Cytology: Acid-base Balance, Metabolic Alkalosis/Acidosis

21 Questions | Total Attempts: 50

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Cytology: Acid-base Balance, Metabolic Alkalosis/Acidosis

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+

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