Cerebrospinal Fluid Analysis
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Questions and Answers

What is the approximate rate of cerebrospinal fluid (CSF) production per day?

  • 150 ml/day
  • 550 ml/day (correct)
  • 85 ml/day
  • 60 ml/day
  • Which of the following is NOT a function of the cerebrospinal fluid (CSF)?

  • Supplying nutrients to the CNS
  • Physical support and protection of the central nervous system (CNS) from trauma
  • Regulation of body temperature (correct)
  • Transport of biologically active compounds
  • Which body part is responsible for the production of cerebrospinal fluid (CSF)?

  • Choroid plexus of brain ventricles (correct)
  • Liver
  • Heart
  • Kidneys
  • What is the total volume range of CSF in adults?

    <p>85 - 150 ml</p> Signup and view all the answers

    Which medical condition would require CSF analysis for diagnosis?

    <p>Meningitis</p> Signup and view all the answers

    Besides supplying nutrients, what other function does the cerebrospinal fluid (CSF) serve?

    <p>Removal of waste products from the brain and CNS</p> Signup and view all the answers

    What is the rate of CSF formation in adults per day?

    <p>500 ml/day</p> Signup and view all the answers

    Where is CSF collected from by lumbar puncture?

    <p>Between the 3rd and 4th lumber vertebrae</p> Signup and view all the answers

    What is the normal range of pressure for collecting CSF from an adult?

    <p>50-180 mm Hg</p> Signup and view all the answers

    What is the ratio of serum to CSF protein concentration?

    <p>200:1</p> Signup and view all the answers

    What is responsible for maintaining the difference in Na+, Cl-, and Mg2+ levels between serum and CSF?

    <p>Active transport</p> Signup and view all the answers

    Which condition does NOT lead to increased CSF protein levels?

    <p>Hypoglycemia</p> Signup and view all the answers

    What is the main source of energy for the brain?

    <p>Glucose</p> Signup and view all the answers

    In which condition would you expect to find yellow-colored CSF?

    <p>Jaundice with high protein levels</p> Signup and view all the answers

    "CSF may clot if the ratio of blood to CSF is high." What is usually responsible for this clotting?

    <p>&quot;WBC's or RBC's &gt;200&quot;, bacterial meningitis, etc.</p> Signup and view all the answers

    "Blood and CSF glucose equilibrate after 4 hours." What does this imply for CSF glucose level at a given time?

    <p>&quot;It reflects the BGL during the past 4 hours&quot;</p> Signup and view all the answers

    Cerebrospinal fluid (CSF) is primarily composed of about 90% water.

    <p>False</p> Signup and view all the answers

    The rate of CSF production is approximately 500 ml/day.

    <p>False</p> Signup and view all the answers

    CSF turnover rate is approximately 2.5 times a day.

    <p>False</p> Signup and view all the answers

    CSF functions include CNS waste management and physical support & protection from trauma.

    <p>True</p> Signup and view all the answers

    CSF analysis is required in the diagnosis of autoimmune disorders like Parkinson's disease.

    <p>False</p> Signup and view all the answers

    The total CSF volume in adults typically ranges from 100 - 200 ml.

    <p>False</p> Signup and view all the answers

    CSF glucose concentration is 60% of serum.

    <p>True</p> Signup and view all the answers

    The ratio of serum to CSF protein is 200:1.

    <p>True</p> Signup and view all the answers

    CSF may clot if the ratio of blood to CSF is high.

    <p>True</p> Signup and view all the answers

    CSF color can be yellow due to jaundice and high protein levels.

    <p>True</p> Signup and view all the answers

    CSF viscosity is equal to water in normal CSF.

    <p>True</p> Signup and view all the answers

    CSF glucose level reflects the blood glucose level during the past 5 hours.

    <p>True</p> Signup and view all the answers

    The main source of energy for the brain is glucose.

    <p>True</p> Signup and view all the answers

    The composition of Na+, Cl-, and Mg2+ in CSF is same or greater than serum levels.

    <p>True</p> Signup and view all the answers

    CSF analysis involves physical examination, biochemical investigations, and microscopic and microbiological examinations.

    <p>True</p> Signup and view all the answers

    CSF proteins originate from serum and reach the cerebral space by endocytosis across the capillary endothelium.

    <p>True</p> Signup and view all the answers

    Study Notes

    Cerebrospinal Fluid (CSF) Production and Composition

    • CSF production rate is approximately 500 ml per day.
    • Total CSF volume in adults typically ranges from 100 to 200 ml.
    • CSF is primarily composed of about 90% water.

    Functions of Cerebrospinal Fluid

    • CSF serves multiple functions including:
      • Waste management for the central nervous system (CNS).
      • Physical support and protection from trauma.
      • Nutrient supply—CSF glucose concentration is 60% of serum glucose.

    CSF Analysis and Diagnostics

    • CSF analysis is crucial for diagnosing conditions such as autoimmune disorders, including Parkinson's disease.
    • CSF analysis includes physical examination, biochemical tests, and microscopic/microbiological evaluations.

    Pressure and Formation Characteristics

    • CSF is collected via lumbar puncture.
    • Normal pressure range for collecting CSF from adults.
    • CSF turnover rate is approximately 2.5 times a day.
    • CSF proteins originate from serum, reaching the cerebral space through endocytosis across capillary endothelium.

    Electrolyte and Protein Concentration

    • The ratio of serum to CSF protein concentration is 200:1.
    • Maintenance of differences in Na+, Cl-, and Mg2+ levels between serum and CSF is crucial for proper CNS function.
    • Certain conditions can lead to increased CSF protein levels, but specific conditions do not.

    CSF Appearance and Glucose Dynamics

    • CSF may appear yellow due to jaundice or elevated protein levels.
    • CSF clotting can occur if the blood to CSF ratio is high.
    • Blood and CSF glucose levels equilibrate after approximately 4 hours, indicating that CSF glucose reflects blood glucose levels from the previous 5 hours.

    Energy Source for the Brain

    • Glucose is the main energy source for the brain, crucial for its metabolic processes.

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    Description

    Test your knowledge about the composition, production, and functions of cerebrospinal fluid (CSF). Learn about the clear, colorless fluid that surrounds and protects the brain and spinal cord.

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