wk 6 review Flashcards

1
Q

CSF total protein is considered to be what percentage of the total blood protein value?
- 0.5-1.0%
- 60-70%
- 20-30%
- 10-15%

A

0.5-1%

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2
Q

A patient goes to the ER with increased fluid retention in the chest and complains of pain when taking a breath (pleuisy). The doctor removes fluid from the chest and it reveals increased white and red cell counts, low protein, and has a notably odor. What procedure was utilized to extract the fluid and what type of fluid resulted from the extraction?
- Thorocentesis, exudate
- Paracentesis, exudate
- Pleuralcentesis, transudate
- Thorocentesis, transudate

A

Thorocentesis, exudate

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3
Q

A cloudy synovial fluid with a WBC count of 150,000, no viscosity, and monosodium urate crystals noted is consistent with which process?
- inflammatory
- non-inflammatory
- hemorrhagic
- crystal induced

A

crystal induced

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4
Q

Which of the following conditions is associated with the formation of an exudate?
- Congestive heart failure
- Pneumonia
- Cirrhosis
- Nephrotic syndrome

A

pneumonia
-exudate: form from primary problem
- transudate: form secondary to another disorder

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5
Q

Electrolyte essential for myocardial contraction and important to maintain normal levels for critically ill patients.
- chloride
- calcium
- sodium
- zinc

A

calcium

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6
Q

A patient presents to the ER with severe dehydration, dilute urine production, and constant “thirst” sensation. It is revealed that the patient had recently (1 week ago) fallen off a ladder and suffered trauma to the head. Given this information, what lab test should be performed?
- ADH/AVP
- aldosterone
- renin
- angiotensinogen

A

ADH/AVP
- ADH is responsible for thirst mechanism and is released from pituitary gland in brain

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7
Q

Second most abundant anion in extracellular fluid.
- chloride
- phosphate
- carbonic acid
- bicarb

A

bicarb

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8
Q

Of the total serum osmolality; sodium, chloride, and bicarb normally contribute what percent?
- 92
- 8
- 45
- 72

A

92

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9
Q

What is the best interpretation of the following results?
pH=7.33 (7.35-7.45)
CO2= 27 (35-45)
HCO3= 14 (22-29

  • Metabolic alkalosis with full compensation
  • Metabolic acidosis with partial compensation
  • Metabolic acidosis with no compensation
  • Respiratory acidosis with partial compensation
A

metabolic acidosis w/ partial compensation

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10
Q

Which parameter on a blood gas analysis is calculated instead of being directly measured.
- pH
- HCO3
- Po2
- pCO2

A

HCO3

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11
Q

True or False
The unique structure of hemoglobin allows it to act as both an acid-base buffer and O2 buffer.

A

True

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12
Q

An increase in H+ ions, a decrease in pH, and a decrease in HCO3 results in what acid-base disorder?
- metabolic acidosis
- metabolic alkalosis
- respiratory acidosis
- respiratory alkalosis

A

metabolic acidosis

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