exam 5

Normal flora residing in the vagina can include all of the following except:

1. Gardnerella vaginalis
2. Yeast
3. Peptostreptococcus spp.
4. Staphylococci
5. Enterococcus spp.

A. 3
B. 1 and 2
C. 4 and 5
D. All of the above

When examining a wet mount, which of the following elements are identified and reported?

1. Bacteria
2. Yeast
3. Clue cells
4. Squamous epithelial cells
5. Trichomonads

A. 1 and 2
B. 1, 2, and 4
C. 1, 2, 3, and 5
D. All of the above

Which type of stain is required for differentiation between living and dead sperm?
Select one:
a. Giemsa
b. Wright's
c. Papanicolaou
d. Eosin

Seminal fluid is evaluated for which of the following purposes?
1. Fertility
2. Postvasectomy checks
3. Forensics
4. Donations

Select one:
A. 1 and 2
B, 1, 2, and 3
C. 1
D. All of the above

Parabasal cells can be distinguished from basal cells based on size and shape. Parabasal cells look like:
A. WBCs
B. Squamous epithelial cells
C. Transitional epithelial cells
D. Polygonal cells

The presence of basal cells in vaginal secretions, accompanied by an increase in WBCs, is indicative of

A. Atrophic vaginitis
B. Bacterial vaginitis
C. Candidiasis
D. Desquamative inflammatory vaginitis

The KOH preperation is valuable in the detection of which of the following?

A. Increased polyamines
B. Presence of fungal elements
C. Clue cells
D. Parabasal cells
E. Basal cells

Which pairing of condition with synovial fluid is incorrect?

a. colorless-normal
b. red-brown-hemorrhagic
c. yellow-white-inflammatory
d. pale yellow-noninflammatory

A chylous effusion can be differentiated from a pseudochylous effusion by which of the following results?

a. Triglycerides 150 mg/dL; chylomicrons absent
b. Triglycerides 120 mg/dL; chylomicrons present
c. Triglycerides 60 mg/dL; chylomicrons absent
d. Triglycerides 30 mg/dL; chylomicrons present

Ascites is defined as an excessive accumulation of fluid in the

a. synovial cavity
b. pericardial space
c. pleural cavity
d. peritoneal cavity

During a paracentesis, a cloudy, a yellow effusion shows clotting as it is withdrawn; this is most likely

a. transudate
b. edematous fluid
c. plasma
d. exudate

An excess accumulation of fluid in a body cavity that is caused by increased hydrostatic pressure, decreased plasma oncotic pressure, and increased permeability of the endothelium is a(n):
A. Exudate
B. Effusion
C. Transudate
D. Edema

Which of the following is an incorrect match?
A. Lung cancer—exudate
B. Hypoproteinemia—transudate
C. Pneumonia—transudate
D. Inflammatory condition—exudate

The total protein fluid to serum ratio and fluid to serum lactate dehydrogenase ratio in serous fluid is a reliable means to differentiate:
A. Pericardial fluid from peritoneal and pleural fluid
B. Serous fluid from plasma
C. A transudate from an exudate
D. Peritoneal fluid from pleural fluid

Acceptable transport and analysis conditions of synovial fluid include:
A. Transport on ice; warm to room temperature for analysis
B. Transport at room temperature; refrigerate until analyzed, warm to room temperature to analyze
C. Transport at 37 C and place in a 37 C incubator until analyzed
D. Transport and analyze at room temperature

Upon aspiration of synovial fluid and transfer to the collection tube, small drops of liquid drip slowly from the tip of the syringe, indicating that the viscosity is:
A. Normal
B. Decreased
C. Increased
D. Equivalent

Which of the following appear as flat, rectangular plates with notched corners and variable birefringence based on the thickness of the crystal?
A. Corticosteroid crystals
B. Hydroxyapatite crystals
C. Cholesterol crystals
D. Starch granules

All of these statements are true with regard to uric acid except:

A. The uric acid concentration in synovial fluid is equivalent to that of blood plasma.
B. A diagnosis of gout can be made based on an increased plasma uric acid level and the patient's symptoms.
C. The presence of MSU crystals in synovial fluid is diagnostic of gout.
D. Increased plasma levels of uric acid are required for the diagnosis of gout.