10-15 Test Review

Question 1

Microscopic exam of stool mixed with Sudan 3, glacial acetic acid and then heated will show small orange red droplets that represent

Answer 1

Free fatty acid, soaps and natural fats

Question 2

To determine if a questionable specimen is semen, what should the specimen be tested for?

Answer 2

Prostatic acid phosphatase

Question 3

Absence of a normal sperm acrosome can:

Answer 3

Prevent penetration of ovum

Question 4

What would an increase amount of prostatic fluid in a semen specimen do?

Answer 4

Decrease pH

Question 5

What should sperm motility be after one hour?

Answer 5

50% or more motile

Question 6

When using Kruger’s strict morphology criteria, what is the normal value?

Answer 6

Greater than 14%

Question 7

Prior to reporting a post vasectomy specimen as negative for the presence of sperm, the specimen should be:

Answer 7

Centrifuged

Question 8

Development of male antiseptic antibodies can be caused by:

Answer 8

Vasovasostomy, trauma and infection.

Question 9

What is the predominant cell in normal synovial fluid

Answer 9

Mononuclear Cells

Question 10

What does evaluation of sperm motility include?

Answer 10

Differentiations between forward and lateral movement.

Question 11

Is a semen pH of 6.0 associated with a decrease in prostatic fluid

Answer 11

No

Question 12

Which are the crystals found in synovial fluid during attacks of gout?

Answer 12

MSU (Monosodium urates)

Question 13

When should semen analysis on post vasectomy patients be performed?

Answer 13

2 months post vasectomy until 2 samples are negative for spermatozoa

Question 14

What is synovial fluid produced by?

Answer 14

Ultrafiltration of plasma

Question 15

A clear yellow synovial fluid with good viscosity and a WBC count of 1000 should be classified as:

Answer 15

Non inflammatory (Class 1)

Question 16

A milky- appearing synovial fluid can be associated with the presence of

Answer 16

Crystal induced Monosodium Urates (MSU)

Question 17

Which crystals would most likely be present in conjunction with calcium pyrophosphate crystals in synovial fluid?

Answer 17

Hydroxyapatite, cholesterol and calcium oxalate

Question 18

Why would a doctor most likely order a vaginal fluid analysis

Answer 18

Vaginitis

Question 19

I’m the Ropes or mucin clot test, normal synovial fluid…

Answer 19

Forms a clot surrounded by clear fluid

Question 20

Synovial fluid crystals seen in patients undergoing renal dialysis most commonly are

Answer 20

Calcium oxalate

Question 21

Crystals frequently seen in patients joints with chronic inflammation are

Answer 21

Cholesterol

Question 22

Fat droplets seen in synovial fluid are associated with

Answer 22

Traumatic injury and chronic inflammation

Question 23

What is peritoneal lavage performed for?

Answer 23

Check for intra-abdominal bleeding

Question 24

Exudate fluids usually result from

Answer 24

Infections of serous lining

Question 25

The pathological accumulation of fluid in a body cavity is termed a/an

Answer 25

Effusion

Question 26

The cells lining the the pleural cabities are primarily

Answer 26

Mesothelioma cells

Question 27

What is semen viscosity most closely related too?

Answer 27

Specimen liquefaction

Question 28

A decrease in the number of mesothelial cells seen on a pleural fluid diff indicates

Answer 28

Tuberculosis

Question 29

A blood streaked pericardial exudate with an increased amount of neutrophils is indicative of

Answer 29

Bacterial endocarditis

Question 30

Which test is valuable in the diagnosis of esophageal rupture?

Answer 30

Pleural fluid pH

Question 31

A pericardial exudate from a patient with AIDS might be tested with

Answer 31

Acid fast stain

Question 32

A peritoneal fluid with a positive CEA and a negative CA 125 indicates

Answer 32

Gastrointestinal

Question 33

Amniotic fluid is formed by

Answer 33

Fetal urine, fetal cell metabolism, transfer of water across the placenta

Question 34

A dark green amniotic fluid is associated with

Answer 34

Meconium

Question 35

The presence of a fetal neural tube disorder may be detected by

Answer 35

Maternal Serum alpha-fetoprotein (MSAFP)

Question 36

Vacuolated macrophages containing ingested neutrophils seen in synovial fluid are called:

Answer 36

Reuter cells

Question 37

Pleural fluid can be better classified as to trasudative or exudative origin by

Answer 37

Fluid to serum cholesterol ratios

Question 38

A primary function of amniotic fluid is

Answer 38

Protection of the fetus

Question 39

Crystals that appear to be rhombic-shaped and are blue when aligned with the slow vibration of red compensated

Answer 39

Calcium pyrophosphate dihydrate (CPPD)

Question 40

Amniotic fluid for lung maturity testing should be preserved

Answer 40

By refrigeration

Question 41

When performing sperm morphology analysis on a semen specimens with a sperm concentration of 20 million, 10 spermatozoa are seen. The result is:

Answer 41

Indicative of abnormal sperm maturation

Question 42

A cloudy, yellow-green synovial fluid with 100,000 WBCs, a predominance of neutrophils, and a decreased glucose should be classified as:

Answer 42

Septic (Class 3)

Question 43

The presence of neutrophils containing dark granules in the synovial fluid is associated with

Answer 43

Rheumatoid Arthritis

Question 44

What does a turbid synovial fluid with yellow-green color indicate?

Answer 44

Sepsis

Question 45

The function of a serous fluid is

Answer 45

Provide lubrication between the serous membranes

Question 46

Peritoneal fluid is collected by a procedure called

Answer 46

Paracentesis

Question 47

How does hemolytic disease of the newborn endanger the fetus?

Answer 47

Destroys fetal RBCs

Question 48

Stools from from persons with steatorrhea contains excess amounts of:

Answer 48

Stool fat

Question 49

To differentiate between maternal and fetal blood in blood streaked amniotic fluid, the fluid is tested for:

Answer 49

Fetal hemoglobin

Question 50

When performing the Apt test, a pink color that remains in the supernatant during testing may indicate

Answer 50

Fetal hemoglobin

Question 51

What is meconium composed of?

Answer 51

Bowel constituents

Question 52

Normal brown color of feces is produced by:

Answer 52

Urobilin

Question 53

What is a black tarry looking stool indicative of

Answer 53

Upper GI bleed

Question 54

The recommended specimen for quantitative fecal testing is

Answer 54

3-day 72- hour

Question 55

The unpleasant odor associated with fecal analysis is caused by

Answer 55

Bacterial metabolism

Question 56

Vaginal pH of 6.0 indicates what kind of infection

Answer 56

Bacterial

Question 58

Test for fetal alpha-1 microglobulin protein is used to determine?

Answer 58

If the patient is suffering from fetal membrane rupture

Question 61

The coefficient of fat retention should be

Answer 61

95%

Question 62

Crystals seen in a stool after it has been mixed with acetic acid, Susan 3 stain and heated my be composed of:

Answer 62

Cholesterol

Question 63

What is the test of choice for testing amniotic fluid from a biabetic patient for fetal lung maturity?

Answer 63

Amniostat FLM

Question 64

Normal flora is part of which genus

Answer 64

Lactobacillus

Question 65

When the specimen has not remained at room temp you can no longer perform the test for what (vaginal fluids)

Answer 65

Trichamoniasis

Question 66

A pale frothy looking stool is indicative of

Answer 66

Excess amounts of fats

Question 67

Which cellular elements are seen in patients with desquamative inflammatory vaginitis

Answer 67

Clue cells

Question 67

Primary component of lung surfactant

Answer 67

90% phospholipid and 10%protein

Question 68

Increased neutrophils in stool may indicate that the patient has

Answer 68

Salmonella

Question 68

A female patient has genital itching, dysprosium, and chunky discharge. What test should the doctor order?

Answer 68

Wet prep

Question 69

Amniotic fluid tests for determining fetal lung maturity?

Answer 69

Lecithin-Sphingomyelin ratio, lamellar bodies

Question 70

An athrocentesis is performed on a patient with lupus erythematosus that produces a cloudy yellow fluid with 2000 WBCs, of which 55% is neutrophils. How should this fluid be classified?

Answer 70

Inflammatory

Question 71

The term occult blood means

Answer 71

Hidden blood

Question 74

Fetal fibronectin tests for?

Answer 74

Preterm labor

Question 75

Which cellular element is seen in patients with candidiasis

Answer 75

Clue cells