Multiple Choice Questions on Electrolyte Disturbances
Multiple Choice Questions on Electrolyte Disturbances
This hub is designed for medical and nursing students to understand the concept of electrolyte disturbances and how to correct them. Electrolyte disturbances are often encountered in the intensive care units where the patients are very sick with disorders of multiple organ systems. Nurses often have to monitor for electrolyte disturbances and have to take measures to correct them.
These questions are prepared based on the assumption that the student knows about the basics of fluid and electrolyte balance.
Central Pontine Myelinolysis can occur if sodium is corrected fast in a patient with Chronic Hyponatremia
Major electrolyte disturbances can be the following
- Hyponatremia
- Hypokalemia
- Hypernatremia
-
Hyperkalemia
Hyponatremia is primarily a disorder of the water homeostatsis.
Hyponatremia is defined as a serum sodium less than
135 mmol/L
145 mmol/L
155mmol/L
165mmol/L
-------------------------------------
Answer: 135 mmol/L
For every 100-mg/dL increase in glucose, the serum sodium falls by
0.6 meq/lit
1.6 meq/lit
2.6 meq/lit
3.6 meq/lit
---------------------------------
Answer: 1.6 meq/lit
Hypervolumic hyponatremia is seen in the following disorders except
Congestive heart failure
Hepatic cirrhosis
Hypoaldosteronism
Nephrotic syndrome
--------------------------------------------------
Answers: Hypoaldosteronism
Gross photograph showing 2 contiguous slices of adrenal gland with cortical adenoma. Patient had hyperaldosteronism (Conn's syndrome).
Syndrome of inappropriate antidiuretic hormone secretion has the following type of hyponatremia
Euvolemic
Hypovolemic
Hypervolemic
--------------------------------------
Answer: Euvolemic
The normal range of plasma osmolality is
265 -280 mosm/kg
280 -295 mosm/kg
295 -310 mosm/kg
310 -325 mosm/kg
--------------------------------------------
Answer: 280 -295 mosm/kg
Weight loss, orthostatic hypotension, poor skin turgor, sunken eyes, oliguria and tachycardia are manifestations of
Extra cellular fluid volume depletion
Extra cellular fluid volume excess
---------------------------------------------------
Answer: Extra cellular fluid volume depletion
Weight gain, jugular venous distention, pulmonary crackles are manifestations of
Extra cellular fluid volume depletion
Extra cellular fluid volume excess
----------------------------------------------------------
Answer: Extra cellular fluid volume excess
Markedly elevated jugular venous distension.
The normal range of potassium is
1.5 -3.5 meq/L
3.5-5.5 meq/L
5.5-7.5 meq/L
7.5-9.5 meq/L
----------------------------------------
Answer: 3.5-5.5 meq/L
The maximum rate at which intravenous potassium can be supplemented is
20 mmol/h
30 mmol/h
40 mmol/h
50 mmol/h
--------------------------------------
Answer: 20 mmol/h
The most important consequence of hypokalemia is
Bradycardia
Cardiac arrest
Hypotension
Tachycardia
---------------------------------------
Answer: Cardiac arrest
Multiple Choice Questions on Electrolyte Disturbances
Bradycardia is Heart Rate below 60/min
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Important Considerations in Fluid and Electrolyte balance
When you have fever, the insensible water loss from the body is much more. Water losses increase by 100 -150 ml /day for each degree of rise in temperature over 37oC.
Hyponatremia should be corrected cautiously because too rapid correction may cause neurological deficits like paraparesis, dysphagia, dysarthria and coma.
Comments
JR Krishna (author) from India on July 27, 2013:
Hi DDE,
Thanks for the visit and comment
Devika Primić from Dubrovnik, Croatia on July 27, 2013:
An interesting and informative hub on the title you certainly know how to approach Multiple Choice Questions on Electrolyte Disturbances with such great efforts.