Exam 11: Synovial Fluid

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Fluid obtained from the knee of a 60-year-old man who has been experiencing episodes of severe pain for several years has the following results: Fluid obtained from the knee of a 60-year-old man who has been experiencing episodes of severe pain for several years has the following results:   -Based on the information provided,what is the most probable diagnosis? -Based on the information provided,what is the most probable diagnosis?

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D

Normal synovial fluid glucose values are 60% to 70% of the blood glucose.

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False

To determine if an unknown fluid is synovial fluid,the fluid can be tested:

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C

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

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A synovial fluid with a normal WBC count from a patient with a normal serum uric acid contains extracellular birefringent crystals under polarized light.A possible reason for this finding is that the:

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

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

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Fluid obtained from the knee of a 60-year-old man who has been experiencing episodes of severe pain for several years has the following results: Fluid obtained from the knee of a 60-year-old man who has been experiencing episodes of severe pain for several years has the following results:   -Based on the information provided,when aligned with the slow vibration of red compensated polarized light,what is the most probable color of the crystals? -Based on the information provided,when aligned with the slow vibration of red compensated polarized light,what is the most probable color of the crystals?

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Crystals seen in the synovial fluid from a patient previously diagnosed with gout exhibit positive birefringence when observed under red compensated polarized light.The most probable cause of this discrepancy is:

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Fluid obtained from the knee of a 60-year-old man who has been experiencing episodes of severe pain for several years has the following results: Fluid obtained from the knee of a 60-year-old man who has been experiencing episodes of severe pain for several years has the following results:   -Based on the information provided,what classification of arthritis is indicated by these results? -Based on the information provided,what classification of arthritis is indicated by these results?

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In addition to routine culture media,synovial fluid cultures should include:

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

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Three tubes of blood-streaked synovial fluid from the elbow of a 40-year-old tennis player are delivered to the laboratory with a request for a WBC count,differential,crystal analysis,glucose,and Gram stain. -Based on the information provided,what type of diluting fluid should be used for the WBC count?

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The predominant cell in normal synovial fluid is the lymphocyte.

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In the Ropes' or mucin clot test,normal synovial fluid:

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Three tubes of blood-streaked synovial fluid from the elbow of a 40-year-old tennis player are delivered to the laboratory with a request for a WBC count,differential,crystal analysis,glucose,and Gram stain. -Based on the information provided,what is the significance of the blood-streaked fluid?

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

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An arthrocentesis is performed on a patient with lupus erythematosus that produces a cloudy yellow fluid with 2000 WBCs,of which 55% is neutrophils.This fluid should be classified as:

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Fat droplets seen in synovial fluid are associated with:

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All of the following can cause crystals to be present in the synovial fluid except:

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