The best suited anticogulant for osmotic fragility test is –
**Core Concept**
The osmotic fragility test is a laboratory procedure used to assess the stability of red blood cells in hypotonic solutions. It measures the ability of red blood cells to withstand osmotic stress without undergoing hemolysis. The test is often used to diagnose conditions such as hereditary spherocytosis.
**Why the Correct Answer is Right**
The best suited anticoagulant for the osmotic fragility test is heparin. Heparin works by activating antithrombin III, which inhibits the coagulation cascade. This prevents the formation of a clot that could interfere with the osmotic fragility test. Heparin does not affect the osmotic properties of red blood cells and is therefore the preferred anticoagulant for this test. Other anticoagulants like EDTA and oxalate can chelate calcium ions, which are necessary for the osmotic fragility test to proceed.
**Why Each Wrong Option is Incorrect**
* **Option A:** Sodium citrate is not suitable for the osmotic fragility test because it can cause hemolysis of red blood cells due to its alkaline pH.
* **Option B:** EDTA (ethylenediaminetetraacetic acid) is not suitable for the osmotic fragility test because it can chelate calcium ions, which are necessary for the test to proceed.
* **Option D:** Oxalate is not suitable for the osmotic fragility test because it can also chelate calcium ions, which are necessary for the test to proceed.
**Clinical Pearl / High-Yield Fact**
When performing the osmotic fragility test, it is essential to use a heparinized sample to prevent clotting and ensure accurate results. Additionally, the test should be performed in a hypotonic solution to assess the stability of red blood cells.
**Correct Answer:** C. Heparin