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Exam questionKROK 2Medicine · 2017

A 57-year-old patient complains of dyspnea at rest. The patient presents with orthopnea, acrocyanosis, bulging cervical veins. On percussion: dull sound over the lower lung segments; on auscultation: no respiratory murmurs. Heart rate is 92/min. Right-sided cardiac dilatation is observed. The liver is enlarged by 7 cm. Shins are swollen. Pleural effusion is suspected. What indicator would confirm the presence of transudate in this case?

Answer options

  1. Positive Rivalta’s test
  2. Presence of atypical cells
  3. Total protein content in the pleural fluid above 30 g/l
  4. Specific gravity exceeding 1015
  5. Total protein content in the pleural fluid below 25 g/l
Correct answer

Total protein content in the pleural fluid below 25 g/l

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