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Body Fluid MCQS 2022 Medical Tuber

The document contains 10 multiple choice questions about cerebrospinal fluid (CSF) with explanations for the answers. It covers topics like normal vs abnormal CSF characteristics, sites of CSF collection, and typical CSF volume in adults.

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Lorelie Chen
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254 views

Body Fluid MCQS 2022 Medical Tuber

The document contains 10 multiple choice questions about cerebrospinal fluid (CSF) with explanations for the answers. It covers topics like normal vs abnormal CSF characteristics, sites of CSF collection, and typical CSF volume in adults.

Uploaded by

Lorelie Chen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Q1 Which of the following conditions will cause a

positive reagent strip blood result due to hematuria?


A. Hemolytic anemia
B. Severe burns
C. Glomerulonephritis
D. Dehydration

Feedback C
Hematuria may be caused by glomerulonephritis, renal calculi, and pyelonephritis.
Hemoglobinuria, on the other hand, can be caused by hemolytic anemia and
severe burns. Dehydration will not cause hematuria.

Q2 Once the seal on a unit of packed red blood


cells is opened, how long can the unit be stored in
the refrigerator prior to administration?
A. 4 hours
B. 12 hours
C. 24 hours
D. 48 hours
Feedback C
If the seal on a packed RBC unit is opened or used to prepare a blood component
in an open system, then the unit can be stored refrigerated (1-6°C) up to 24
hours. The change in expiration time is necessary to reduce the risk of bacterial
sepsis in the recipient.

Q3 The fluid found in the cavity surrounding the lungs is


called:
A. Peritoneal fluid
B. Amniotic fluid
C. Cerebrospinal fluid
D. Pleural fluid

Feedback D
Pleural fluid is the fluid found in the cavity surrounding the lungs.
Peritoneal fluid is fluid created in the abdominal cavity.
Amniotic fluid is the protective fluid found within the membranes that hold and
surround an embryo or fetus.
Cerebrospinal fluid is the fluid that surrounds and protects the spinal cord and brain.

Q4 All of the following characteristics of cerebrospinal fluid


are considered abnormal EXCEPT:
A. Turbidity
B. Bloody appearance
C. Xanthochromia
D. Fluid is colorless

Feedback D
Each of the choices listed are considered to be abnormal when
analyzing a CSF sample except 'fluid is colorless'. A colorless CSF is
normal.
There are many reasons for a turbid CSF specimen which include the
presence of large quantities of WBCs, microorganisms, protein, all of
which are abnormal findings.
A bloody CSF can be an indication of intracranial hemorrhage or
traumatic tap.
Xanthochromia may be an indication of previous subarachnoid
hemorrhage.

Q5Where does most cerebrospinal fluid originate?


Cerebral arachnoid space
Choroid plexus
Ventricles
Lumbar region

Feedback B
Most CSF originates in the choroid plexus. The choroid plexus is
composed of a mass of tiny blood vessels that are located in the third
lateral and fourth ventricles. The remaining CSF, about 30%, is formed
in other sites such as the subarachnoid space and the ependymal lining
of the ventricles. Adults produce about 20 mL of CSF per hour. The fluid
is reabsorbed at the same rate it is produced by the arachnoid
granulations/villae back into the blood capillaries.

Q6A CSF glucose value is 62 mg/dL. What would


you estimate the serum glucose?
A. 65 mg/dL
B. 93 mg/dL
C. 120 mg/dL
D. 180 mg/dL

Feedback C
CSF glucose is roughly estimated to be about 2/3 of the
serum glucose level in mg/dL. Therefore:
62 mg/dL = 2/3 x serum glucose
serum glucose = 62 mg/dL x 3/2
serum glucose = 93 mg/Dl

Q7A low CSF glucose level is associated with all the


following EXCEPT:
A. Hyperglycemia
B. Fungal meningitis
C. Amebic meningitis
D. Trichinosis meningitis
Feedback A
In hyperglycemia you would expect a normal or elevated
CSF glucose level. A decreased (low) CSF glucose level,can
be found in cases of acute bacterial, fungal, amebic, and
trichinosis meningitis, as all these organisms consume the
glucose in CSF.

Q8Which of the following sites is used most often for


CSF collection?
A. Ventricles
B. L1-L2
C. Sub occipital
D. L3-L4

Feedback
The correct answer is L3-L4.
The most common site used for lumbar puncture is the
intervertebral space between lumbar vertebrae L3 and L4, which
avoids damage to the spinal cord in adults because the spinal
cord does not extend that far down. In children and infants, the
spinal cord may extend this far, therefore the intervertebral space
between L4 and L5 can be used.
The ventricles and sub occipital are not accessible by routine
procedures.
L1-L2 should be avoided, as the spinal cord may be damaged
during collection.

Q9Acetest ® can be used to test for ketones


in:
A. Urine
B. Urine and serum
C. Urine, serum, and whole blood
D. Urine, serum, whole blood, and CSF

Feedback C
Acetest® is used as a confirmatory test for ketones and can
be used to test urine, serum, and whole blood.

Q10What is the approximate volume of spinal


fluid in an adult?
A. 10-60 mL
B. 50-70 mL
C. 90-150 mL
D. 200-500 mL

Feedback C
The approximate volume of CSF in an adult is 90-150 mL and
about 10-60 mL in neonates. The CSF is produced in the choroid
plexuses of the lumbar ventricles and the third and fourth
ventricles. Adults produce about 20 mL of CSF per hour. The fluid
is reabsorbed at the same rate it is produced by the arachnoid
granulations/villae back into the blood capillaries.

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