UPDATED ACTUAL Questions and
CORRECT Answers
Pleural fluid - CORRECT ANSWER - Obtained from the pleural cavity, located between
the parietal pleural membrane lining the chest wall and the visceral pleural membrane covering
the lungs
Pleural fluid cholesterol, serum cholesterol ratio, serum total bilirubin ratio - CORRECT
ANSWER - Tests to analyze pleural fluid
>60 mg/dL - exudate - CORRECT ANSWER - Pleural fluid cholesterol
>0.3 - exudate - CORRECT ANSWER - Pleural fluid serum cholesterol ratio
>0.6 - exudate - CORRECT ANSWER - Fluid serum total bilirubin ratio
Clear, pale yellow - CORRECT ANSWER - Appearance of normal fluid
Turbid, white - CORRECT ANSWER - Appearance of the fluid when there is presence of
WBC, bacterial infection, tuberculosis, immunologic disorder (rheumatoid arthritis)
Bloody - CORRECT ANSWER - Appearance of the fluid when there is hemothorax
(traumatic injury), malignancy, hemorrhagic effusion, pulmonary embolus, tuberculosis
Milky - CORRECT ANSWER - Appearance of the fluid when chylous material from
thoracic duct has a leakage, pseudochylous material from chronic inflammation
,Brown - CORRECT ANSWER - Appearance of the fluid when there is a rupture of
amoebic liver abscess
Black - CORRECT ANSWER - Appearance of the fluid when there is Aspergillus
infection
Viscous - CORRECT ANSWER - Malignant mesothelioma (increased hyaluronic acid)
Hematocrit - CORRECT ANSWER - Used to differentiate between hemothorax and
hemorrhagic exudate
Chylous material - CORRECT ANSWER - Contains high concentration of triglycerides
Pseudochylous material - CORRECT ANSWER - High concentration of cholesterol
Sudan III - CORRECT ANSWER - Staining positive for chylous material
Cholesterol - CORRECT ANSWER - Pseudochylous effusions contains ___ crystals
Chylous Effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous effusion:
Caused by thoracic duct damage
Pseudochylous effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous
effusion: Caused by chronic inflammation or lymphatic obstruction
Chylous Effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous effusion:
Appears milky/white
, Pseudochylous effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous
effusion: Appears milky/green tinge
Chylous Effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous effusion:
Predominantly contains lymphocytes
Pseudochylous effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous
effusion: Contains mixed cells
Chylous Effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous effusion:
Absent cholesterol crystals
Pseudochylous effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous
effusion: Present cholesterol crystals
Chylous Effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous effusion:
Triglycerides of >110 mg/dL
Pseudochylous effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous
effusion: Triglycerides of <50 mg/dL
Chylous Effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous effusion:
Sudan III Staining whows strongly positive
Pseudochylous effusion - CORRECT ANSWER - Chylous Effusion/ pseudochylous
effusion: Sudan III Staining shows negative/weakly positive
Transudates - CORRECT ANSWER - Effusion formed because of a systemic disorder that
disrupts the balance in the regulation of fluid filtration and reabsorption