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Select the one best response to each question!
The primary purpose of serous fluid is:
| 1. The primary purpose of serous fluid is: A. Removal of waste products B. Lowering of capillary pressure C. Lubrication of serous membranes D. Nourishing serous membranes |
| 2. The membrane that lines the wall of a cavity is the: A. Visceral B. Peritoneal C. Pleural D. Parietal |
| 3. 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 |
| 4. Production of serous fluid is controlled by: A. Capillary oncotic pressure B. Capillary hydrostatic pressure C. Capillary permeability D. All of the above |
| 5. An increase in the amount of serous fluid is called a/an: A. Exudate B. Transudate C. Effusion D. Malignancy |
| 6. Pleural fluid is collected by: A. Pleurocentesis B. Paracentesis C. Pericentesis D. Thoracentesis |
| 7. Place the appropriate letter in front of the following statements describing transudates and exudates. A. Transudate B. Exudate ____Caused by increased capillary permeability ____Caused by increased hydrostatic pressure ____Caused by decreased oncotic pressure ____Caused by congestive heart failure ____Malignancy related ____Tuberculosis related ____Nephrotic syndrome related ____Cloudy appearance |
| 8. Fluid-to–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 |
| 9. Which of the following requires the most additional testing? A. Transudate B. Exudate |
| 10. 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-to-cholesterol ratio D. Fluid-to–serum protein gradient |
| 11. A milky-appearing pleural fluid is indicative of: A. Thoracic duct leakage B. Chronic inflammation C. Microbial infection D. Both A and B |
| 12. 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 |
| 13. All of the following are normal cells seen in pleural fluid except: A. Mesothelial cells B. Neutrophils C. Lymphocytes D. Mesothelioma cells |
| 14. A differential observation of pleural fluid associated with tuberculosis is: A. Increased neutrophils B. Decreased lymphocytes C. Decreased mesothelial cells D. Increased mesothelial cells |
| 15. All of the following are characteristics of malignant cells except: A. Cytoplasmic molding B. Absence of nucleoli C. Mucin-containing vacuoles D. Increased N:C ratio |
| 16. A pleural fluid pH of 6.0 is indicative of: A. Esophageal rupture B. Mesothelioma C. Malignancy D. Rheumatoid effusion |
| 17. A mesothelioma cell seen in pleural fluid indicates: A. Bacterial endocarditis B. Primary malignancy C. Metastatic lung malignancy D. Tuberculosis infection |
| 18. Another name for a peritoneal effusion is: A. Peritonitis B. Lavage C. Ascites D. Cirrhosis |
| 19. The test performed on peritoneal lavage fluid is: A. WBC count B. RBC count C. Absolute neutrophil count D. Amylase |
| 20. The recommended test for determining if peritoneal fluid is a transudate or an exudate is the: A. Fluid-to–serum albumin ratio B. Serum ascites albumin gradient C. Fluid-to–serum lactic dehydrogenase ratio D. Absolute neutrophil count |
| 21. 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 |
| 22. 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 |
| 23. Detection of the CA 125 tumor marker in peritoneal fluid is indicative of: A. Colon cancer B. Ovarian cancer C. Gastric malignancy D. Prostate cancer |
| 24. Chemical tests primarily performed on peritoneal fluid include all of the following except: A. Lactose dehydrogenase B. Glucose C. Alkaline phosphatase D. Amylase |
| 25. Cultures of peritoneal fluid are incubated: A. Aerobically B. Anaerobically C. At 37C and 42C D. Both A and B |
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