Clinical Skill/Critical Care in NC_4 Flashcards

1
Q
The most likely cause of a fever occurring in the first 24 hours after surgery is
A. atelectasis
B. deep vein thrombosis
C. pneumonia
D. urinary tract infection
E. wound infection
A

A. atelectasis

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2
Q
a positive inotropic agent
A. dobutamine
B. dopamine
C. both
D. neither
A

C. both

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3
Q
has very little effect on α- adenergic receptors
A. dobutamine
B. dopamine
C. both
D. neither
A

A. dobutamine

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4
Q
is the second-line drug for symptomatic bradycardia
A. dobutamine
B. dopamine
C. both
D. neither
A

B. dopamine

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5
Q
has no effect on β-2 receptors
A. dobutamine
B. dopamine
C. both
D. neither
A

D. neither

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6
Q
has a dose-related effect
A. dobutamine
B. dopamine
C. both
D. neither
A

B. dopamine

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7
Q
Of the following, the most common cause of neonatal meningitis is
A. H. influenzae
B. Listeria species
C. N. meningitidis
D. staphylococci
E. streptococci
A

E. streptococci

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8
Q

Each of the following is true of nitroprusside except
A. Cyanide is produced when the ferrous ion in the nitroprusside molecule reacts with sulfhydryl-containing compounds in the red blood cells.
B. The cyanide is reduced to thiocyanate in the liver.
C. The half-life of thiocyanate is 3 to 4 days.
D. Thiocyanate is excreted in the gastrointestinal (GI) tract.
E. With prolonged administration, accumulation of thiocyanate may cause an acute toxic psychosis.

A

D. Thiocyanate is excreted in the gastrointestinal (GI) tract.

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9
Q

lsoproterenol
A. acts almost exclusively on β-receptors
B. decreases SBP
C. increases DBP
D. increases peripheral vascular resistance (PVR)
E. relaxes smooth muscle

A

E. relaxes smooth muscle

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10
Q

Splenectomy for hereditary spherocytosis
A. corrects the anemia
B. corrects the defects in red blood cells
C. has no effect on red blood cell survival
D. is never followed by relapse
E. should be performed before age 3

A

A. corrects the anemia

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11
Q
Epithelial migration occurs.
A. 12 hours
B. 5 days
C 17 days
D. 42 days
E. 2 years
A

A. 12 hours

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12
Q
Increase in tensile strength occurs at least up to this point.
A. 12 hours
B. 5 days
C 17 days
D. 42 days
E. 2 years
A

E. 2 years

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13
Q
Wound contraction begins.
A. 12 hours
B. 5 days
C 17 days
D. 42 days
E. 2 years
A

B. 5 days

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14
Q
Maximum amount of total collagen occurs at this time.
A. 12 hours
B. 5 days
C 17 days
D. 42 days
E. 2 years
A

D. 42 days

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15
Q
Visible collagen synthesis begins.
A. 12 hours
B. 5 days
C 17 days
D. 42 days
E. 2 years
A

B. 5 days

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16
Q
Significant gain in tensile strength begins at this time.
A. 12 hours
B. 5 days
C 17 days
D. 42 days
E. 2 years
A

B. 5 days

17
Q
The rapid increase in collagen content slows considerably at this point.
A. 12 hours
B. 5 days
C 17 days
D. 42 days
E. 2 years
A

D. 42 days

18
Q

Each of the following is consistent with the Zollinger-Ellison syndrome except a(n)
A. decrease in serum gastrin with secretin injection
B. duodenal ulcer
C. duodenal wall gastrinoma
D. pancreatic gastrinoma
E. increased serum gastrin level

A

A. decrease in serum gastrin with secretin injection

19
Q
nonanion gap acidosis
A. type I (distal) renal tubular acidosis (RTA)
B.type II (proximal) RTA
C. both
D. neither
A

C. both

20
Q
hyperkalemia
A. type I (distal) renal tubular acidosis (RTA)
B.type II (proximal) RTA
C. both
D. neither
A

D. neither

21
Q
Nephrocalcinosis commonly occurs.
A. type I (distal) renal tubular acidosis (RTA)
B.type II (proximal) RTA
C. both
D. neither
A

A. type I (distal) renal tubular acidosis (RTA)

22
Q
urine pH > 5.5
A. type I (distal) renal tubular acidosis (RTA)
B.type II (proximal) RTA
C. both
D. neither
A

A. type I (distal) renal tubular acidosis (RTA)

23
Q
defect in reabsorption of bicarbonate
A. type I (distal) renal tubular acidosis (RTA)
B.type II (proximal) RTA
C. both
D. neither
A

B. type II (proximal) RTA

24
Q
hypokalemia
A. type I (distal) renal tubular acidosis (RTA)
B.type II (proximal) RTA
C. both
D. neither
A

C. both

25
Q
The percentage of total body weight represented by total extracellular fluid volume is approximately
A. 5%
B. 15%
C. 20% 
D. 40%
E. 60%
A

C. 20%