Other Fluids

Question 1

Amniotic Normal

Answer 1

Squamous Epithelials

Question 2

Amniotic Increased WBC

Answer 2

Infection

Question 3

Amniotic Increased RBC

Answer 3

Trauma

Question 4

Bronchial Alveolar Lavage Wash

Answer 4

Use Saline Wash

Question 5

Bronchial Alveolar Lavage Collection

Answer 5

Not Sterile
Oral Contamination

Question 6

Bronchial Alveolar Lavage Cells

Answer 6

Epithelial Cells
- Squamous
- Columnar

Question 7

Semen Collection

Answer 7

Collect the entire sample (ejaculation)

Question 8

Semen Fluid Acid

Answer 8

Approx is 20-30%
- Acid phosphatase
- Citric Acid
- Zinc
- Proteolytic enzymes

Question 9

Days for Semen Collection

Answer 9

Collected after 2 days of abstinence and no more than 7 days

Question 10

Falsely increased numbers

Answer 10

If the last portion of ejaculate is not collected

Question 11

Falsely decreased numbers

Answer 11

If the first portion of the ejaculate is not collected

Question 12

Fertility Sperm Testing

Answer 12

Two or Three specimens be collected not less than 7 days or more than 3 weeks apart
- 2 abnormal samples are considered significant

Question 13

Collecting Container for Sperm

Answer 13

Warm sterile glass or plastic containers

Question 14

Sperm Specimens Kept at

Answer 14

37 C if unable to test immediately
- If patient is bringing sample in, the sample must be kept at room temperature

Question 15

Information Recorded for Patient

Answer 15

Name
Date of Birth
Period of sexual abstinence
Completeness of specimen
Difficulties collecting
Times of collection
Specimen Receipt

Question 16

Semen Composition

Answer 16

5% Spermatozoa
60-70% Seminal Fluid
20-30% Prostate Fluid
5% Bulbourethral glands

Question 17

Condoms (if required)

Answer 17

Only use nonspermicidal, nonlubricant containing rubber or polyurethane

Question 18

Semen Analysis

Answer 18

Appearance
Liquefaction
Volume
Viscosity
pH
Sperm Concentration
Sperm Count

Question 19

Normal Semen Appearance

Answer 19

Grey-white color
Translucent
Characteristic musty odor

Question 20

Increased White turbidity

Answer 20

Infection within reproductive tract

Question 21

Red Color in Semen

Answer 21

Is abnormal and from RBCs

Question 22

Yellow Color to Semen

Answer 22

May be caused by urine contamination
Specimen collection after prolonged abstinence
Medications

Question 23

Urine issues with sperm

Answer 23

Toxic

Question 24

Semen Liquefaction

Answer 24

Fresh sample is clotted and should liquefy in about 30 to 60 minutes

Question 25

Failure to Liquefy

Answer 25

Caused by deficiency in prostatic enzymes and should be reported

Question 26

If still not liquid after 2 hrs

Answer 26

An equal volume of Dulbecco's phosphate-buffered saline or proteolytic enzymes (alpha-chymotrypsin or bromelain) may be added (These may affect biochemical tests)

Question 27

Normal Semen Volume

Answer 27

2 and 5 mL

Question 28

Increased Semen Volumes

Answer 28

Seen after periods of extended abstinence

Question 29

Decreased Semen volume

Answer 29

Associated more frequently with infertility - indicates improper functioning of one of the semen-producing organs (primarily seminal vesicles)

Question 30

Normal Semen Viscosity

Answer 30

Small discrete droplets that do not appear clumped or stringy when falling from pipette

Question 31

Normal Semen pH

Answer 31

Measured within 1 hour of ejaculation 7.2 to 8.0

Question 32

Increased Semen pH

Answer 32

Indicates infection within the reproductive tract

Question 33

Decreased Semen pH

Answer 33

Increased prostatic fluid Obstruction of ejaculatory duct Poorly developed seminal vesicles

Question 34

Normal Sperm Concentration

Answer 34

Greater than 20 to 250 million sperm per mL

Question 35

Sperm Motility

Answer 35

Determined by using a slide and looking under the scope for movement in a certain number of fields - Progressive motility - Nonprogressive motility - Immotility

Question 36

Progressive motility

Answer 36

Sperm moving linearly or in a large circle

Question 37

Nonprogressive motility

Answer 37

Sperm moving with an absence of progression

Question 38

Immotility

Answer 38

No movement

Question 39

Semen Morphology

Answer 39

Must be noted as well Normal is oval shaped head with a long, flagellar tail Acrosomal cap located on tip of head should encompass approximately half of the head