Metabolic Panel
- 1.
These are part of the Basic Metabolic Panel.
- A.
Sodium, potassium, protein
- B.
Sodium, creatinine, calcium
- C.
Sodium, creatinine, bilirubin
- D.
Chloride, BUN, albumin
Correct Answer
B. Sodium, creatinine, calciumExplanation
Basic:
sodium, potassium, chloride, carbon dioxide, BUN, creatinine, glucose, calcium
Complete:
all basic + AST, ALT, alkaline phosphatase, total bilirubin, total protein, albuminRate this question:
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- 2.
This is NOT an indication for a metabolic panel.
- A.
Patient requests one
- B.
Monitor fluid & electrolyte balance
- C.
Follow the course of a condition or treatment plan
- D.
Screen for occult disease
Correct Answer
A. Patient requests one -
- 3.
Abnormalities in sodium level usually are reflecting a true sodium abnormality.
- A.
False
- B.
True
Correct Answer
A. FalseExplanation
Abnormal levels usually reflect a variation in serum water volume rather than sodium content.Rate this question:
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- 4.
Your patient has an abnormal sodium test result. She is very lethargic and confused. Is this hyponatremia or hypernatremia?
- A.
Hypernatremia
- B.
Hyponatremia
Correct Answer
B. Hyponatremia -
- 5.
Your patient has an abnormal sodium test result. He is agitated and restless, with hyperreflexia. Is this hyponatremia or hypernatremia?
- A.
Hypernatremia
- B.
Hyponatremia
Correct Answer
A. Hypernatremia -
- 6.
Your patient has secondary hypertension due to hyperaldosteronism. Would you expect to find hypernatremia or hyponatremia in this patient?
- A.
Hyponatremia
- B.
Hypernatremia
Correct Answer
B. HypernatremiaExplanation
Aldosterone causes sodium retentionRate this question:
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- 7.
Your CHF patient has abnormal sodium test results. Would you expect this to be hyponatremia or hypernatremia?
- A.
Hyponatremia
- B.
Hypernatremia
Correct Answer
A. Hyponatremia -
- 8.
Your patient has an arrhythmia. In a general sense, which electrolyte is likely the problem?
- A.
Sodium
- B.
Calcium
- C.
Magnesium
- D.
Potassium
Correct Answer
D. Potassium -
- 9.
In your patient with abnormal sodium levels due to hyperaldosteronism, what other electrolyte problem are they likely to have?
- A.
Hypokalemia
- B.
Hyperkalemia
Correct Answer
A. HypokalemiaExplanation
Aldosterone increases potassium excretionRate this question:
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- 10.
These can be causes of hyperkalemia (check all that apply):
- A.
ACE inhibitors
- B.
CCBs
- C.
Bumetanide
- D.
Spironolactone
Correct Answer(s)
A. ACE inhibitors
D. SpironolactoneExplanation
Bumetanide is a loop diuretic - would be more likely to cause LOSS of potassium, hypokalemiaRate this question:
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- 11.
If you are unable to correct for low potassium, what should you check?
- A.
Calcium
- B.
Magnesium
- C.
Sodium
- D.
Chloride
Correct Answer
B. Magnesium -
- 12.
If your patient is hypercalcemic, what other electrolyte should you check in order to help determine the cause of the hypercalcemia?
- A.
Chloride
- B.
Potassium
- C.
Sodium
- D.
Magnesium
Correct Answer
A. ChlorideExplanation
If chloride is high, then the cause of the hypercalcemia is primary hyperparathyroidism.
If chloride is normal, then the cause of the hypercalcemia is malignancy.Rate this question:
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- 13.
Carbon dioxide level is a reflection of the body's pH. What would you expect to see in severe vomiting?
- A.
No change in carbon dioxide
- B.
Decreased carbon dioxide
- C.
Increased carbon dioxide
Correct Answer
C. Increased carbon dioxide -
- 14.
Carbon dioxide level is a reflection of the body's pH. What would you expect to see in chronic diarrhea?
- A.
No change in carbon dioxide
- B.
Decreased carbon dioxide
- C.
Increased carbon dioxide
Correct Answer
B. Decreased carbon dioxide -
- 15.
What is the most common cause of electrolyte imbalance?
- A.
CHF
- B.
Kidney injury
- C.
Malignancy
- D.
Drug overdose
Correct Answer
B. Kidney injury -
- 16.
Which drugs can increase serum glucose? Check all that apply.
- A.
Corticosteroids
- B.
Thiazides
- C.
Caffeine
- D.
Penicillin
Correct Answer(s)
A. Corticosteroids
B. Thiazides
C. Caffeine -
- 17.
All of these can be causes of LOW blood glucose except:
- A.
Thiazides
- B.
Propranolol
- C.
Malignancy
- D.
Starvation
Correct Answer
A. ThiazidesExplanation
thiazides can cause hyperglycemiaRate this question:
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- 18.
BUN serves as a index of function of both liver and kidney, and is used clinically as a rough measurement of renal function.
- A.
True
- B.
False
Correct Answer
A. True -
- 19.
BUN is ________ in kidney injury and ________ in hepatic failure.
- A.
Increased, increased
- B.
Increased, decreased
- C.
Decreased, increased
- D.
Decreased, decreased
Correct Answer
B. Increased, decreased -
- 20.
Creatinine is a measure of ______ function, and decreases with age (less muscle mass).
- A.
Colon
- B.
Liver
- C.
Kidney and liver
- D.
Kidney
Correct Answer
D. Kidney -
- 21.
BUN:Creatine ration is usually ___.
- A.
1:1
- B.
20:1
- C.
10:1
- D.
1:10
Correct Answer
C. 10:1Explanation
If greater than 20:1 consider pre-renal causes of azotemia (high BUN) such as dehydration or GI bleed.Rate this question:
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- 22.
Your patient is somnolent and has a shortened QT interval. Is this hypocalcemia or hypercalcemia?
- A.
Hypercalcemia
- B.
Hypocalcemia
Correct Answer
A. Hypercalcemia -
- 23.
Your patient is nervous and excitable. You observe tetany and find a prolonged QT interval. Is this hypocalcemia or hypercalcemia?
- A.
Hypercalcemia
- B.
Hypocalcemia
Correct Answer
B. Hypocalcemia -
- 24.
If you order a serum calcium (instead of a free calcium), what else do you need to order along with it?
- A.
Vitamin D level
- B.
Potassium
- C.
Albumin level
- D.
Magnesium
Correct Answer
C. Albumin levelExplanation
Half of calcium is bound to albumin. If albumin is low, then calcium level will also be low.
(You can run an equation to get a corrected calcium using a "normal" albumin of 4)Rate this question:
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Jan 27, 2014Quiz Edited by
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Jan 27, 2014Quiz Created by
Ashley_work_2002
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