Serous Fluid

Question 1

which of the following is true about pseudochylous effusions?

a. leukocyte is predominant by lymphocytes
b. caused by thoracic duct damage
c. caused by chronic inflammation
d. has a strong positive result in Sudan III

Answer 1

c. caused by chronic inflammation

Question 2

Which of the following cells seen in pleural fluid is incorrectly match

a. lymphocytes : tuberculosis
b. mesothelial cells : decrease in tuberculosis
c. neutrophils : pulmonary infarction
d. malignant cells : melanoma

Answer 2

c. neutrophils : pulmonary infarction

Question 3

a grossly bloody appearance of pericardial fluid is indicative of

a. infection
b. malignancy
c. misuse of anticoagulant
d. an exudate

Answer 3

c. misuse of anticoagulant

Question 4

a metastatic giant mesothelioma cell that is frequently seen in pleural fluid is most associated with:

a. aspergillus infection
b. asbestos contact
c. lung carcinoma associated with smoking
d. salmonella infection

Answer 4

b. asbestos contact

Question 5

elevated WBC count on pericardial fluid >1000 cells/uL with predominance of neutrophils is indicative of?

a. viral endocarditis
b. bacterial endocarditis
c. metastatic carcinoma
d. tubercular effusion

Answer 5

b. bacterial endocarditis

Question 6

significance of glucose in peritoneal fluid testing

Answer 6

decrease level : tubercular peritonitis

Question 7

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

a. amylase
b. lactose dehydrogenase
c. glucose
d. alkaline phosphatase

Answer 7

a. amylase

Question 8

Detection of the CA-125 tumor marker in peritoneal fluid:

a. colon cancer
b. gastric malignancy
c. ovarian cancer
d. prostate cancer

Answer 8

c. ovarian cancer

Question 9

Cultures of peritoneal fluid are incubated
a. at 37 C and 42 C
b. aerobically
c. anaerobically
d. both b and c

Answer 9

d. both b and c

Question 10

Differential between bacterial peritonitis and cirrhosis is done by performing a/an:
a. Absolute neutrophil count
b. WBC count
c. absolute lymphocyte count
d. differential count

Answer 10

a. Absolute neutrophil count

Question 11

Recommended test for determining whether peritoneal fluid is a transudate or an exudate

Answer 11

Serum Ascites Albumin Gradient (SAAG)

Question 12

Test for peritoneal fluid

Answer 12

RBC Count

Question 13

accumulation of fluid between the peritoneal membranes

Answer 13

ascites