NHM UP Staff Nurse-2023 shift 1st
Applied Anatomy
Easy

Name the fluid that acts as a cushion for the components of the central nervous system.

Appeared in: NHM UP Staff Nurse-2023 shift 1st

Explanation

  • Cerebrospinal fluid (CSF) is the clear, colorless liquid that surrounds the brain and spinal cord.
  • A primary function of CSF is to act as a 'hydraulic shock absorber,' protecting the central nervous system from physical trauma and injury.
  • It circulates through the brain's ventricles and the subarachnoid space, providing both mechanical and chemical protection.
  • The buoyancy provided by CSF reduces the brain's effective weight, preventing compression of blood vessels and nerves.

Why Other Options Were Wrong

  • Option B: Synovial fluid is found in synovial joints (like the knee or shoulder), not the central nervous system.
  • Option C: Aqueous humour is the fluid located in the anterior and posterior chambers of the eye, in front of the lens.
  • Option D: Vitreous humour is the gel-like substance that fills the large space behind the lens in the eyeball (the posterior cavity).

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification and function of body fluids, specifically Cerebrospinal Fluid (CSF) as background academic context rather than a clinical decision trigger.
  • Analysis of CSF, obtained via a lumbar puncture (spinal tap), is a critical diagnostic tool for conditions like meningitis, encephalitis, subarachnoid hemorrhage, and multiple sclerosis.
  • An obstruction in the flow of CSF can lead to hydrocephalus ('water on the brain'), a condition characterized by an abnormal accumulation of CSF, which increases intracranial pressure and can cause brain damage.
  • What if? - If a patient's CSF appears cloudy or yellow (xanthochromic) and has a high white blood cell count and low glucose, a nurse should suspect bacterial meningitis and prepare for immediate antibiotic administration as per protocol.
How to Approach the Question
  • First, identify the key terms in the question: 'fluid,' 'cushion,' and 'central nervous system (CNS).'
  • The question is a direct recall of anatomical and physiological knowledge.
  • Consider each option and its primary location and function in the body.
  • Option A, Cerebrospinal fluid, is known to be associated with the brain and spinal cord (the CNS).
  • Options B, C, and D (Synovial fluid, Aqueous humour, Vitreous humour) are located in joints and the eye, respectively. Eliminate them as they are not part of the CNS.
  • Confirm that the primary function of CSF is indeed to cushion the CNS, which makes it the correct answer.
Concept Tested & Keywords
  • Concept Tested: Identification and function of body fluids, specifically Cerebrospinal Fluid (CSF).
  • Stem keywords: fluid, cushion, central nervous system
  • Lead-in keywords: Name
  • Negative lead-in flag: false

Question ID

Q4HnZpGlTsiVzFkRoP3rnM

Reference Book

E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 209-211

E6 Biochemistry U Satyanarayana— Part 2 (pp 421-820 of 840) p. 121-123

Practise the full NHM UP Staff Nurse-2023 shift 1st

Attempt every question from this paper in a timed mock, then review the full solution for each one.

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