Top 50+ Solved Fluids and Electrolytes MCQ Questions Answer
Q. Which is incorrect with regards to the fluid and its content?
a. Normal Saline – 150mmol Na+/L
b. Hartmans – 131mmol Na+/L
c. Hartmans –131mmolCl-/L
d. D5W- 50gm glucose/L
e. Hartmans- 5 mmol K+/L
Q. Which is not a possibility in the ECG of a pt with hypokalemia?
a. prolong PR interval
b. prominent U waves
c. T wave flattening
d. Prolonged QT interval
e. T wave inversion in praecordial leads
Q. Which is not a cause of hypokalemia?
a. insulin administration
b. adrenaline infusion
c. alkalosis
d. toluene toxicity
e. digoxin OD
Q. Which of the drugs below are not associated with hypokalemia?
a. loop diuretics
b. corticosteroids
c. gentamicin
d. amiloride
e. theophylline
Q. which of the following is not a symptom of hypokalemia?
a. ileus
b. constipation
c. muscle weakness
d. paralysis
e. seizures
Q. Which contains the largest amount of K+?
a. two Slow K tablets
b. 2 chlorvescent tablets
c. 15ml of Kayciel
d. one gram iintravenous KCL
e. a banana
Q. A rise in the pH by 0.1 causes what decrease in serum K+?
a. 0.1 mEq/L
b. 0.25 mEq/L
c. 0.5mEq/L
d. 0.7mEq/L
e. 1.0mEq/L
Q. What is seen earliest in an ECG of hyperkalemia?
a. Sine wave
b. Peak T wave
c. Flattened p wave
d. QRS widening
e. AV disocciation
Q. To diagnose SIADH as the cause of hyponatremia which must not be present?
a. hypovolemia
b. hypotonicity
c. no cardiac/renal/ hepatic failure
d. urine osmolality >100ml/kg
e. urinary Na >20 mmol/ml
Q. which statement is incorrect?
a. hyperlipidaemia can cause an artificially low Na+
b. if the hyponatremia is known to be of less than 48 hours duration it can be corrected quickly
c. in chronic hyponatremia, the Na+ should not be raised by more than 0.5mmol/l/hr
d. if the Na+ level is raised too quickly in a pt with chronic hyponatremia it vauses an increase in ICP
e. central pontine myelinolysis is caused when hypernatremia is corrected to quickly
Q. Which neoplasm is not characteristically associated with SIADH?
a. mesothelioma
b. bronchogenic carcinoma
c. breast
d. prostate
e. bladder
Q. Which drug is not well known to cause hyponatremia?
a. sertraline
b. amitryptilline
c. ecstasy
d. carbamazepine
e. roxithromycin
Q. With regards to hypernatremia which is incorrect?
a. it should not be corrected greater than 0.5mmol/L/hr
b. is usually associated with inadequate water intake
c. Normal Saline should not be used if the pt is hypovolemic and hypotensive
d. If associated with hypervolemia then frusemide should be used
e. It is clinically manifest by primarily neurological effects
Q. w.th regards to Calcium which statement is incorrect?
a. the normal correct range is 2.1-2.5
b. the ionized correct range is 1.14-1.3
c. to correct for the low albumin add 0.1 to the total calcium for every 4 the albumin is below 36
d. the ionized calcium increases by 0.05 for every 0.1 drop in pH
e. calcium chloride has less elememtal calcium than calcium gluconate