Karnataka PGET Medicine MCQ Answer 20

1. Parapneumonic – uncomplicated: LDH less than 700, glucose=”serum,” pH >7.30
2. Parapneumonic – complicated: LDH >1000, glucose less than 40, pH less than 710
3. TB – lymphocytic exudate; pleural biopsy is diagnostic
4. Carcinoma – bloody, lymphocytic exudate, cytology or biopsy positive; if LDH only is abnormal – think cancer; pH less than 7.30 associated with poor prognosis and poor response to sclerotherapy
5. Esophageal perforation – pH 6.00, high amylase (salivary)
6. Rheumatoid pleurisy – turbid, yellow-green, debris- laden fluid; LDH >1000, glucose less than 30, pH 7.00, RF >1.320
7. Lupus – LE cells in effusion (increase if fluid sits up to 24 hours): occasionally low glucose and pH
8. Post-cardiac injury syndrome – pleuritic pain, rub, fever 3 weeks after injury; left infiltrates, serosanguineous – no diagnostic labs
9. Pulmonary embolism – nothing characteristic; fluid maximal by 72 hours
10. Pancreatitis – usually left sided, pleural fluid amylase: serum amylase >1.0; amylase may be >100,000 with pseudocyst
11. Asbestos pleural effusion – asymptomatic; bloody exudate, unilateral
Trapped lung – unilateral; serous, “borderline” exudate, very low pleural liquid pressure, rapid reaccumulation
13. Chylothorax – lymphocytic, milky; chylomicrons in fluid, TG >110 mg/dl
14. Lymphangiomyomatosis – chylothorax in young women, interstitial disease, normal lung volumes, repeated pneumothoraces
15. Yellow nail syndrome – 40 years old with yellow nails, lymphedema, respiratory tract involvement, triad not simultaneous; pleurodesis effective

Category: Karnataka PGET 2007 MCQs