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2A STRASINGER CHAPTER QUESTIONS > 13 SEROUS FLUID > Flashcards

13 SEROUS FLUID Flashcards

1
Q

The primary purpose of serous fluid is to:
A. Remove waste products
B. Lower capillary pressure
C. Lubricate serous membranes
D. Nourish serous membranes

A

C. Lubricate serous membranes

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2
Q

The membrane that lines the wall of a cavity is the:
A. Visceral
B. Peritoneal
C. Pleural
D. Parietal

A

D. Parietal

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3
Q

During normal production of serous fluid, the slight excess of fluid is:
A. Absorbed by the lymphatic system
B. Absorbed through the visceral capillaries
C. Stored in the mesothelial cells
D. Metabolized by the mesothelial cells

A

A. Absorbed by the lymphatic system

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4
Q

Production of serous fluid is controlled by:
A. Capillary oncotic pressure
B. Capillary hydrostatic pressure
C. Capillary permeability
D. All of the above

A

D. All of the above

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5
Q

An increase in the amount of serous fluid is called a/an:
A. Exudate
B. Transudate
C. Effusion
D. Malignancy

A

C. Effusion

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6
Q

Pleural fluid is collected by:
A. Pleurocentesis
B. Paracentesis
C. Pericentesis
D. Thoracentesis

A

D. Thoracentesis

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7
Q

Identify whether the following statements describe a:
(A) TRANSUDATE
(B) EXUDATE

Caused by increased hydrostatic pressure

A

(B) EXUDATE

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8
Q

Identify whether the following statements describe a:
(A) TRANSUDATE
(B) EXUDATE

Caused by increased capillary permeability

A

(A) TRANSUDATE

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9
Q

Identify whether the following statements describe a:
(A) TRANSUDATE
(B) EXUDATE

Caused by decreased oncotic pressure

A

(A) TRANSUDATE

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10
Q

Identify whether the following statements describe a:
(A) TRANSUDATE
(B) EXUDATE

Caused by congestive heart failure

A

(A) TRANSUDATE

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11
Q

Identify whether the following statements describe a:
(A) TRANSUDATE
(B) EXUDATE

Malignancy related

A

(B) EXUDATE

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12
Q

Identify whether the following statements describe a:
(A) TRANSUDATE
(B) EXUDATE

Tuberculosis related

A

(B) EXUDATE

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13
Q

Identify whether the following statements describe a:
(A) TRANSUDATE
(B) EXUDATE

Endocarditis related

A

(B) EXUDATE

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14
Q

Identify whether the following statements describe a:
(A) TRANSUDATE
(B) EXUDATE

Clear appearance

A

(A) TRANSUDATE

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15
Q

Fluid: serum protein and lactic dehydrogenase ratios are performed on serous fluids:
A. When malignancy is suspected
B. To classify transudates and exudates
C. To determine the type of serous fluid
D. When a traumatic tap has occurred

A

B. To classify transudates and exudates

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16
Q

Which of the following requires the most additional testing?
A. Transudate
B. Exudate

A

B. Exudate

17
Q

An additional test performed on pleural fluid to classify the fluid as a transudate or exudate is the:
A. WBC count
B. RBC count
C. Fluid:cholesterol ratio
D. Fluid-to-serum protein gradient

A

C. Fluid:cholesterol ratio

18
Q

A milky-appearing pleural fluid indicates:
A. Thoracic duct leakage
B. Chronic inflammation
C. Microbial infection
D. Both A and B

A

D. Both A and B

19
Q

Which of the following best represents a hemothorax?
A. Blood HCT: 42; Fluid HCT: 15
B. Blood HCT: 42; Fluid HCT: 10
C. Blood HCT: 30; Fluid HCT: 10
D. Blood HCT: 30; Fluid HCT: 20

A

D. Blood HCT: 30; Fluid HCT: 20

20
Q

All of the following are normal cells seen in pleural fluid except:
A. Mesothelial cells
B. Neutrophils
C. Lymphocytes
D. Mesothelioma cells

A

D. Mesothelioma cells

21
Q

A differential observation of pleural fluid associated with tuberculosis is:
A. Increased neutrophils
B. Decreased lymphocytes
C. Decreased mesothelial cells
D. Increased mesothelial cells

A

C. Decreased mesothelial cells

22
Q

All of the following are characteristics of malignant cells
except:
A. Cytoplasmic molding
B. Absence of nucleoli
C. Mucin-containing vacuoles
D. Increased nucleus:cytoplasm ratio

A

B. Absence of nucleoli

23
Q

A pleural fluid pH of 6.0 indicates:
A. Esophageal rupture
B. Mesothelioma
C. Malignancy
D. Rheumatoid effusion

A

A. Esophageal rupture

24
Q

Plasma cells seen in pleural fluid indicate:
A. Bacterial endocarditis
B. Primary malignancy
C. Metastatic lung malignancy
D. Tuberculosis infection

A

D. Tuberculosis infection

25
Q

A significant cell found in pericardial or pleural fluid that should be referred to cytology is a:
A. Reactive lymphocyte
B. Mesothelioma cell
C. Monocyte
D. Mesothelial cell

A

B. Mesothelioma cell

26
Q

Another name for a peritoneal effusion is:
A. Peritonitis
B. Lavage
C. Ascites
D. Cirrhosis

A

C. Ascites

27
Q

A test performed primarily on peritoneal lavage fluid is a/an:
A. WBC count
B. RBC count
C. Absolute neutrophil count
D. Amylase

A

B. RBC count

28
Q

The recommended test for determining whether
peritoneal fluid is a transudate or an exudate is the:
A. Fluid:serum albumin ratio
B. Serum ascites albumin gradient
C. Fluid:serum lactic dehydrogenase ratio
D. Absolute neutrophil count

A

B. Serum ascites albumin gradient

29
Q

Given the following results, classify this peritoneal fluid:
serum albumin, 2.2 g/dL; serum protein, 6.0 g/dL; fluid albumin, 1.6 g/dL.

A. Transudate
B. Exudate

A

B. Exudate

30
Q

Differentiation between bacterial peritonitis and
cirrhosis is done by performing a/an:
A. WBC count
B. Differential
C. Absolute neutrophil count
D. Absolute lymphocyte count

A

C. Absolute neutrophil count

31
Q

Detection of the CA 125 tumor marker in peritoneal fluid indicates:
A. Colon cancer
B. Ovarian cancer
C. Gastric malignancy
D. Prostate cancer

A

B. Ovarian cancer

32
Q

Chemical tests primarily performed on peritoneal fluid
include all of the following except:
A. Amylase
B. Glucose
C. Alkaline phosphatase
D. Calcium

A

D. Calcium

33
Q

Cultures of peritoneal fluid are incubated:
A. Aerobically
B. Anaerobically
C. At 37°C and 42°C
D. Both A and B

A

D. Both A and B

2A STRASINGER CHAPTER QUESTIONS (18 decks)

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