A 68-year-old man with acute shortness of breath is found to have a large right-sided pleural effusion. Thoracentesis yields an exudate with low gluco...

Question

A 68-year-old man with acute shortness of breath is found to have a large right-sided pleural effusion. Thoracentesis yields an exudate with low glucose, high LDH, and pH

Accepted Answer

Pneumonia (parapneumonic effusion)

Answer

Congestive cardiac failure

Answer

Nephrotic syndrome

Answer

Cirrhosis

Answer

Pulmonary embolism

mrcp part 1 MCQ (SBA): Parapneumonic Effusion

A 68-year-old man with acute shortness of breath is found to have a large right-sided pleural effusion. Thoracentesis yields an exudate with low glucose, high LDH, and pH <7.2. Which is the most likely cause?