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Analysis on Urine and other Bodily Fluids > Book: Serous Fluid > Flashcards

Book: 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

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

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

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

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

Effusion

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6
Q

Pleural fluid is collected by:

A. Pleurocentesis
B. Paracentesis
C. Pericentesis
D. Thoracentesis

A

Thoracentesis

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7
Q

Place the appropriate letter in front of the following statements describing transudates and exudates.

A. Transudate
B. Exudate

Caused by increased hydrostatic pressure
Caused by increased capillary permeability
Caused by decreased oncotic pressure
Caused by congestive heart failure
Malignancy related
Tuberculosis related
Endocarditis related
Clear appearance

A

B
A
A
A
B
A
B

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8
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

To classify transudates and exudates

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9
Q

Which of the following requires the most additional
testing?

A. Transudate
B. Exudate

A

Exudate

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10
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

Fluid:cholesterol ratio

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11
Q

A milky-appearing pleural fluid indicates:

A. Thoracic duct leakage
B. Chronic inflammation
C. Microbial infection
D. Both A and B

A

Both A and B

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12
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

Blood HCT: 30 Fluid HCT: 20

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13
Q

All of the following are normal cells seen in pleural fluid except:

A. Mesothelial cells
B. Neutrophils
C. Lymphocytes
D. Mesothelioma cells

A

Mesothelioma cells

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14
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

Decreased mesothelial cells

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15
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

Absence of nucleoli

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16
Q

A pleural fluid pH of 6.0 indicates:

A. Esophageal rupture
B. Mesothelioma
C. Malignancy
D. Rheumatoid effusion

A

Esophageal rupture

17
Q

Plasma cells seen in pleural fluid indicate:

A. Bacterial endocarditis
B. Primary malignancy
C. Metastatic lung malignancy
D. Tuberculosis infection

A

Tuberculosis infection

18
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

Mesothelioma cell

19
Q

Another name for a peritoneal effusion is:

A. Peritonitis
B. Lavage
C. Ascites
D. Cirrhosis

A

Ascites

20
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

RBC count

21
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

Serum ascites albumin gradient

22
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

Exudate

23
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

Absolute neutrophil count

24
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

Ovarian cancer

25
Q

Chemical tests primarily performed on peritoneal fluid include all of the following except:

A. Lactose dehydrogenase
B. Glucose
C. Alkaline phosphatase
D. Amylase

A

Amylase

26
Q

Cultures of peritoneal fluid are incubated:

A. Aerobically
B. Anaerobically
C. At 37°C and 42°C
D. Both A and B

A

Both A and B

Analysis on Urine and other Bodily Fluids (17 decks)

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