                                                                                                                                                  

xanthochromia 

500

A 1:10 dilution is made on a CSF sample . Five squares on each side of the hemacytometer are counted for a total of 10 squares and a total of 150 cells . What is the count per microliter? 

1500

500

The normal sperm concentration is : 

>20 x 10 ( to the 6th) /ml

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