Csf

Front 1

The brain and the spinal cord are lined by

Back 1

Meninges

Front 2

Meninges has 3 layers

Back 2

Dura matter

Arachnoid

Pia matter

Front 3

outer layer

Lines the skull and the vertebral canal "hard mother"

Back 3

Dura matter

Front 4

Filled with amentous (spider like) inner membrane

Back 4

Arachnoid

Front 5

A thin membrane lining the surface of the brain and spinal cord

Back 5

Pia matter

Front 6

CSF is produced in the

Back 6

Choroid plexus

Front 7

CSF flows through the ____ which located between arachnoid and pia matter

Back 7

Subarachnoid space

Front 8

To maintain the volume circulating csf is reabsorbed back into the blood capillaries in the

Back 8

Arachnoid granulations/ villae

Front 9

The tight fitting structure of the endothelial cells in the choroid plexus is term

Back 9

Blood brain barrier

Front 10

CSF is routinely collected by

Back 10

Lumbar puncture

3, 4 and 5th lumbar vertebrae

Front 11

Things need to be considered before collecting an adequate amount of csf

Back 11

Intracranial pressure and opening pressure

Front 12

Order of tubes for CSF collection

Back 12

1- chemistry and serology FROZEN

2- microbiology ROOM TEMP

3- hematology REFRIGERATED

4- other tests (microbiology and serology)

Front 13

Intracranial pressure is measured by

Back 13

Manometer

Front 14

Normal values of intracranial pressure

Back 14

Adults - 90-180 mmHg

Children - 10-100 mmHg

Front 15

Turbid or milky CSF indicates

Back 15

Increase protein or lipid concentration and infection ( WBC)

Front 16

If one tube is available (order of usage)

Back 16

1 microbiology

2 hematology

3 chem and serology

Front 17

Traumatic tap

Back 17

Clots

Front 18

Increase lipid

Back 18

Milky

Front 19

Contaminated with x ray media

Back 19

Oily

Front 20

Causes of xanthochromia

Back 20

Hemoglobin

Bilirubin

Carotene

Protien

Melanin

Front 21

Introduction of plasma to fibrinogen in the CSF specimen

Back 21

Clot formation

Front 22

Clear traumatic tap

Back 22

Clear supernatant

Front 23

CSF WBC count is diluted with

Back 23

3% glacial acetic acid

Front 24

The most frequently performed chemical test on CSF

Back 24

Protein or determination

Front 25

Protein unique only on the CSF

Back 25

tau protein

Front 26

Not found in normal CSF

Back 26

IgA

IgM

IgG

fibrinogen

Beta lipoproteins

Front 27

Techniques used for measuring total CSF protein

Back 27

Principles of turbidity production or dye binding technique

Front 28

Proteins that appear in the csf results to

Back 28

Damage of the integrity of the blood brain barrier

Front 29

Primary purpose of performing CSF protein electrophoresis

Back 29

To detect oligoclonal bands (gamma region of protein electrophoresis)

Front 30

2 or more oligoclonal bands and increase IgG index

Back 30

MS

Front 31

Presence of myelin basic protien

Back 31

Indicated recent destruction of myelin sheath

Front 32

Low csf glucose

Back 32

Meningitis

Front 33

Markedly decrease csf glucose, increase wbc (lymphocytes)

Back 33

Tubular meningitis

Front 34

Markedly decrease csf glucose increase wbc (neutrophils)

Back 34

Bacterial meningitis

Front 35

Normal csf glucose increases wbc (lymphocytes)

Back 35

Viral meningitis

Front 36

Normal csf lactate

Back 36

25 mg/dL

Front 37

Csf lactate greater than 35mg/dl

Back 37

Bacterial meningitis

Front 38

Csf lactate level lower than 25mg/dl

Back 38

Viral meningitis

Front 39

Medium used from csf with patients with bacterial meningitis

Back 39

Diphasic medium

Front 40

Agar in diphasic medium

Back 40

Charcoal starch agar SLANT

soybean-casein digest gelatin broth

Support grows of N. Meningitidis, S. Pneumonia, H. Influenzae

Front 41

Grams stain and india ink stain used to detect what organism that causes fungla meningitis

Back 41

Cryptococcus neoformans

Front 42

Most preferable test for detecting the presence of cryptococcus neoformans

Back 42

Latex agglutination test

Front 43

Serological test used to detect neurosyphilis

Back 43

Venerl disease reseach laboratories (VRDL)

Florescent treponemal antibody- absorption (FTA-ABS)

Front 44

Detects gram negative bacteria endotoxin

Back 44

Limulus amebocyte lysate

Front 45

Indicative of tubercular meningitis

Back 45

Pellicle formation

Front 46

What bacteria shows starburst pattern in gram stain; halo india ink preparation

Back 46

Cryptococcus neoformans

Front 47

Non troponemal assay for Streptococcus agalactiae

Back 47

VDRL

Front 48

Latex agglutination test and lateral flow assay is for the detection of what microgranism?

Back 48

Cryptococcus neoformans