Serous Body Fluids

Question 1

Match laboratory findings with type of effusion.
A. Exudate
B. Transudate

1. Clear fluid
2. Purulent fluid
3. Specific gravity 1.015
4. Fluid: serum protein ratio 0.5
5. Protein 3.06/dL
6. High fibrinogen
7. LDH 200 IU
8. Cell count 1 ,000/cc

Answer 1

1. Clear fluid
   => B. Transudate
2. Purulent fluid
   => A. Exudate
3. Specific gravity 1.015
   =>B. Transudate
4. Fluid: serum protein ratio 0.5
   =>B. Transudate
5. Protein 3.06/dL
   =>A. Exudate
6. High fibrinogen
   =>A. Exudate
7. LDH 200 IU
   =>A. Exudate
8. Cell count 1 ,000/cc
   =>B. Transudate

Question 2

9. Serous body cavities are lined with cells derived from the:
   a. Endothelium
   b. Epithelium
   c. Mesothelium

Answer 2

c. Mesothelium

Question 3

10. Intestinal perforation can be diagnosed by testing the level(s) of __ in ascites.
    a. Alkaline phosphatase
    b. Amylase and lipase
    c. Blood urea nitrogen
    d. Glucose and protein

Answer 3

a. Alkaline phosphatase

Question 4

11. Chronic liver disease can cause fluid to accumulate in the:
    a. Pericardium
    b. Peritoneum
    c. Pleural cavity

Answer 4

b. Peritoneum

Question 5

12. Removal of more than 1 ,000 mL of ascites can cause:
    a. Edematous extremities
    b. Great relief for the patient
    c. Hypovolemia and shock
    d. Increased lymphatic absorption

Answer 5

c. Hypovolemia and shock

Question 6

13. Which procedure is rarely performed because of the risk
    involved?
    a. Paracardiocentesis
    b. Paracentesis
    c. Peritoneal lavage
    d. Thoracentesis

Answer 6

a. Paracardiocentesis

Question 7

14. In a pleural effusion caused by bacterial infection, the
    glucose level is:
    a. Equal to that of the serum
    b. 30 mg/dL or more higher than serum
    c. 30 mg/dL or more less than serum

Answer 7

c. 30 mg/dL or more less than serum

Question 8

15. A chylous effusion has a:
    a. Cholesterol level lower than serum
    b. Triglyceride level higher than serum
    c. Milky appearance
    d. pH that is alkaline

Answer 8

a. Cholesterol level lower than serum
b. Triglyceride level higher than serum
c. Milky appearance
d. pH that is alkaline