Metabolic medicine

Question 1

severe hypophosphotaemia

Answer 1

<0.32
replace with infusion

Question 2

drugs causing hyperkalaemia

Answer 2

potassium sparing diuretics,
ACEi, ARB
spironolactone
ciclosporin
heparin

Question 3

acute, severe, symptomatic hyponatraemia (< 120 mmol/L)

Answer 3

Hypertonic saline (typically 3% NaCl)

Question 4

renal tubular acidosis ABG

Answer 4

hyperchloraemic metabolic acidosis (normal anion gap)

Question 5

hypocalcaemia ECG

Answer 5

long QT

Question 6

prolonged QT in hypocalcaemia management

Answer 6

IV calcium gluconate

Question 7

SIADH drug causes

Answer 7

carbamazepine, sulfonylureas, SSRIs, tricyclics

Question 8

type 2 renal tubular acidosis causes

Answer 8

Fanconi syndrome
wilsons
carbonic anhydrase inhibitors

Question 9

Type 1 renal tubular acidosis causes

Answer 9

idiopathic
RA
SLE
SJorgens
amphotericin B toxicity

Question 10

tests performed 3 months after starting a statin

Answer 10

A lipid profile and liver function tests