Hyponatremia

Question 1

Exercise associated hyponatremia is due to

Answer 1

excess water intake(dilutional)

Question 2

Rx of Exercise induced hyponatremia

Answer 2

100ml of 3% NaCl in 10min

Question 3

Diagnosis of GRA?

Answer 3

Increased urine 18-oxo and hydroxy cortisol

Question 4

Diagnosis of SAME?

Answer 4

Increased ratio of urine cortisol/cortisone

Question 5

Anion gap correction

Answer 5

Add 2.5mEq/L for every 1 g/dl fall in albumin

Question 6

Delta/delta in lactic acidosis

Answer 6

1.6

Question 7

Delta/delta in late DKA

Question 8

Values of delta/delta for which you suspect met alkalosis

Answer 8

> 2

Question 9

delta/delta

Answer 9

excreted anion

non AG acidosis

Question 10

electrolyte abnormality in ethylene glycol poisoning

Answer 10

hypocalcemia

Question 11

Calcium oxalate crystals

Answer 11

Dihydrate: envelope shaped
Monohydrate: needle shaped

Question 12

effect of time on AG and OG in ethylene glycol poisoning?

Answer 12

Early: more OG
Late: more AG

Question 13

Heparin free dialysis?

Answer 13

Uremic pericarditis

methanol poisoning

Question 14

Vitamins used in ethylene glycol poisoning?

Answer 14

thiamine

pyridoxine

Question 15

Vitamin used in methanol poisoning

Answer 15

folic acid

Question 16

Acid base disturbances in salicylate poisoning?

Answer 16

Respiratory alkalosis+metabolic acidosis
pure respiratory alkalosis
respiratory acidosis+metabolic acidosis

Question 17

intoxication with normal osmolal gap but high anion gap

Answer 17

salicylate

pyroglutamic acidosis

Question 18

drug with highest level of propylene glycol

Answer 18

lorazepam

Question 19

Drugs causing pyroglutamic acidemia?

Answer 19

flucloxacillin

acetaminophen

Question 20

Effect of K+ on ammoniagenesis?

Answer 20

Inhibitory

Question 21

Acid base abnormality due to urinary diversion

Answer 21

similar to distal RTA

Question 22

Acid base abnormality due to urinary diversion is due to

Answer 22

absorption of NH4 and chloride