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Quiz Categories Category: Surgery--->Fluid and Electrolyte Management of the Surgical Patient
Click to expand Page: 6

Question 26#
Which of the following are NOT characteristic findings of acute renal
failure?

Your Choice was A

A. BUN > 100 mg/dL Correct Choice 

B. Hypokalemia
C. Severe acidosis
D. Uremic pericarditis
E. Uremic encephalopathy

Show Comment question 26

Question 27#
An elderly diabetic patient who has acute cholecystitis is found to have
a serum sodium level of 122 mEq/L and a blood glucose of 600 mg/dL.
After correcting the glucose concentration to 100 mg/dL with insulin,
the serum sodium concentration would:

Your Choice was D

A. Decrease significantly unless the patient also
received 3% saline
B. Decrease transiently but return to approximately
122 mEq/L without specific therapy
C. Remain essentially unchanged
Correct Choice
D. Increase to the normal range without specific
therapy 
 Show Comment question 27

Question 28#
Excessive administration of normal saline for fluid resuscitation can
lead to what metabolic derangement?

Your Choice was B

A. Metabolic alkalosis
B. Metabolic acidosis Correct Choice 
C. Respiratory alkalosis
D. Respiratory acidosis

Show Comment question 28

Question 29#
The first step in the management of acute hypercalcemia should be

Your Choice was A

Correct Choice
A. Correction of deficit of extracellular fluid
volume 
B. Hemodialysis
C. Administration of furosemide
D. Administration of mithramycin

Show Comment question 29

Question 30#
A victim of a motor vehicle accident arrives in hemorrhagic shock.

His arterial blood gases are:

pH= 7.25
Po2= 95 mm Hg
Pco2= 25 mm Hg
HC03 = 15 mEq/L

The patient's metabolic acidosis would be treated best with:

Your Choice was C

A. Ampule of sodium bicarbonate
B. Sodium bicarbonate infusion

C. Lactated Ringer solution Correct Choice 

D. Hyperventilation
 Show Comment question 30

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Category: Surgery--->Fluid and Electrolyte Management of the Surgical Patient

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