Question 1

Which of the following is not a characteristic of a transudate?

Accepted Answer

A)  Seen in congestive heart failure 
B)  Can form a clot 
C)  Clear 
D)  Pale yellow in color 
A)  Seen in congestive heart failure 
B)  Can form a clot 
C)  Clear 
D)  Pale yellow in color B

Question 2

A technologist is performing a total cell count on a pericardial fluid. She prepares the undiluted fluid on a hemacytometer. An average of 170 cells was seen in the entire ruled area on each side of the hemacytometer. Calculate the total cell count.

Accepted Answer

A)  189 cells/µL 
B)  425 cells/µL 
C)  8500 cells/µL 
D)  1237 cells/µL 
A)  189 cells/µL 
B)  425 cells/µL 
C)  8500 cells/µL 
D)  1237 cells/µL A

Question 3

Which type of crystal appears as small, bipyramidal or pleomorphic shapes?

Accepted Answer

A)  Monosodium urate 
B)  Calcium pyrophosphate dihydrate 
C)  Calcium oxalate 
D)  Basic calcium phosphate 
E)  Cholesterol 
A)  Monosodium urate 
B)  Calcium pyrophosphate dihydrate 
C)  Calcium oxalate 
D)  Basic calcium phosphate 
E)  Cholesterol C

Question 4

Which of the following laboratory data is not suggestive of a transudate?

Accepted Answer

A)  White blood cell (WB
C)  count greater than 1000/µL 
B)  Specific gravity less than or equal to 1.015 
C)  Total protein (TP) less than or equal to 3.0 g/dL 
D)  Fluid TP to serum TP ratio less than 0.5 
A)  White blood cell (WB
C)  count greater than 1000/µL 
B)  Specific gravity less than or equal to 1.015 
C)  Total protein (TP) less than or equal to 3.0 g/dL 
D)  Fluid TP to serum TP ratio less than 0.5

Question 5

The presence of monosodium urate crystals is typically found in patients with _______.

Accepted Answer

A)  Gout 
B)  Chondrocalcinosis 
C)  Ankylosing spondylitis 
D)  Osteoarthritis 
A)  Gout 
B)  Chondrocalcinosis 
C)  Ankylosing spondylitis 
D)  Osteoarthritis

Question 6

RA cells are ________________________.

Accepted Answer

A)  Eosinophils containing immune complexes such as IgG and IgM 
B)  Eosinophils containing immune complexes such as IgG and IgA 
C)  Neutrophils containing immune complexes such as IgG and IgM 
D)  Neutrophils containing immune complexes such as IgG and IgA 
A)  Eosinophils containing immune complexes such as IgG and IgM 
B)  Eosinophils containing immune complexes such as IgG and IgA 
C)  Neutrophils containing immune complexes such as IgG and IgM 
D)  Neutrophils containing immune complexes such as IgG and IgA

Question 7

What is the preferred method for total cell counts on a clear body fluid?

Accepted Answer

A)  Automated instrument with a 1:100 dilution 
B)  Automated instrument undiluted 
C)  Manual cell count using a hemacytometer with a 1:100 dilution 
D)  Manual cell count using a hemacytometer undiluted 
A)  Automated instrument with a 1:100 dilution 
B)  Automated instrument undiluted 
C)  Manual cell count using a hemacytometer with a 1:100 dilution 
D)  Manual cell count using a hemacytometer undiluted

Question 8

Which of the following is true regarding body fluid cell counts on an automated instrument?

Accepted Answer

A)  The automated instruments are standardized for body fluid cell counts. 
B)  Cell size variation in fluids is less than in peripheral blood. 
C)  Background debris and clots are often present in serous fluids. 
D)  Synovial fluids are not viscous. 
A)  The automated instruments are standardized for body fluid cell counts. 
B)  Cell size variation in fluids is less than in peripheral blood. 
C)  Background debris and clots are often present in serous fluids. 
D)  Synovial fluids are not viscous.

Question 9

Which type of crystal is typically long, thin, and needle-like with pointed ends and also strongly birefringent?

Accepted Answer

A)  Monosodium urate 
B)  Calcium pyrophosphate dihydrate 
C)  Calcium oxalate 
D)  Basic calcium phosphate 
E)  Cholesterol 
A)  Monosodium urate 
B)  Calcium pyrophosphate dihydrate 
C)  Calcium oxalate 
D)  Basic calcium phosphate 
E)  Cholesterol

Question 10

For body fluid analysis, which tube is observed for clot formation?

Accepted Answer

A)  Plain 
B)  EDTA 
C)  Heparinized 
D)  Fluoride 
A)  Plain 
B)  EDTA 
C)  Heparinized 
D)  Fluoride

Question 11

Which type of crystal contains hydroxyapatite?

Accepted Answer

A)  Monosodium urate 
B)  Calcium pyrophosphate dihydrate 
C)  Calcium oxalate 
D)  Basic calcium phosphate 
E)  Cholesterol 
A)  Monosodium urate 
B)  Calcium pyrophosphate dihydrate 
C)  Calcium oxalate 
D)  Basic calcium phosphate 
E)  Cholesterol

Question 12

What is the name of the procedure in which pleural fluid is removed?

Accepted Answer

A)  Hemothorax 
B)  Thoracentesis 
C)  Pneumothorax 
D)  Empyema 
A)  Hemothorax 
B)  Thoracentesis 
C)  Pneumothorax 
D)  Empyema

Question 13

Which type of crystal typically appears as short rectangular shapes but can also appear as rods and rhomboids and is weakly birefringent?

Accepted Answer

A)  Monosodium urate 
B)  Calcium pyrophosphate dihydrate 
C)  Calcium oxalate 
D)  Basic calcium phosphate 
E)  Cholesterol 
A)  Monosodium urate 
B)  Calcium pyrophosphate dihydrate 
C)  Calcium oxalate 
D)  Basic calcium phosphate 
E)  Cholesterol

Question 14

Which of the following cell types are seen in normal serous body fluids?

Accepted Answer

A)  Neutrophils 
B)  Lymphocytes 
C)  Monocytes/macrophages 
D)  All of the above 
E)  None of the above 
A)  Neutrophils 
B)  Lymphocytes 
C)  Monocytes/macrophages 
D)  All of the above 
E)  None of the above

Question 15

For crystal examination in body fluids, which type of tube should the specimen be collected in?

Accepted Answer

A)  Sodium fluoride 
B)  Liquid EDTA 
C)  Heparinized 
D)  Nonadditive 
E)  Heparinized or liquid EDTA 
A)  Sodium fluoride 
B)  Liquid EDTA 
C)  Heparinized 
D)  Nonadditive 
E)  Heparinized or liquid EDTA

Question 16

Which of the following laboratory data is suggestive of an exudate?

Accepted Answer

A)  WBC count greater than 1000/µL 
B)  Specific gravity less than or equal to 1.015 
C)  TP less than or equal to 3.0 g/dL 
D)  Fluid TP to serum TP ratio less than 0.5 
A)  WBC count greater than 1000/µL 
B)  Specific gravity less than or equal to 1.015 
C)  TP less than or equal to 3.0 g/dL 
D)  Fluid TP to serum TP ratio less than 0.5

Question 17

A characteristic feature of a malignant cell is _________________.

Accepted Answer

A)  Small cell size 
B)  Smooth nuclear membrane 
C)  Nuclear molding 
D)  Low N:C ratio 
A)  Small cell size 
B)  Smooth nuclear membrane 
C)  Nuclear molding 
D)  Low N:C ratio

Question 18

For cerebrospinal fluid analysis, which tube is used for microbiological culture?

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4 
A)  1 
B)  2 
C)  3 
D)  4

Question 19

Exudates are caused by:

Accepted Answer

A)  Bacterial infection 
B)  Viral infection 
C)  Trauma 
D)  Neoplasms 
E)  All of the above 
A)  Bacterial infection 
B)  Viral infection 
C)  Trauma 
D)  Neoplasms 
E)  All of the above

Question 20

A technologist is performing a total cell count on a synovial fluid. He prepares the undiluted fluid on a hemacytometer. An average of 213 cells was seen in 4 mm2 of the chamber on each side of the hemacytometer. Calculate the total cell count.

Accepted Answer

A)  237 cells/µL 
B)  533 cells/µL 
C)  2681 cells/µL 
D)  10,650 cells/µL 
A)  237 cells/µL 
B)  533 cells/µL 
C)  2681 cells/µL 
D)  10,650 cells/µL

Exam 30: Body Fluid Examination: the Qualitative, Quantitative, and Morphologic Analysis of Serous, Cerebrospinal, and Synovial Fluids

Which of the following is not a characteristic of a transudate?

A technologist is performing a total cell count on a pericardial fluid. She prepares the undiluted fluid on a hemacytometer. An average of 170 cells was seen in the entire ruled area on each side of the hemacytometer. Calculate the total cell count.

Which type of crystal appears as small, bipyramidal or pleomorphic shapes?

Which of the following laboratory data is not suggestive of a transudate?

The presence of monosodium urate crystals is typically found in patients with _______.

RA cells are ________________________.

What is the preferred method for total cell counts on a clear body fluid?

Which of the following is true regarding body fluid cell counts on an automated instrument?

Which type of crystal is typically long, thin, and needle-like with pointed ends and also strongly birefringent?

For body fluid analysis, which tube is observed for clot formation?

Which type of crystal contains hydroxyapatite?

What is the name of the procedure in which pleural fluid is removed?

Which type of crystal typically appears as short rectangular shapes but can also appear as rods and rhomboids and is weakly birefringent?

Which of the following cell types are seen in normal serous body fluids?

For crystal examination in body fluids, which type of tube should the specimen be collected in?

Which of the following laboratory data is suggestive of an exudate?

A characteristic feature of a malignant cell is _________________.

For cerebrospinal fluid analysis, which tube is used for microbiological culture?

Exudates are caused by:

A technologist is performing a total cell count on a synovial fluid. He prepares the undiluted fluid on a hemacytometer. An average of 213 cells was seen in 4 mm2 of the chamber on each side of the hemacytometer. Calculate the total cell count.

Morphology of Human Blood and Marrow Cells: Hematopoiesis

Bone Marrow

The Red Blood Cell: Structure and Function

Anemia: Diagnosis and Clinical Considerations

Evaluation of Red Blood Cell Morphology and Introduction to Platelet and White Blood Cell Morphology

Iron Metabolism and Hypochromic Anemias

Megaloblastic Anemias

Aplastic Anemia Including Pure Red Cell Aplasia and Congenital Dyserythropoietic Anemia and Paroxysmal Nocturnal Hemoglobinuria

Introduction to Hemolytic Anemias: Intracorpuscular Defects: I Hereditary Defects of the Red Cell Membrane

Hemolytic Anemias: Intracorpuscular Defects: II Hereditary Enzyme Deficiencies

Hemolytic Anemias: Intracorpuscular Defects: III the Hemoglobinopathies

Hemolytic Anemias: Intracorpuscular Defects: Iv Thalassemia

Hemolytic Anemias: Extracorpuscular Defects

Hypoproliferative Anemia: Anemia Associated With Systemic Diseases

Cell Biology, Disorders of Neutrophils, Infectious Mononucleosis, and Reactive Lymphocytosis

Introduction to Leukemia and the Acute Leukemias

Chronic Myeloproliferative Disorders I: Chronic Myelogenous Leukemia

Chronic Myeloproliferative Disorders Ii: Polycythemia Vera, Essential Thrombocythemia, and Idiopathic Myelofibrosis

Myelodysplastic Syndromes

Chronic Lymphocytic Leukemia and Related Lymphoproliferative Disorders

The Lymphomas

Multiple Myeloma and Related Plasma Cell Disorders

Lipid Lysosomal Storage Diseases and Histiocytosis

Introduction to Hemostasis

Disorders of Primary Hemostasis: Quantitative and Qualitative Platelet Disorders and Vascular Disorders

Disorders of Plasma Clotting Factors

Interaction of the Fibrinolytic, Coagulation, and Kinin Systems; Disseminated Intravascular Coagulation; and Related Pathology

Introduction to Thrombosis and Anticoagulant Therapy

Quality Control in the Hematology Laboratory

Hematology Methods

Principles of Automated Differential Analysis

Coagulation Procedures

Applications of Flow Cytometry to Hematology and Hemostasis

Molecular Diagnostic Techniques in Hematopathology

Special Stainscytochemistry

Filters

A technologist is performing a total cell count on a synovial fluid. He prepares the undiluted fluid on a hemacytometer. An average of 213 cells was seen in 4 mm² of the chamber on each side of the hemacytometer. Calculate the total cell count.