l23 MCQ - Cerebrospinal Fluid Quiz

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20 Questions

Which of the following is NOT a function of cerebrospinal fluid (CSF)?

Maintaining the integrity of the blood-brain barrier

What is the approximate weight of the brain when it is floating in CSF?

50g

Which of the following can significantly raise intracranial pressure (ICP)?

Obstruction of venous system

What is the normal range for CSF pressure as a guide of ICP?

9-14 mmHg

What can a cloudy appearance of CSF indicate?

Infection

Which of the following is NOT a potential cause of high CSF protein levels?

Dehydration

What is the normal range for CSF glucose levels?

50-75 mg/100 ml

What is the purpose of circumventricular organs in the brain?

Facilitating rapid venous drainage

What is the composition of extracellular fluid in the central nervous system (CNS) regulated by?

BBB

What is the purpose of the rapid venous drainage from circumventricular organs?

Maintaining the blood-brain barrier

Which body fluid compartment is cerebrospinal fluid a 'sink' of extracellular fluid filtered from blood?

Interstitial fluid

What is the rate of production of cerebrospinal fluid per day?

550 ml

How is cerebrospinal fluid reabsorbed into veins?

Through arachnoid villi

What type of movement of substances across the capillary membrane into the brain is directly proportional to lipid solubility and inversely proportional to size?

Passive diffusion

What induces tight junctions between endothelial cells of capillaries and the endfeet of astrocytes?

Blood brain barrier

What is the main body fluid compartment where the majority of cerebrospinal fluid is located?

Interstitial fluid

What causes the movement of cerebrospinal fluid in the ventricles and subarachnoid space?

Systolic pulsations of arterial system

What is the turnover rate of cerebrospinal fluid per day?

3.7 times/day

What is the recommended reading for further information on cerebrospinal fluid?

A-20 – A-31 in Neuroscience 6/e, Purves et al

What is the role of macroglia in the movement of substances across the capillary membrane into the brain?

Vesicular transfer

Study Notes

Cerebrospinal Fluid (CSF) Functions

  • CSF does not have a function of storing nutrients or waste products.

Brain and CSF Weight

  • The brain weighs approximately 1400-1500 grams when floating in CSF.

Intracranial Pressure (ICP)

  • Factors that can significantly raise ICP include brain tumors, cerebral edema, and meningitis.

CSF Pressure and ICP

  • The normal range of CSF pressure as a guide of ICP is 7-15 mmHg.

CSF Appearance and Protein Levels

  • A cloudy appearance of CSF can indicate the presence of white blood cells or bacteria.
  • A potential cause of high CSF protein levels is multiple sclerosis.

CSF Glucose Levels

  • The normal range for CSF glucose levels is 2.5-4.5 mmol/L.

Circumventricular Organs

  • The purpose of circumventricular organs in the brain is to monitor the chemical composition of the blood and CSF.
  • These organs regulate the composition of extracellular fluid in the central nervous system (CNS).

CSF Reabsorption and Production

  • CSF is reabsorbed into veins through the arachnoid villi.
  • The rate of production of CSF is approximately 500-600 mL/day.
  • The turnover rate of CSF is approximately 3-4 times per day.

Capillary Membrane and Astrocytes

  • The movement of substances across the capillary membrane into the brain is directly proportional to lipid solubility and inversely proportional to size.
  • Tight junctions between endothelial cells of capillaries and the endfeet of astrocytes are induced by the blood-brain barrier.

CSF Location and Movement

  • The main body fluid compartment where the majority of CSF is located is the subarachnoid space.
  • The movement of CSF in the ventricles and subarachnoid space is caused by the pulsatile flow of cerebral arteries.

Test your knowledge on cerebrospinal fluid and its role in the body. This quiz covers topics such as transcellular fluid, the blood-brain barrier, and movement of substances into the brain. Recommended reading: Neuroscience 6/e by Purves et al.

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