Serous SQ 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
C. Lubricate serous membranes
The membrane that lines the wall of a cavity is the:
A. Visceral
B. Peritoneal
C. Pleural
D. Parietal
D. 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
A. 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
D. All of the above
An increase in the amount of serous fluid is called a/an:
A. Exudate
B. Transudate
C. Effusion
D. Malignancy
C. Effusion
Pleural fluid is collected by:
A. Pleurocentesis
B. Paracentesis
C. Pericentesis
D. Thoracentesis
D. 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
A
A
B
A
B
B
B
A
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
B. To classify transudates and exudates
Which of the following requires the most additional
testing?
A. Transudate
B. Exudate
B. 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
C. Fluid:cholesterol ratio
A milky-appearing pleural fluid indicates:
A. Thoracic duct leakage
B. Chronic inflammation
C. Microbial infection
D. Both A and B
D. 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
D. 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
D. 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
C. 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
B. Absence of nucleoli
A pleural fluid pH of 6.0 indicates:
A. Esophageal rupture
B. Mesothelioma
C. Malignancy
D. Rheumatoid effusion
A. Esophageal rupture
Plasma cells seen in pleural fluid indicate:
A. Bacterial endocarditis
B. Primary malignancy
C. Metastatic lung malignancy
D. Tuberculosis infection
D. 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
B. Mesothelioma cell
Another name for a peritoneal effusion is:
A. Peritonitis
B. Lavage
C. Ascites
D. Cirrhosis
C. Ascites
A test performed primarily on peritoneal lavage fluid is a/an:
A. WBC count
B. RBC count
C. Absolute neutrophil count
D. Amylase
B. 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
B. 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
B. 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
C. 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
B. 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
A. Lactose dehydrogenase
Cultures of peritoneal fluid are incubated:
A. Aerobically
B. Anaerobically
C. At 37°C and 42°C
D. Both A and B
D. Both A and B
