Description : Blood chemistry shows the following changes in compensated respiratory acidosis: (A) Increased pCO2 (B) Increased bicarbonate (C) Decreased chloride (D) All of these
Last Answer : Answer : D
Description : Which of the following features are present in blood chemistry in uncompensated metabolic alkalosis except? (A) Increased pH (B) Increased bicarbonate (C) Normal chloride (D) Normal pCO2
Description : All the following features are found in blood chemistry in uncompensated lactic acidosis except (A) pH is decreased (B) Bicarbonate is decreased (C) pCO2 is normal (D) Anion gap is normal
Description : A young child presents with respiratory distress, worsening over 2 days. Blood gases show a pH of 7.25, a PCO2 of 7.5kPa, a PO2 of 8.5kPa, and a base excess of -4. Which of the ... required. 4) Results are consistent with late severe asthma. 5) Bicarbonate may be necessary to correct the acidosis.
Last Answer : Answers-4 In interpreting blood gas results, the following sequence may be useful: Inspect the pH: Is it low, normal or high? Inspect the CO2: Is it low, normal or high? Inspect the PO2: Is ... excess and normal pH. Bicarbonate is usually only considered if the base deficit exceeds about -8 or 00.
Description : The primary event in respiratory alkalosis is (A) Rise in pH (B) Decrease in pCO2 (C) Increase in plasma bicarbonate (D) Decrease in plasma chloride
Last Answer : Answer : B
Description : During compensation of respiratory alkalosis, all the following changes occur except (A) Decreased secretion of hydrogen ions by renal tubules (B) Increased excretion of sodium in urine (C) Increased excretion of bicarbonate in urine (D) Increased excretion of ammonia in urine
Description : The initial event in respiratory acidosis is (A) Decrease in pH (B) Increase in pCO2 (C) Increase in plasma bicarbonate (D) Decrease in plasma bicarbonate
Description : All the following statements about renal tubular acidosis are correct except (A) Renal tubules may be unable to reabsorb bicarbonate (B) Renal tubules may be unable to secrete hydrogen ions (C) Plasma chloride is elevated (D) Anion gap is decreased
Description : Metabolic alkalosis can occur in (A) Severe diarrhoea (B) Renal failure (C) Recurrent vomiting (D) Excessive use of carbonic anhydrase inhibitors
Last Answer : Answer : C
Description : Institution of oral rehydration therapy has the following beneficial effect in diarrhoea: A. Stops further diarrhoea B. Restores hydration and electrolyte balance without affecting diarrhoea C. Hastens clearance of the enteropathogen D. Obviates the need for specific antimicrobial therapy
Last Answer : B. Restores hydration and electrolyte balance without affecting diarrhoea
Description : A 45-year-old solicitor had an onset of severe, crushing, substernal chest pain while attending a football match. He collapsed on his way to the car. Bystander Cardiorespiratory Resuscitation ... His oxyhemoglobin curve is shifted to the left 5) His pulmonary artery pressure is probably elevated
Last Answer : Answers-5 This young patient with severe central chest pain has probably arrested due to myocardial infarction and arrhythmia. His gases reveal high PO2 following 100% O2 but severe acidosis ... no left to right shunting and high pulmonary pressures would be expected after this arrest scenario.
Description : The electrolyte used in sodium nickel chloride batteries is • Sodium chloride • Tetra chloraluminate • Sodium bicarbonate • Sodium glutamate
Last Answer : • Tetra chloraluminate
Description : All of the following occur in orotic aciduria except (A) Increased synthesis of pyrimidine nucleotides (B) Increased excretion of orotic acid in urine (C) Decreased synthesis of cytidine triphosphate (D) Retardation of growth
Last Answer : Answer : A
Description : The following metabolic abnormalities occur in Diabetes mellitus except (A) Increased plasma FFA (B) Increased pyruvate carboxylase activate (C) Decreased lipogenesis (D) Decreased gluconeogenesis
Last Answer : B
Description : Which of the following concerning the pH of urine is correct? 1) is a useful indicator of the acid/base balance of the blood 2) rises on a vegetarian diet 3) is determined by the concentration of ... lower than 5.5 in renal tubular acidosis 5) would be above 7.0 after prolonged and severe vomiting
Last Answer : Answers-2 c - excretion of ammonium occurs when an acid urine is produced but the pH of urine is of course determined by the concentration of H+ ions d-unable to lower the pH to ... and distal nephron and this perpetuates the metabolic alkalosis until the fluid balance is restored with IV fluids.
Description : component of the management of moderately severe diabetic ketoacidosis: A. Insulin B. Intravenous fluids C. Potassium chloride D. Sodium bicarbonate
Last Answer : D. Sodium bicarbonate
Description : Which of the following measures is not an essential component of the management of moderately severe diabetic ketoacidosis: A. Insulin B. Intravenous fluids C. Potassium chloride D. Sodium bicarbonate
Last Answer : . Sodium bicarbonate
Description : The pulmonary ventilation frequency (number of inhalations per time unit) rises or lowers the carbon dioxide concentration in blood. If it is intense the gas is more eliminated to the exterior and if it ... carbon dioxide and also of more hydrogen ions spending and the pH of the solution is raised.
Last Answer : What are acidosis and alkalosis?
Description : Which of the following statements about respiratory acidosis are true? A. Compensation occurs by a shift of chloride out of the red blood cells. B. Renal compensation occurs rapidly. C. Retention of ... of respiratory acidosis. E. The ratio of bicarbonate to carbonic acid is less than 20:1.
Last Answer : Answer: CE DISCUSSION: Renal compensation for acute hypoventilation is relatively slow. Depression of the respiratory center by morphine can lead to respiratory acidosis. Renal retention of bicarbonate, ... into red cells combine to increase the ratio of bicarbonate to carbonic acid to 20:1
Description : In severe acidosis, the output of urea is (A) Decreased (B) Slightly increased (C) Highly increased (D) Moderately increased
Description : Hyponatraemia occurs in the following condition: (A) Addison’s disease (B) Chronic renal failure (C) Severe diarrhoea (D) All of these
Description : Specific gravity of urine is decreased in (A) Diabetes mellitus (B) Acute glomerulonephritis (C) Diarrhoea (D) Chronic glomerulonephritis
Description : To balance the bicarbonate ion loss in RBC the chloride ions move into RBC, it is known as :-
Last Answer : To balance the bicarbonate ion loss in RBC the chloride ions move into RBC, it is known as :- A. Chloride ... C. Bohr effect D. Both (1) and (2)
Description : The oxygen d issoc iat ion curve for hemoglobin is shifted to the right by (A) Decreased O2 tension (B) Decreased CO2 tension (C) Increased CO2 tension (D) Increased pH
Description : The electrolyte composition of standard WHO oral rehydration solution is based upon that of: A. Enterotoxigenic E. coli diarrhoea stools B. Cholera stools in adults C. Cholera stools in children D. Rotavirus diarrhoea stools
Last Answer : C. Cholera stools in children
Description : All of the following statements about uric acid are true except (A) It can be formed from allantoin (B) Formation of uric acid stones in kidneys can be decreased by alkalinisation of urine (C) Uric acid begins to dissociate at pH above 5.8 (D) It is present in plasma mainly as monosodium urate
Description : The success of oral rehydration therapy of diarrhoea depends upon the following process in the intestinal mucosa: A. Sodium pump mediated Na+ absorption B. Glucose coupled Na+ absorption C. Bicarbonate coupled Na+ absorption D. Passive Na+ diffusion secondary to nutrient absorption
Last Answer : B. Glucose coupled Na+ absorption
Description : At the pH of blood 7.4, the ratio between the carbonic acid and bicarbonate fractions is (A) 1 : 10 (B) 1 : 20 (C) 1 : 30 (D) 1 : 40
Description : The pH of water will be decreased to below pH 7 by the hydrolysis of which of the following? w) sodium carbonate x) sodium chloride y) ammonium chloride z) potassium bromide
Last Answer : ANSWER: C -- AMMONIUM CHLORIDE
Description : Oedema can occur when (A) Plasma Na and Cl are decreased (B) Plasma Na and Cl are increased (C) Plasma proteins are decreased (D) Plasma proteins are increased
Description : All the following statements about phenylketonuria are correct except (A) Phenylalanine cannot be converted into tyrosine (B) Urinary excretion of phenylpyruvate and phenyllactate is increased (C) It ... diet (D) It leads to decreased synthesis of thyroid hormones, catecholamines and melanin
Description : Plasma bicarbonate is decreased in (A) Respiratory alkalosis (B) Respiratory acidosis (C) Metabolic alkalosis (D) Metabolic acidosis
Description : A 16 year old male with a day history of malaise, weakness and vomiting. He was diagnosed with Insulin dependent diabetes mellitus 3 years prviously. Which ONE of the following supports a diagnosis of ... serum glucose 14 mmol/l 4) Decreased appetite in the past few days 5) Shallow respirations
Last Answer : Answers-2 a-An unusual but recognised feature particularly in children. However does not support a diagnosis of DKA. b-Suggests metabolic acidosis. c-'Normoglycaemic DKA' can occur and a glucose ... anorexia. e-Respiratory compensation leads to rapid deep (Kussmaul's) breathing. (Dr Mike Mulcahy)
Description : Polyuria can occur in (A) Diabetes mellitus (B) Diarrhoea (C) Acute glomerulonephritis (D) High fever
Description : Acute renal failure (ARF) may be caused by all of the following except (a) Acute tubular necrosis (ATN) due to drug therapy (e.g., aminoglycosides, contrast media) (b) Severe hypotension ... (c) Decreased cardiac output, as from congestive heart failure (d) Hemolysis, myoglobinuria (e) Hyperkalemia
Last Answer : Ans: E
Description : Anion gap is increased in (A) Renal tubular acidosis (B) Metabolic acidosis resulting from diarrhoea (C) Metabolic acidosis resulting from intestinal obstruction (D) Diabetic ketoacidosis
Description : Streptomycin can NOT be given orally for treatment of tuberculosis because (A) it gets degraded in the GIT (B) it causes severe diarrhoea (C) it causes metallic taste in the mouth (D) it is not absorbed from the GIT
Last Answer : (D) it is not absorbed from the GIT
Description : Apart from diarrhoea, oral rehydration solution has been employed in: A. Severe vomiting B. Burn cases C. Heat stroke D. Both ‘B’ and ‘C
Last Answer : D. Both ‘B’ and ‘C
Description : Anion gap is the difference in the plasma concentrations of (A) (Chloride) – (Bicarbonate) (B) (Sodium) – (Chloride) (C) (Sodium + Potassium) – (Chloride + Bicarbonate) (D) (Sum of cations) – (Sum of anions)
Description : Recurrent vomiting leads to loss of (A) Potassium (B) Chloride (C) Bicarbonate (D) All of these
Description : Chloride shift is (A) H ions leaving the RBC in exchange of Cl- (B) Cl– leaving the RBC in exchange of bicarbonate (C) Bicarbonate ion returns to plasma and exchanged with chloride which shifts into the cell (D) Carbonic acid to the plasma
Description : Mineralocorticoids increase the tubular secretion of (A) Sodium (B) Potassium (C) Chloride (D) Bicarbonate
Description : Concentration of the following is higher in intracellular fluid than in extracellular fluid: (A) Sodium (B) Potassium (C) Chloride (D) Bicarbonate
Description : The ion which activates salivary amylase activity is (A) Chloride (B) Bicarbonate (C) Sodium (D) Potassium
Description : Colloid osmotic pressure of intracellular fluid is (A) Equal to that of plasma (B) More than that of plasma (C) More than that of plasma (D) Nearly zero WATER AND ELECTROLYTE BALANCE 285
Description : One of the symptoms of low serum potassium concentration includes (A) Muscle weakness (B) Confusion (C) Numbness (D) Tingling of extremities WATER AND ELECTROLYTE BALANCE 283
Description : Normal total serum calcium level varies between (A) 4–5 mg (B) 9–11 mg (C) 15–20 mg (D) 50–100 mg WATER AND ELECTROLYTE BALANCE 281
Description : At pH 7.4, the ratio of bicarbonate : dissolved CO2 is (A) 1 : 1 (B) 10 : 1 (C) 20 : 1 (D) 40 : 1
Description : The characteristic changes that follow a major operation or moderate to severe injury do not include the following: A. Hypermetabolism. B. Fever. C. Tachypnea. D. Hyperphagia. E. Negative nitrogen balance.
Last Answer : Answer: D DISCUSSION: The characteristic metabolic response to injury includes hypermetabolism, fever, accelerated gluconeogenesis, and increased proteolysis (creating a negative nitrogen balance). ... time, food intake increases, but the patient generally experiences anorexia, not hyperphagia
Description : In patients receiving massive blood transfusion for acute blood loss, which of the following is/are correct? A. Packed red blood cells and crystalloid solution should be infused to restore oxygen ... should be administered with every 5 units of packed red blood cells to avoid hypocalcemia.
Last Answer : Answer: A DISCUSSION: Patients who are suffering from acute blood loss require crystalloid resuscitation as the initial maneuver to restore intravascular volume and re-establish vital signs. If 2 to 3 liters ... when the infusion of blood proceeds at a rate exceeding 1 to 2 units every 5 minutes