Question 1

A screening test performed on a cloudy,green ascitic fluid would be a/an:

Accepted Answer

A)  Clinitest 
B)  Albumin 
C)  Reagent strip nitrite 
D)  Ictotest 
A)  Clinitest 
B)  Albumin 
C)  Reagent strip nitrite 
D)  Ictotest D

Question 2

Ascitic fluid from a patient with symptoms of severe abdominal pain has an elevated amylase and alkaline phosphatase,a WBC count of 30,000/µL,an absolute neutrophil count of 80%,and albumin of 3.5 mg/dL (serum albumin: 4.0 mg/dL).
-Based on the information provided,calculate the serum-ascites albumin gradient.

Accepted Answer

A)  0.5 
B)  -0.5 
C)  1.1 
D)  7.5 
A)  0.5 
B)  -0.5 
C)  1.1 
D)  7.5 A

Question 3

A peritoneal fluid with a positive CEA and a negative CA 125 (cancer antigen)indicates:

Accepted Answer

A)  Gastrointestinal malignancy 
B)  Ovarian malignancy 
C)  Tubercular peritonitis 
D)  Gastrointestinal perforation 
A)  Gastrointestinal malignancy 
B)  Ovarian malignancy 
C)  Tubercular peritonitis 
D)  Gastrointestinal perforation A

Question 4

Which of the following tests is valuable in the diagnosis of esophageal rupture?

Accepted Answer

A)  Pleural fluid pH 
B)  Ascitic fluid pH 
C)  Pleural fluid amylase 
D)  Ascitic fluid amylase 
A)  Pleural fluid pH 
B)  Ascitic fluid pH 
C)  Pleural fluid amylase 
D)  Ascitic fluid amylase

Question 5

Which of the following is most often associated with the formation of a transudate?

Accepted Answer

A)  Malignancy 
B)  Congestive heart failure 
C)  Pancreatitis 
D)  Peritonitis 
A)  Malignancy 
B)  Congestive heart failure 
C)  Pancreatitis 
D)  Peritonitis

Question 6

A blood-streaked pleural fluid has a fluid-to-serum cholesterol ratio of 0.45,a WBC count of 20,000/µL,increased neutrophils,glucose: 40 mg/dL (serum 100 mg/dL),and a pH of 6.8.
-Based on the information provided,what is the significance of the pH result?

Accepted Answer

A)  No significance 
B)  Esophageal rupture 
C)  Pancreatitis 
D)  Need for chest tubes 
A)  No significance 
B)  Esophageal rupture 
C)  Pancreatitis 
D)  Need for chest tubes

Question 7

Increased serous fluid can be caused by all of the following except:

Accepted Answer

A)  Lymphatic obstruction 
B)  Inflammation 
C)  Increased plasma sodium 
D)  Increased hydrostatic pressure 
A)  Lymphatic obstruction 
B)  Inflammation 
C)  Increased plasma sodium 
D)  Increased hydrostatic pressure

Question 8

A blood-streaked pericardial exudate with an increased amount of neutrophils is indicative of:

Accepted Answer

A)  Bacterial endocarditis 
B)  Cardiac puncture 
C)  Tuberculosis 
D)  Misuse of anticoagulant medication 
A)  Bacterial endocarditis 
B)  Cardiac puncture 
C)  Tuberculosis 
D)  Misuse of anticoagulant medication

Question 9

A milky,green-tinged pleural fluid:

Accepted Answer

A)  Contains primarily lymphocytes 
B)  Does not contain cholesterol crystals 
C)  Is indicative of lymphatic drainage 
D)  Stains weakly with Sudan III 
A)  Contains primarily lymphocytes 
B)  Does not contain cholesterol crystals 
C)  Is indicative of lymphatic drainage 
D)  Stains weakly with Sudan III

Question 10

A decrease in the number of mesothelial cells seen on a pleural fluid differential indicates:

Accepted Answer

A)  Malignancy 
B)  Tuberculosis 
C)  Pneumonia 
D)  Lupus erythematosus 
A)  Malignancy 
B)  Tuberculosis 
C)  Pneumonia 
D)  Lupus erythematosus

Question 11

A blood-streaked pleural fluid has a fluid-to-serum cholesterol ratio of 0.45,a WBC count of 20,000/µL,increased neutrophils,glucose: 40 mg/dL (serum 100 mg/dL),and a pH of 6.8.
-Based on the information given,what is the most probable cause of the effusion?

Accepted Answer

A)  Pneumonia 
B)  Hemothorax 
C)  Malignancy 
D)  Congestive heart failure 
A)  Pneumonia 
B)  Hemothorax 
C)  Malignancy 
D)  Congestive heart failure

Question 12

Elevated pleural fluid amylase can be indicative of all of the following except:

Accepted Answer

A)  Pancreatitis 
B)  Esophageal rupture 
C)  Tuberculosis 
D)  Malignancy 
A)  Pancreatitis 
B)  Esophageal rupture 
C)  Tuberculosis 
D)  Malignancy

Question 13

A pericardial exudate from a patient diagnosed with AIDS might be tested with:

Accepted Answer

A)  An India ink preparation 
B)  An acid-fast stain 
C)  A Gram stain 
D)  An immunofixation electrophoresis 
A)  An India ink preparation 
B)  An acid-fast stain 
C)  A Gram stain 
D)  An immunofixation electrophoresis

Question 14

Pleural fluid can be better classified as to transudative or exudative origin by performing a:

Accepted Answer

A)  Fluid-to-serum cholesterol ratio 
B)  Fluid-to-serum lactate dehydrogenase (L
D)  ratio 
C)  Fluid-to-serum ketone ratio 
D)  Fluid-to-serum gamma-glutamyltransferase ratio 
A)  Fluid-to-serum cholesterol ratio 
B)  Fluid-to-serum lactate dehydrogenase (L
D)  ratio 
C)  Fluid-to-serum ketone ratio 
D)  Fluid-to-serum gamma-glutamyltransferase ratio

Question 15

Cultures of peritoneal fluid should be routinely incubated both aerobically and anaerobically.

Accepted Answer

A) True 
 B)False

Question 16

Peritoneal fluid is collected by a procedure called:

Accepted Answer

A)  Thoracentesis 
B)  Asciticentesis 
C)  Paracentesis 
D)  Abdominalcentesis 
A)  Thoracentesis 
B)  Asciticentesis 
C)  Paracentesis 
D)  Abdominalcentesis

Question 17

What is the significance of a peritoneal fluid with an elevated creatinine level?

Accepted Answer

A)  Renal malignancy 
B)  Nephrotic syndrome 
C)  Ruptured bladder 
D)  No significance 
A)  Renal malignancy 
B)  Nephrotic syndrome 
C)  Ruptured bladder 
D)  No significance

Question 18

Reactive mesothelial cells indicate a malignant effusion.

Accepted Answer

A) True 
 B)False

Question 19

The finding of a mesothelioma cell in pericardial fluid is indicative of:

Accepted Answer

A)  Primary malignancy 
B)  Misuse of anticoagulants 
C)  Endocarditis 
D)  Metastatic malignancy 
A)  Primary malignancy 
B)  Misuse of anticoagulants 
C)  Endocarditis 
D)  Metastatic malignancy

Question 20

Exudate fluids usually result from:

Accepted Answer

A)  Cardiac insufficiency 
B)  Inflammation of the serous membrane 
C)  Abnormal electrolyte balance 
D)  Lack of protein in the diet 
A)  Cardiac insufficiency 
B)  Inflammation of the serous membrane 
C)  Abnormal electrolyte balance 
D)  Lack of protein in the diet

A screening test performed on a cloudy,green ascitic fluid would be a/an:

A peritoneal fluid with a positive CEA and a negative CA 125 (cancer antigen)indicates:

Which of the following tests is valuable in the diagnosis of esophageal rupture?

Which of the following is most often associated with the formation of a transudate?

A blood-streaked pleural fluid has a fluid-to-serum cholesterol ratio of 0.45,a WBC count of 20,000/µL,increased neutrophils,glucose: 40 mg/dL (serum 100 mg/dL),and a pH of 6.8. -Based on the information provided,what is the significance of the pH result?

Increased serous fluid can be caused by all of the following except:

A blood-streaked pericardial exudate with an increased amount of neutrophils is indicative of:

A milky,green-tinged pleural fluid:

A decrease in the number of mesothelial cells seen on a pleural fluid differential indicates:

A blood-streaked pleural fluid has a fluid-to-serum cholesterol ratio of 0.45,a WBC count of 20,000/µL,increased neutrophils,glucose: 40 mg/dL (serum 100 mg/dL),and a pH of 6.8. -Based on the information given,what is the most probable cause of the effusion?

Elevated pleural fluid amylase can be indicative of all of the following except:

A pericardial exudate from a patient diagnosed with AIDS might be tested with:

Pleural fluid can be better classified as to transudative or exudative origin by performing a:

Cultures of peritoneal fluid should be routinely incubated both aerobically and anaerobically.

Peritoneal fluid is collected by a procedure called:

What is the significance of a peritoneal fluid with an elevated creatinine level?

Reactive mesothelial cells indicate a malignant effusion.

The finding of a mesothelioma cell in pericardial fluid is indicative of:

Exudate fluids usually result from:

Safety and Quality Assessment

Introduction to Urinalysis

Renal Function

Physical Examination of Urine

Chemical Examination of Urine

Microscopic Examination of Urine

Renal Disease

Urine Screening for Metabolic Disorders

Cerebrospinal Fluid

Semen

Synovial Fluid

Amniotic Fluid

Fecal Analysis

Vaginal Secretions

Filters

Exam 12: Serous Fluid

A screening test performed on a cloudy,green ascitic fluid would be a/an:

A peritoneal fluid with a positive CEA and a negative CA 125 (cancer antigen)indicates:

Which of the following tests is valuable in the diagnosis of esophageal rupture?

Which of the following is most often associated with the formation of a transudate?

A blood-streaked pleural fluid has a fluid-to-serum cholesterol ratio of 0.45,a WBC count of 20,000/µL,increased neutrophils,glucose: 40 mg/dL (serum 100 mg/dL),and a pH of 6.8. -Based on the information provided,what is the significance of the pH result?

Increased serous fluid can be caused by all of the following except:

A blood-streaked pericardial exudate with an increased amount of neutrophils is indicative of:

A milky,green-tinged pleural fluid:

A decrease in the number of mesothelial cells seen on a pleural fluid differential indicates:

A blood-streaked pleural fluid has a fluid-to-serum cholesterol ratio of 0.45,a WBC count of 20,000/µL,increased neutrophils,glucose: 40 mg/dL (serum 100 mg/dL),and a pH of 6.8. -Based on the information given,what is the most probable cause of the effusion?

Elevated pleural fluid amylase can be indicative of all of the following except:

A pericardial exudate from a patient diagnosed with AIDS might be tested with:

Pleural fluid can be better classified as to transudative or exudative origin by performing a:

Cultures of peritoneal fluid should be routinely incubated both aerobically and anaerobically.

Peritoneal fluid is collected by a procedure called:

What is the significance of a peritoneal fluid with an elevated creatinine level?

Reactive mesothelial cells indicate a malignant effusion.

The finding of a mesothelioma cell in pericardial fluid is indicative of:

Exudate fluids usually result from:

Safety and Quality Assessment

Introduction to Urinalysis

Renal Function

Physical Examination of Urine

Chemical Examination of Urine

Microscopic Examination of Urine

Renal Disease

Urine Screening for Metabolic Disorders

Cerebrospinal Fluid

Semen

Synovial Fluid

Amniotic Fluid

Fecal Analysis

Vaginal Secretions

Filters