MRCP UK EXAMINATIONS

RESPIRATORY

PLEURAL EFFUSION

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Which of the following is(are) associated with exudative effusion? 1. Few blood cells 2. Inflammation 3. Thin and watery fluid 4. Infection
A
2 only
B
4 only
C
1 and 3 only
D
2 and 4 only
Explanation: 

Detailed explanation-1: -Distinguishing Transudates From Exudates The fluid is considered an exudate if any of the following are found: Ratio of pleural fluid to serum protein greater than 0.5. Ratio of pleural fluid to serum LDH greater than 0.6.

Detailed explanation-2: -Exudative effusions result from increased capillary permeability, leading to leakage of protein, cells, and other serum constituents. The most common causes of transudative effusions are heart failure, cirrhosis with ascites, and hypoalbuminemia (usually due to the nephrotic syndrome).

Detailed explanation-3: -Exudative effusion is caused by blocked blood vessels or lymph vessels, inflammation, infection, lung injury, or tumors.

Detailed explanation-4: -Exudative (protein-rich fluid) pleural effusions are most commonly caused by: Pneumonia. Cancer. Pulmonary embolism.

There is 1 question to complete.