Book: Serous Fluid Flashcards
The primary purpose of serous fluid is to:
A. Remove waste products
B. Lower capillary pressure
C. Lubricate serous membranes
D. Nourish serous membranes
Lubricate serous membranes
The membrane that lines the wall of a cavity is the:
A. Visceral
B. Peritoneal
C. Pleural
D. Parietal
Parietal
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
Absorbed by the lymphatic system
Production of serous fluid is controlled by:
A. Capillary oncotic pressure
B. Capillary hydrostatic pressure
C. Capillary permeability
D. All of the above
All of the above
An increase in the amount of serous fluid is called a/an:
A. Exudate
B. Transudate
C. Effusion
D. Malignancy
Effusion
Pleural fluid is collected by:
A. Pleurocentesis
B. Paracentesis
C. Pericentesis
D. Thoracentesis
Thoracentesis
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
B
A
A
A
B
A
B
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
To classify transudates and exudates
Which of the following requires the most additional
testing?
A. Transudate
B. Exudate
Exudate
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
Fluid:cholesterol ratio
A milky-appearing pleural fluid indicates:
A. Thoracic duct leakage
B. Chronic inflammation
C. Microbial infection
D. Both A and B
Both A and B
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
Blood HCT: 30 Fluid HCT: 20
All of the following are normal cells seen in pleural fluid except:
A. Mesothelial cells
B. Neutrophils
C. Lymphocytes
D. Mesothelioma cells
Mesothelioma cells
A differential observation of pleural fluid associated with
tuberculosis is:
A. Increased neutrophils
B. Decreased lymphocytes
C. Decreased mesothelial cells
D. Increased mesothelial cells
Decreased mesothelial cells
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
Absence of nucleoli
A pleural fluid pH of 6.0 indicates:
A. Esophageal rupture
B. Mesothelioma
C. Malignancy
D. Rheumatoid effusion
Esophageal rupture
Plasma cells seen in pleural fluid indicate:
A. Bacterial endocarditis
B. Primary malignancy
C. Metastatic lung malignancy
D. Tuberculosis infection
Tuberculosis infection
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
Mesothelioma cell
Another name for a peritoneal effusion is:
A. Peritonitis
B. Lavage
C. Ascites
D. Cirrhosis
Ascites
A test performed primarily on peritoneal lavage fluid is
a/an:
A. WBC count
B. RBC count
C. Absolute neutrophil count
D. Amylase
RBC count
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
Serum ascites albumin gradient
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
Exudate
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
Absolute neutrophil count
Detection of the CA 125 tumor marker in peritoneal fluid indicates:
A. Colon cancer
B. Ovarian cancer
C. Gastric malignancy
D. Prostate cancer
Ovarian cancer
Chemical tests primarily performed on peritoneal fluid include all of the following except:
A. Lactose dehydrogenase
B. Glucose
C. Alkaline phosphatase
D. Amylase
Amylase
Cultures of peritoneal fluid are incubated:
A. Aerobically
B. Anaerobically
C. At 37°C and 42°C
D. Both A and B
Both A and B
