End of Chapter Questions: 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

A. Capillary oncotic pressure, B. Capillary hydrostatic pressure, C. Capillary permeability

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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
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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8
Q

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

A

B. Exudate

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9
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

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10
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

A. Thoracic duct leakage, B. Chronic inflammation

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11
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

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12
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

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13
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

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14
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

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15
Q
A pleural fluid pH of 6.0 indicates:
A. Esophageal rupture
B. Mesothelioma
C. Malignancy
D. Rheumatoid effusion
A

A. Esophageal rupture

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16
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

17
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

18
Q
Another name for a peritoneal effusion is:
A. Peritonitis
B. Lavage
C. Ascites
D. Cirrhosis
A

C. Ascites

19
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

20
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

21
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

22
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

23
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

C. Gastric malignancy

24
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

D. Amylase

25
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

A. Aerobically, B. Anaerobically