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WorksheetsCM-20
Total questions: 85
Worksheet time: 43mins
Name
Class
Date
1.
Fluid between the parietal and the visceral membranes
a)
Serous fluid
b)
Synovial fluid
c)
Either
d)
Neither
2.
Its function is to provide librication between 2 membranes as surfaces move against each other
a)
Serous fluid
b)
Synovial fluid
c)
Either
d)
Neither
3.
Accumulation of fluid between the membranes
a)
Effusion
b)
Transudate
c)
Exudate
4.
Classified as exudate or transudate
a)
Effusion
b)
Transudate
c)
Exudate
5.
Disruption of fluid production and regulation between membranes
a)
Effusion
b)
Transudate
c)
Exudate
6.
Changes in hydrostatic and oncotic pressure
a)
Effusion
b)
Transudate
c)
Exudate
7.
Hypoproteinemia, congestive heart failure, and nephrotic syndrome are all examples of?
a)
Effusion
b)
Transudate
c)
Exudate
8.
Infection, inflammation, and malignancy are all examples of?
a)
Effusion
b)
Transudate
c)
Exudate
9.
Direct damage to the membrane of a particular cavity
a)
Effusion
b)
Transudate
c)
Exudate
10.
Clear, pale yellow appearance
a)
Transudate
b)
Exudate
11.
In Rivalta's test (serosamucin clot) test, acetic acid + water + unknown fluid leading to heavy precipitation (+) implies presence of?
a)
Transudate
b)
Exudate
12.
Glucose is equal to serum
a)
Transudate
b)
Exudate
13.
Negative in Rivalta's test
a)
Transudate
b)
Exudate
14.
>= 1.1 Serum=ascites albumin gradient (SAAG)
a)
Transudate
b)
Exudate
15.
< 1.1 Serum=ascites albumin gradient (SAAG)
a)
Transudate
b)
Exudate
16.
Glucose level is <= serum level
a)
Transudate
b)
Exudate
17.
Rivalta's test positive
a)
Transudate
b)
Exudate
18.
Possible spontaneous clotting
a)
Transudate
b)
Exudate
19.
No spotaneous clotting
a)
Transudate
b)
Exudate
20.
Specific gravity
a)
1.015
b)
1,000/uL, <500/uL
c)
3.0 g/dL (30 g/L)
d)
0.67 X ULN serum
21.
WBC count
a)
1.015
b)
1,000/uL, <500/uL
c)
3.0 g/dL (30 g/L)
d)
0.67 X ULN serum
22.
Fluid LD
a)
1.015
b)
1,000/uL, <500/uL
c)
3.0 g/dL (30 g/L)
d)
0.67 X ULN serum
23.
Fluid total protein
a)
1.015
b)
1,000/uL, <500/uL
c)
3.0 g/dL (30 g/L)
d)
0.67 X ULN serum
24.
Fluid:serum protein ratio
a)
0.5
b)
0.6
c)
45 to 60
d)
0.3
25.
Fluid:serum LD ratio
a)
0.5
b)
0.6
c)
45 to 60
d)
0.3
26.
Pleural fluid cholesterol (mg/dL)
a)
0.5
b)
0.6
c)
45 to 60
d)
0.3
27.
Pleural fluid:serum cholesterol ratio
a)
0.5
b)
0.6
c)
45 to 60
d)
0.3
28.
Pleural fluid:bilirubin ratio
a)
0.5
b)
0.6
c)
45 to 60
d)
0.3
29.
most reliable test to differentiate transudates and exudates
a)
Fluid total protein
b)
Fluid:serum protein ratio
c)
Fluid:serum LD ratio
d)
Pleural fluid cholesterol
e)
Serum-ascites albumin gradient (SAAG)
30.
recommended to detect transudates of hepatic origin
a)
Fluid total protein
b)
Fluid:serum protein ratio
c)
Fluid:serum LD ratio
d)
Pleural fluid cholesterol
e)
Serum-ascites albumin gradient (SAAG)
31.
normal volume of pleural fluid:
a)
<30 mL
b)
<40 mL
c)
<50 mL
d)
<100 mL
32.
normal volume of pericardial fluid:
a)
<30 mL
b)
<40 mL
c)
<50 mL
d)
<100 mL
33.
normal volume of peritoneal fluid:
a)
<30 mL
b)
<40 mL
c)
<50 mL
d)
<100 mL
34.
What is the color of a normal pleural fluid?
a)
Clear, pale yellow
b)
Turbid, white
c)
Brown
d)
Black
35.
What is the color of a pleural fluid with microbial infection?
a)
Clear, pale yellow
b)
Turbid, white
c)
Brown
d)
Black
36.
What is the color of a pleural fluid indicating rupture of amoebic liver abscess?
a)
Clear, pale yellow
b)
Turbid, white
c)
Brown
d)
Black
37.
What is the color of a pleural fluid indicating aspergillosis?
a)
Clear, pale yellow
b)
Turbid, white
c)
Brown
d)
Black
38.
What is the color of a pleural fluid indicating malignant mesothelioma and an increase in hyaluronic acid?
a)
Viscous
b)
Milky
c)
Bloody
39.
What is the color of a pleural fluid indicating presence of chylous material or pseudochylous material?
a)
Viscous
b)
Milky
c)
Bloody
40.
What is the color of a pleural fluid indicating hemothorax or hemorrhagic effusion?
a)
Viscous
b)
Milky
c)
Bloody
41.
Thoracic duct leakage
a)
Chylous effusion
b)
Pseudochylous effusion
42.
Variable or either negative or weakly positive in Sudan III staining
a)
Chylous effusion
b)
Pseudochylous effusion
43.
Triglycerides is <50 mg/dL
a)
Chylous effusion
b)
Pseudochylous effusion
44.
Cholesterol crystals present
a)
Chylous effusion
b)
Pseudochylous effusion
45.
Mixed leukocyte cells
a)
Chylous effusion
b)
Pseudochylous effusion
46.
Milky or green tinge or gold paint appearance
a)
Chylous effusion
b)
Pseudochylous effusion
47.
Chronic inflammation
a)
Chylous effusion
b)
Pseudochylous effusion
48.
+++ in Sudan III staining
a)
Chylous effusion
b)
Pseudochylous effusion
49.
>110 mg/dL
a)
Chylous effusion
b)
Pseudochylous effusion
50.
Absent cholesterol crystals
a)
Chylous effusion
b)
Pseudochylous effusion
51.
Increased lymphocytes
a)
Chylous effusion
b)
Pseudochylous effusion
52.
Milky or white appearance
a)
Chylous effusion
b)
Pseudochylous effusion
53.
Uneven distribution of blood
a)
Hemothorax
b)
Hemorrhagic effusion
54.
Pleural fluid Hct is >= 1/2 of Whole blood Hct
a)
Hemothorax
b)
Hemorrhagic effusion
55.
Pleural fluid Hct is <= 1/2 of Whole blood Hct
a)
Hemothorax
b)
Hemorrhagic effusion
56.
PF: 15, WB: 50
a)
Hemothorax
b)
Hemorrhagic effusion
57.
PF: 35, WB: 50
a)
Hemothorax
b)
Hemorrhagic effusion
58.
Even distribution of blood
a)
Hemothorax
b)
Hemorrhagic effusion
59.
What cell seen in pleural fluid may indicate primary adenocarcinoma, small cell carcinoma, and metastatic cancer?
a)
Neutrophil
b)
Eosinophil
c)
Lymphocyte
d)
Mesothelial cell
e)
Malignant cells
60.
If this cell is seen in pleural fluid, normal and reactive forms are considered insignificant. However, this is decreased in TB.
a)
Neutrophil
b)
Eosinophil
c)
Lymphocyte
d)
Mesothelial cell
e)
Malignant cells
61.
Which cell lines serous membranes?
a)
Neutrophil
b)
Eosinophil
c)
Lymphocyte
d)
Mesothelial cell
e)
Malignant cells
62.
Cell in pleural fluid indicating TB, viral infections
a)
Neutrophil
b)
Eosinophil
c)
Lymphocyte
d)
Mesothelial cell
e)
Malignant cells
63.
Cell in pleural fluid indicating autoimmune disorders, malignancy, sarcoidosis
a)
Neutrophil
b)
Eosinophil
c)
Lymphocyte
d)
Mesothelial cell
e)
Malignant cells
64.
Cell in pleural fluid indicating pneumothorax, hemothorax
a)
Neutrophil
b)
Eosinophil
c)
Lymphocyte
d)
Mesothelial cell
e)
Malignant cells
65.
Cell in pleural fluid indicating allergic reactions, parasitic infections
a)
Neutrophil
b)
Eosinophil
c)
Lymphocyte
d)
Mesothelial cell
e)
Malignant cells
66.
Cell in pleural fluid indicating pneumoniae, pancreatitis, pulmonary infarction
a)
Neutrophil
b)
Eosinophil
c)
Lymphocyte
d)
Mesothelial cell
e)
Malignant cells
67.
Cell in pleural fluid indicating TB
a)
Neutrophil
b)
Eosinophil
c)
Plasma cells
d)
Mesothelial cell
e)
Malignant cells
68.
Decreased levels on this test in pleural fluid indicate inflammation, purulent infection
a)
Glucose
b)
Lactate
c)
Triglyceride
d)
pH
69.
Increased levels levels on this test in pleural fluid indicate bacterial infection
a)
Glucose
b)
Lactate
c)
Triglyceride
d)
pH
70.
Increased levels of this analyte in pleural fluid indicate chylous effusions
a)
Glucose
b)
Lactate
c)
Triglyceride
d)
pH
71.
Severely decreased levels on this test in pleural fluid indicate esophageal rupture
a)
Glucose
b)
Lactate
c)
Triglyceride
d)
pH
72.
Increased l levels on this test in pleural fluid may indicate pancreatitis, esophageal rupture, malignancy
a)
Adenosine deaminase (ADA)
b)
Amylase
c)
PCR
73.
This test on pleural fluid may indicate malignancy and tuberculosis
a)
Adenosine deaminase (ADA)
b)
Amylase
c)
PCR
74.
pH of pleural fluid in cases of esophageal rupture
a)
Increased
b)
Decreased
c)
Severely decreased
75.
pH of pleural fluid in cases of pneumonia not responding to antibiotics
a)
Increased
b)
Decreased
c)
Severely decreased
76.
pH of pleural fluid in cases of complicated parapneumonic effusion (lobulated/associated with EMPYEMA)
a)
Increased
b)
Decreased
c)
Severely decreased
77.
Glucose of pleural fluid in cases of rheumatoid inflammation, purulent infection
a)
Increased
b)
Decreased
c)
Severely decreased
78.
amylase of pleural fluid in cases of pancreatitis, esophageal rupture, malignancy
a)
Increased
b)
Decreased
c)
Severely decreased
79.
amylase of pleural fluid in cases of chylous effusions
a)
Increased
b)
Decreased
c)
Severely decreased
80.
Lactate of pleural fluid in cases of bacterial infection
a)
Increased
b)
Decreased
c)
Severely decreased
81.
Cytokeratin fragment
a)
CEA
b)
CA 125
c)
CA 15-3, CA 549
d)
CYFRA 21-1
82.
Marker for lung cancer, breast cancer, and urinary bladder cancer
a)
CEA
b)
CA 125
c)
CA 15-3, CA 549
d)
CYFRA 21-1
83.
Marker for breast cancer
a)
CEA
b)
CA 125
c)
CA 15-3, CA 549
d)
CYFRA 21-1
84.
Marker for ovarian or metastatic uterine cancer
a)
CEA
b)
CA 125
c)
CA 15-3, CA 549
d)
CYFRA 21-1
85.
Marker for colon cancer
a)
CEA
b)
CA 125
c)
CA 15-3, CA 549
d)
CYFRA 21-1
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