**Core Concept**
The osmotic fragility test is a laboratory assay used to assess the stability of red blood cells (RBCs) in hypotonic solutions. It measures the point at which RBCs begin to hemolyze, or break apart, due to the influx of water. The choice of anticoagulant is crucial in this test, as it can affect the results.
**Why the Correct Answer is Right**
The correct anticoagulant for the osmotic fragility test is heparin. Heparin is a low-molecular-weight anticoagulant that does not significantly affect the osmotic balance of the blood. It works by activating antithrombin III, which inhibits the coagulation cascade. This makes heparin an ideal choice for the osmotic fragility test, as it does not interfere with the RBCs' natural osmotic balance.
**Why Each Wrong Option is Incorrect**
* **Option A:** Citrate is a commonly used anticoagulant in coagulation studies, but it can affect the osmotic balance of the blood, making it less suitable for the osmotic fragility test.
* **Option B:** EDTA (ethylenediaminetetraacetic acid) is a chelating agent that can bind calcium ions, which are essential for the coagulation cascade. However, it can also affect the osmotic balance of the blood and is not the best choice for this test.
* **Option C:** Oxalate is another anticoagulant that can affect the osmotic balance of the blood and is not suitable for the osmotic fragility test.
**Clinical Pearl / High-Yield Fact**
When performing the osmotic fragility test, it's essential to note that the choice of anticoagulant can significantly affect the results. Heparin is the preferred anticoagulant due to its minimal effect on the osmotic balance of the blood.
**Correct Answer: D. Heparin**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.