Types of

Also written as UVJ.

Gout is a type of arthritis that occurs due to the accumulation of in the blood that causes needle-like crystals to form around the joints.

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Clinical photo of a large fluctuant swelling over the lower spine
Clinical photo of a large fluctuant swelling over the lower spine

Practice questions on Types of

A 55-year-old man with heart failure has a right-sided pleural effusion. Thoracentesis shows fluid protein of 2.1 g/dL, serum protein 7.0 g/dL, fluid LDH 88 U/L, and serum LDH 300 U/L. Most likely type of effusion?

Answer: D. Using Light's criteria: (1) Fluid protein/serum protein ratio (2.1/7.0 = 0.3) is <0.5. (2) Fluid LDH/serum LDH ratio (88/300 = 0.29) is <0.6. (3) Fluid LDH (88 U/L) is <2/3 the upper limit of normal for serum LDH (typically ~200 U/L, so 2/3 of 300 is 200). All criteria point to a transudate, consistent with heart failure.

A 48-year-old woman with breast cancer develops a right pleural effusion. Thoracentesis yields fluid protein of 5.2 g/dL, serum protein 6.8 g/dL, fluid LDH 420 U/L, and serum LDH 310 U/L. Cytology shows malignant cells. Most likely type of effusion?

Answer: B. Using Light's criteria: (1) Fluid protein/serum protein ratio (5.2/6.8 = 0.76) is >0.5. (2) Fluid LDH/serum LDH ratio (420/310 = 1.35) is >0.6. (3) Fluid LDH (420 U/L) is >2/3 the upper limit of normal for serum LDH (2/3 of 310 is ~207). All criteria point to an exudate, which is expected with malignancy.

A patient experiences an unexpected drop in hemoglobin and mild jaundice approximately 7 days after receiving a blood transfusion. A direct antiglobulin test (DAT) is positive. Which blood group system is most notoriously associated with this type of delayed hemolytic transfusion reaction?

Answer: C. The Kidd blood group system (Jka, Jkb antigens) is notoriously associated with delayed hemolytic transfusion reactions. Antibodies to Kidd antigens (anti-Jka, anti-Jkb) are often weak or undetectable in pre-transfusion testing but can rapidly increase after re-exposure, leading to extravascular hemolysis typically 3-10 days post-transfusion.

A 70-year-old man with severe COPD has increasing drowsiness. ABG shows pH 7.28, PaO2 55 mmHg, PaCO2 72 mmHg, and HCO3 32 mEq/L. Most likely type of respiratory failure?

Answer: D. The ABG shows both hypoxemia (PaO2 55 mmHg) and hypercapnia (PaCO2 72 mmHg) with respiratory acidosis (pH 7.28). However, the defining feature for Type II respiratory failure is the elevated PaCO2 leading to respiratory acidosis. While hypoxemia is present, it is a consequence of the impaired ventilation. The presence of significant hypercapnia and acidosis indicates Type II (hypercapnic) respiratory failure. The ele

8. Which type of sensation is most affected if the lesion is in the sensory cortex?

Answer: B. The sensory cortex (somatosensory cortex) is responsible for processing all types of somatic sensations, including pain, touch, temperature, pressure, and proprioception (the sense of body position and movement). Therefore, a lesion in the sensory cortex would affect all these types of sensations.

4. There are several important differences between a chemical and an electrical synapse. Which of the following statements does NOT constitute a a difference between these two types of synapses?

Answer: D. While chemical synapses are typically unidirectional due to the release of neurotransmitters from the presynaptic neuron and their binding to receptors on the postsynaptic neuron, electrical synapses, connected by gap junctions, can allow for bidirectional transmission of electrical signals.

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