Exam questionKROK 2Medicine · 2019
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 sounds. Heart rate is 92/min. Right-sided cardiac dilatation is observed. The liver is +7 cm. Shins are swollen. Pleural effusion is suspected. What indicator would confirm the presence of transudate in this case?
Answer options
- Positive Rivalta’s test
- Specific gravity exceeding 1015
- Total protein content in the pleural fluid below 25 g/L
- Total protein content in the pleural fluid exceeding 30 g/L
- Presence of atypical cells
Correct answer
Total protein content in the pleural fluid below 25 g/L
Explanation
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 sounds. Heart rate is 92/min. Right-sided cardiac dilatation is observed. The liver is +7 cm. Shins are swollen. Pleural effusion is suspected. What indicator would confirm the presence of transudate in this case?
This educational archive is provided by KROKEXAM and is not an official testing authority publication.