Serous SQ

Question 1

The primary purpose of serous fluid is to:
A. Remove waste products
B. Lower capillary pressure
C. Lubricate serous membranes
D. Nourish serous membranes

Answer 1

C. Lubricate serous membranes

Question 2

The membrane that lines the wall of a cavity is the:
A. Visceral
B. Peritoneal
C. Pleural
D. Parietal

Answer 2

D. Parietal

Question 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

Answer 3

A. Absorbed by the lymphatic system

Question 4

Production of serous fluid is controlled by:
A. Capillary oncotic pressure
B. Capillary hydrostatic pressure
C. Capillary permeability
D. All of the above

Answer 4

D. All of the above

Question 5

An increase in the amount of serous fluid is called a/an:
A. Exudate
B. Transudate
C. Effusion
D. Malignancy

Answer 5

C. Effusion

Question 6

Pleural fluid is collected by:
A. Pleurocentesis
B. Paracentesis
C. Pericentesis
D. Thoracentesis

Answer 6

D. Thoracentesis

Question 7

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

Answer 7

A
A
B
A
B
B
B
A

Question 8

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

Answer 8

B. To classify transudates and exudates

Question 9

Which of the following requires the most additional
testing?
A. Transudate
B. Exudate

Answer 9

B. Exudate

Question 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:cholesterol ratio
D. Fluid-to-serum protein gradient

Answer 10

C. Fluid:cholesterol ratio

Question 11

A milky-appearing pleural fluid indicates:
A. Thoracic duct leakage
B. Chronic inflammation
C. Microbial infection
D. Both A and B

Answer 11

D. Both A and B

Question 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

Answer 12

D. Blood HCT: 30 Fluid HCT: 20

Question 13

All of the following are normal cells seen in pleural fluid
except:
A. Mesothelial cells
B. Neutrophils
C. Lymphocytes
D. Mesothelioma cells

Answer 13

D. Mesothelioma cells

Question 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

Answer 14

C. Decreased mesothelial cells

Question 15

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

Answer 15

B. Absence of nucleoli

Question 16

A pleural fluid pH of 6.0 indicates:
A. Esophageal rupture
B. Mesothelioma
C. Malignancy
D. Rheumatoid effusion

Answer 16

A. Esophageal rupture

Question 17

Plasma cells seen in pleural fluid indicate:
A. Bacterial endocarditis
B. Primary malignancy
C. Metastatic lung malignancy
D. Tuberculosis infection

Answer 17

D. Tuberculosis infection

Question 18

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

Answer 18

B. Mesothelioma cell

Question 19

Another name for a peritoneal effusion is:
A. Peritonitis
B. Lavage
C. Ascites
D. Cirrhosis

Answer 19

C. Ascites

Question 20

A test performed primarily on peritoneal lavage fluid is a/an:
A. WBC count
B. RBC count
C. Absolute neutrophil count
D. Amylase

Answer 20

B. RBC count

Question 21

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

Answer 21

B. Serum ascites albumin gradient

Question 22

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

Answer 22

B. Exudate

Question 23

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

Answer 23

C. Absolute neutrophil count

Question 24

Detection of the CA 125 tumor marker in peritoneal fluid
indicates:
A. Colon cancer
B. Ovarian cancer
C. Gastric malignancy
D. Prostate cancer

Answer 24

B. Ovarian cancer

Question 25

Chemical tests primarily performed on peritoneal fluid include all of the following except:
A. Lactose dehydrogenase
B. Glucose
C. Alkaline phosphatase
D. Amylase

Answer 25

A. Lactose dehydrogenase

Question 26

Cultures of peritoneal fluid are incubated:
A. Aerobically
B. Anaerobically
C. At 37°C and 42°C
D. Both A and B

Answer 26

D. Both A and B