Podcast
Questions and Answers
What should be done if a semen specimen fails to liquefy within 60 minutes?
What should be done if a semen specimen fails to liquefy within 60 minutes?
- Ask the patient for recollection following another proper specimen collection method and criteria.
- Add enzymes such as Dulbeco's Phosphate-Buffered Saline and Bromelain that can induce liquefaction.
- Report the case and it should appear on the patient result. (correct)
- Wait for another 30 minutes until specimen liquefies.
What is the expected change in pH value of a semen specimen that fails to liquefy?
What is the expected change in pH value of a semen specimen that fails to liquefy?
- pH is neutral.
- It will be within the normal range.
- pH will increase given that decreased liquefaction is tantamount to decreased prostatic fluid. (correct)
- It will become acidic due to increased prostatic fluid concentration.
In the case of Sarah, what is likely to be observed in the vaginal swab specimen under the microscope?
In the case of Sarah, what is likely to be observed in the vaginal swab specimen under the microscope?
- Motile and moving sperm cells indicating recent assault.
- Lethargic sperm head suggesting the assault occurred recently.
- Immotile sperm cells observed due to the time elapsed since the assault. (correct)
- Remnants of the sperm tail given the time elapsed before testing.
Which of the following incorrectly matches with the inability to collect the last portion of a semen specimen?
Which of the following incorrectly matches with the inability to collect the last portion of a semen specimen?
The presence of 2 or more oligoclonal bands in CSF but not in serum indicates the following, except for?
The presence of 2 or more oligoclonal bands in CSF but not in serum indicates the following, except for?
What type of sperm movement is considered ideal for successful fertilization?
What type of sperm movement is considered ideal for successful fertilization?
Which of the following statements about WBC counting in a CSF specimen is true?
Which of the following statements about WBC counting in a CSF specimen is true?
Which of the following is a common characteristic of a semen specimen that has liquefied?
Which of the following is a common characteristic of a semen specimen that has liquefied?
Which factor does not generally affect fertility?
Which factor does not generally affect fertility?
What is the purpose of the forensic medical exam for Sarah?
What is the purpose of the forensic medical exam for Sarah?
If a patient's semen sample had a higher pH than normal, what could this indicate?
If a patient's semen sample had a higher pH than normal, what could this indicate?
Which must not be observed in the handling of semen specimens?
Which must not be observed in the handling of semen specimens?
Which test detects anti-sperm antibodies in Immunoglobulins G, M, and A?
Which test detects anti-sperm antibodies in Immunoglobulins G, M, and A?
What should be a primary concern when collecting a vaginal swab following an assault?
What should be a primary concern when collecting a vaginal swab following an assault?
Which statement regarding sperm count and specimen volume is incorrect?
Which statement regarding sperm count and specimen volume is incorrect?
Which condition does the presence of oligoclonal bands in CSF typically indicate?
Which condition does the presence of oligoclonal bands in CSF typically indicate?
Which of the following can occur in Traumatic Tap CSF specimens?
Which of the following can occur in Traumatic Tap CSF specimens?
What role does 30% albumin play in the cytocentrifugation process?
What role does 30% albumin play in the cytocentrifugation process?
Which of the following is indicative of an acidic pH in semen?
Which of the following is indicative of an acidic pH in semen?
Which statement regarding sperm structure is incorrect?
Which statement regarding sperm structure is incorrect?
Which WHO criteria relate to abstinence for fertility testing?
Which WHO criteria relate to abstinence for fertility testing?
How is the IgG index calculated given the following values: CSF IgG: 50 mg/dL, Serum IgG: 2 g/dL, CSF Albumin: 70 mg/dL, Serum Albumin: 5 mg/dL?
How is the IgG index calculated given the following values: CSF IgG: 50 mg/dL, Serum IgG: 2 g/dL, CSF Albumin: 70 mg/dL, Serum Albumin: 5 mg/dL?
What does an elevated IgG index indicate?
What does an elevated IgG index indicate?
What abnormal condition is associated with an increase of normal cells in cerebrospinal fluid?
What abnormal condition is associated with an increase of normal cells in cerebrospinal fluid?
Flashcards
Pleocytosis
Pleocytosis
A condition where there are more normal cells in the cerebrospinal fluid. It can be a sign of inflammation or infection within the central nervous system.
Albumin Addition in CSF Cytocentrifugation
Albumin Addition in CSF Cytocentrifugation
The process in which albumin is added to a cerebrospinal fluid (CSF) specimen before cytocentrifugation. This helps improve the quality of the specimen by decreasing cellular distortion.
IgG Index
IgG Index
A test that measures the ratio of IgG concentration in the cerebrospinal fluid (CSF) to the concentration in the serum. It helps to determine if IgG is being produced within the central nervous system.
Increased CSF Albumin
Increased CSF Albumin
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Traumatic Tap CSF Specimen
Traumatic Tap CSF Specimen
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Calculating the IgG Index
Calculating the IgG Index
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Semen Specimen pH Evaluation
Semen Specimen pH Evaluation
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Acrosomal Deficiency
Acrosomal Deficiency
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Non-liquefying Semen
Non-liquefying Semen
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Enzymatic Liquefaction
Enzymatic Liquefaction
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Altered Semen pH
Altered Semen pH
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Motile Sperm in Vaginal Swab
Motile Sperm in Vaginal Swab
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Sperm Microscopic Examination
Sperm Microscopic Examination
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Sperm Movement Classification
Sperm Movement Classification
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Mixed Agglutination Reaction
Mixed Agglutination Reaction
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Oligoclonal Bands in CSF
Oligoclonal Bands in CSF
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WBC Counting in CSF
WBC Counting in CSF
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Liquefaction of Semen
Liquefaction of Semen
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Immunobead Test
Immunobead Test
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Acrosome Reaction
Acrosome Reaction
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Resorcinol Test
Resorcinol Test
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Sperm Count
Sperm Count
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Study Notes
CSF Specimen Analysis
- CSF may clot if there is an increased or clear progressive clot from the first to the last collection tube.
- D-dimer is positive in a clotted specimen.
- The amount of blood in a specimen is negative in a non-clotted specimen.
- Hemosiderin is negative in a non-clotted specimen.
- Xanthochromia is negative for non-clotted specimens.
Cytocentrifuge
- Adding 30% albumin to CSF specimens improves the cytocentrifugation process.
- This process often decreases cellular distortion in viewed specimens.
Semen Analysis
- Undevloped seminiferous vesicles are an indication of a semen specimen.
- Infection and acidity are indicators for semen analysis.
Semen Abstinence
- Abstinence of 2-3 days is necessary for fertility testing.
- Specimen collection should not be less than 7 days and not more than 7.
Sperm Morphology
- Abnormally shaped sperm cells can be a problem in conception.
CSF IgG Index
- CSF IgG is 50 mg/dL; Serum IgG: 2 g/dL; CSF Albumin: 70 mg/dL; Serum Albumin: 5 mg/dL.
- The IgG index is 1.8
Abnormal Blood Cell Conditions
- Pleocytosis is an abnormal condition associated with normal cells in the cerebrospinal fluid.
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Description
Explore key concepts in CSF and semen analysis, including the significance of clotting in CSF specimens, the impact of albumin on cytocentrifugation, and the importance of sperm morphology. This quiz covers essential information for understanding fertility testing and cerebrospinal fluid analysis.