SYNOVIAL FLUID
Specimen collection for synovial fluid is called:
MATCHING TYPE: Appearance
Green tinge
Inflammatory/Noninflammatory
Deep yellow
Hemorrhage/traumatic tap
Red
Crystals
Milky
Normal
Clear and pale yellow
Infection
MATCHING TYPE: Differential Count
Synovial lining cell
Vacuolated macrophage with ingested neutrophils
LE cell
Similar to macrophage but multinucleated.
RA cell
Neutrophil with dark cytoplasmic granules
Reiter cell
Neutrophil containg characteristic "round body"
MATCHING TYPE: Differential Count and Significance
Hemosiderin
Rheumatoid arthritis
Reiter cell
Pigmented villonodular synovitis
RA cell
Normal
Synovial lining cell
Reiter syndrome
LE cell
Lupus erythematosus
MATCHING TYPE: Crystal Identification and Significance
Corticosteroid
Injection
Calcium pyrophosphate
Osteoarthritis
Calcium oxalate
Renal dialysis
Apatite
Pseudogout
Monosodium urate
Gout
Synovial-Glucose difference in plasma is ____ mg/dl.
Which chemistry tests provides rapid differentiation between septic and inflammatory arthritis?
Protein
Glucose
Uric acid
Lactate
Laboratory Findings: Noninflammatory Arthritis (4)
Normal glucose level
Clear yellow fluid
Low viscosity
WBCs <1000 ul
Neutrophil <30%
Possible autoantibodies present
Cloudy yellow fluid
Positive gram stain
Laboratory Findings: Inflammatory Arthritis (IMMUNE) (4)
Cloudy yellow fluid
Poor viscosity
Autoantibodies present
Decreased glucose level
Crystals present
Positive culture and gram stain
Low viscosity
Normal glucose level
Laboratory Findings: Inflammatory (Crystal) (4)
Cloudy/milky fluid
Crystals present
Decreased glucose level
WBCs up to 100,000 uL
Variable viscosity
Neutrophils >75%
Possible autoantibodies present
WBCs equal to blood
Laboratory Findings: Septic Arthritis (4)
Cloudy, yellow-green fluid
Neutrophils >75%
Positive gram stain
Decreased glucose level
Normal glucose level
WBCs <1000 ul
Cloudy red fluid
Clear yellow fluid
Laboratory Findings: Hemorrhagic Arthritis (4)
Cloudy red fluid
Low viscosity
Normal glucose level
WBCs equal to blood
Cloudy yellow-green fluid
Crystals present
Autoantibodies present
Poor viscosity
Required tube type for gram stain and culture.
Sodium heparin
EDTA
Sodium fluoride
Nonanticoagulated
Required tube type for other tests.
Sodium heparin
EDTA
Sodium fluoride
Nonanticoagulated
Required tube type cell count.
Sodium heparin
EDTA
Sodium fluoride
Nonanticoagulated
Other
Please Specify:
What is added to the specimen for the mucin clot test?
What is used to pretreat a very viscous sample?
Diluent used to lyse the RBCs.
Acetic acid
Hyaluronidase
Saline with saponin
Normal saline
Which of the following could be affected most significantly if a synovial fluid is refrigerated before testing?
Crystals
Glucose
Mucin clot test
Differential count
Gout
Noninflammatory
Inflammatory
Septic
Hemorrhagic
Neisseria gonorrhoeae infection
Noninflammatory
Inflammatory
Septic
Hemorrhagic
SLE
Noninflammatory
Inflammatory
Septic
Hemorrhagic
Osteoarthritis
Noninflammatory
Inflammatory
Septic
Hemorrhagic
Rheumatoid arthritis
Noninflammatory
Inflammatory
Septic
Hemorrhagic
Heparin overdose
Noninflammatory
Inflammatory
Septic
Hemorrhagic
Hemophilia
Noninflammatory
Inflammatory
Septic
Hemorrhagic
Which chemistry test can be performed to determine severity of RA?
Glucose
Protein
Acid phosphatase
Uric acid
Synovial fluid for crystal exam should be examined:
Wet preparation
Wright stain
Gram stain
Acid fast stain
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