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Category: Surgery--->Fluid and Electrolyte Management of the Surgical Patient
Page: 6

Question 26#Print Question

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

a. BUN > 100 mg/dL
b. Hypokalemia
c. Severe acidosis
d. Uremic pericarditis
e. Uremic encephalopathy


Question 27#Print Question

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:

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
d. Increase to the normal range without specific therapy


Question 28#Print Question

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

a. Metabolic alkalosis
b. Metabolic acidosis
c. Respiratory alkalosis
d. Respiratory acidosis


Question 29#Print Question

The first step in the management of acute hypercalcemia should be

a. Correction of deficit of extracellular fluid volume
b. Hemodialysis
c. Administration of furosemide
d. Administration of mithramycin


Question 30#Print Question

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:

a. Ampule of sodium bicarbonate
b. Sodium bicarbonate infusion
c. Lactated Ringer solution
d. Hyperventilation




Category: Surgery--->Fluid and Electrolyte Management of the Surgical Patient
Page: 6 of 7