Cytology: Acid-base Balance, Metabolic Alkalosis/Acidosis

21 Questions | By Thesortinghat | Last updated: Mar 21, 2022 | Total Attempts: 119

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Cytology: Acid-base Balance, Metabolic Alkalosis/Acidosis - Quiz

Slide 17-end

Questions and Answers

1.

Which statement about metabolic acidosis is correct?
- A.
  
  It's the most common acid-base abnormality in dogs and cats
- B.
  
  It's the least common acid-base abnormality in dogs and cats
- C.
  
  It affects most dairy cattle
- D.
  
  Horses are never affected by this disorder
2.

What on earth is ABE?
- A.
  
  Adjusted Base Excess
- B.
  
  Arterial Bloodgas Excretion
- C.
  
  The attractive hokey player neighbor you awkwardly stare at every morning while waiting for the bus.....
- D.
  
  Adequate Base Excess
3.

In metabolic acidosis, blood gas shows ____ ABE or low ______.
- A.
  
  Low, HCO3-
- B.
  
  High, HCO3-
- C.
  
  Low, CO2
- D.
  
  High, CO2
4.

Select the causes of metabolic acidosis.
- A.
  
  Renal failure
- B.
  
  Ethylene glycol toxicity
- C.
  
  DKA
- D.
  
  Hypoadrenocorticism
- E.
  
  Diarrhea
- F.
  
  Lactic acid gain
- G.
  
  Diabetes mellitus
- H.
  
  Diabetes insipidus
5.

The body's rapid response to metabolic acidosis involves the natural compensation by hyperventilating.
- A.
  
  True
- B.
  
  False
6.

Treatment of metabolic acidosis involves....
- A.
  
  Alkalinizing IV solution, and in severe cases, sodium bicarbonate
- B.
  
  Alkalinizing IV solution
- C.
  
  Immediate administration of sodium bicarbonate
- D.
  
  It resolves on its own
7.

Why should we avoid administering fast infusions of sodium bicarbonate to dehydrated patients with metabolic acidosis?
- A.
  
  They could die
- B.
  
  The treatment will cause alkalosis
- C.
  
  The treatment won't affect the patient
- D.
  
  Sodium bicarbonate is not a treatment option for metabolic acidosis.
8.

Select the complications that could occur with bicarbonate therapy.
- A.
  
  Volume overload
- B.
  
  Tetany (decreased serum calcium)
- C.
  
  Decreased O2 delivery to tissues
- D.
  
  Decreased CO2 levels
- E.
  
  Alkalosis
9.

In metabolic Alkalosis, blood gas shows increased _____ or high _____/
- A.
  
  ABE, HCO3-
- B.
  
  HCO3-, CO2
- C.
  
  ABE, CO2
- D.
  
  O2, CO2
10.

The body's response to metabolic alkalosis is a natural ____ through the respiratory system by _______.
- A.
  
  Compensation, hypoventilation
- B.
  
  Compensation, hyperventilation
- C.
  
  System, hypoventilation
- D.
  
  Diet, making gluten free pizza
11.

The treatment of metabolic alkalosis involves....
- A.
  
  Treat underlying cause. In emergencies give fluids. Replace potassium if hypokalemic.
- B.
  
  Administer fluids and replace potassium if hypokalemic.
- C.
  
  Treat underlying cause and replace potassium if hypokalemic.
- D.
  
  Administer bicarbonate
12.

If a patient is ______ and plasma HCO3- is decreased, _______ is present.
- A.
  
  Acidemic, metabolic acidosis
- B.
  
  Acidemic, metabolic alkalosis
- C.
  
  Alkalemic, metabolic alkalosis
- D.
  
  Grumpy, anger management need
13.

If a patient is acidemic and PCO2 is increased, respiratory acidosis is present .
- A.
  
  True
- B.
  
  False
14.

If a patient is _______ with increased plasma HCO3-, _______ is present
- A.
  
  Alkalemic, metabolic alkalosis
- B.
  
  Acidemic, metabolic alkalosis
- C.
  
  Alkalemia, metabolic acidosis
- D.
  
  Acidemic, respiratory alkalosis
15.

If a patient is alkalemic and PCO2 is increased, respiratory alkalosis is present.
- A.
  
  True
- B.
  
  False
16.

When assessing ________, _____ samples are preferred over _____ samples.
- A.
  
  Blood gases, arterial, venous
- B.
  
  ABE, acidic, alkaline
- C.
  
  Blood gases, venous, arterial
- D.
  
  Ice cream, frozen, melting
17.

Blood can only be stored for _____ maximum at room temperature without significant changes in blood gas values.
- A.
  
  15 mins
- B.
  
  10 mins
- C.
  
  20 mins
- D.
  
  30 mins
18.

Interpreting values: pH less than _____ = acidosis. pH greater than ______ = alkalosis.
- A.
  
  7.35, 7.45
- B.
  
  7.45, 7.35
- C.
  
  7.00, 7.45
- D.
  
  7.00, 7.55
19.

HCO3- less than _____ indicates metabolic acidosis. HCO3- greater than _____ indicates metabolic alkalosis.
- A.
  
  17 FE and 18 CA 23 FE and 26 CA
- B.
  
  12 FE and 18 CA 23 FE and 26 CA
- C.
  
  17 FE and 22 CA 25 FE and 26 CA
- D.
  
  17 FE and 18 CA 23 FE and 28 CA
20.

ABE considers any alterations in ______ and adjusts, so even if the _______ is abnormal, the metabolic state can be determined.
- A.
  
  PCO2, CO2
- B.
  
  CO2, PCO2
- C.
  
  HCO3-, CO2
- D.
  
  HCO3-, H+