Metabolic

Question 1

hypocalcemia sign on taking blood pressure causing spasming hands

Answer 1

trosseau’s sign

Question 2

what is HYPONATREMIA management based on?

Answer 2

hypovolemic: isotonic saline NaCL
euvolemic: fluid restriction
hypervolemic: fluid restriction

Question 3

rapid correction of sodium adverse affect

Answer 3

osmotic demyelination syndrome (central pontine)

max rate of infusion 10mmoll/hour

Question 4

management HYPERCALCEMIA

Answer 4

rehydration with normal saline (DILUTE) sodium chloride

Question 5

hypercalcemia is a complication of

Answer 5

malignancy (mets)

Question 6

electrolyte abnormality in AKI

Answer 6

hyperkalemia

Question 7

electrolyte abnormality in pancreatitis

Answer 7

hypocalcemia

Question 8

HYPOCALCEMIA ECG

Answer 8

QT prolongation

Question 9

hypocalcemia management

Answer 9

if symptomatic: IV calcium gluconate

Question 10

hypocalcemia signs

Answer 10

tapping on parotid gives facial twitching (chovsteks)

Question 11

hypernatremia rapid correction

Answer 11

cerebral oedema

Question 12

single best test in determining cause of hypocalcemia

Answer 12

PTH

Question 13

if hypotonic is acute and severe

Answer 13

hypertonic saline Na3%

Question 14

respiratory alkalosis secondary to panic attack electrolytes

Answer 14

hypocalcemia, normal phosphate and ALP

Question 15

DKA electrolyte abnormality

Answer 15

hypophosphatemia

Question 16

DKA electrolyte abnormality

Answer 16

hypophosphatemia

Question 17

management of SIADH causing low sodium

Answer 17

fluid restriction