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 (B)</p> Signup and view all the answers

Which medical condition would require CSF analysis for diagnosis?

<p>Meningitis (B)</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 (D)</p> Signup and view all the answers

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

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

Where is CSF collected from by lumbar puncture?

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

What is the ratio of serum to CSF protein concentration?

<p>200:1 (C)</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 (D)</p> Signup and view all the answers

Which condition does NOT lead to increased CSF protein levels?

<p>Hypoglycemia (C)</p> Signup and view all the answers

What is the main source of energy for the brain?

<p>Glucose (A)</p> Signup and view all the answers

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

<p>Jaundice with high protein levels (B)</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. (D)</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; (B)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

CSF turnover rate is approximately 2.5 times a day.

<p>False (B)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

CSF glucose concentration is 60% of serum.

<p>True (A)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

CSF viscosity is equal to water in normal CSF.

<p>True (A)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

The main source of energy for the brain is glucose.

<p>True (A)</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 (A)</p> Signup and view all the answers

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

<p>True (A)</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 (A)</p> Signup and view all the answers

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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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