Metabolic Panel
Settings
- 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
- 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
- 3.Abnormalities in sodium level usually are reflecting a true sodium abnormality.
- A.
False
- B.
True
- 4.Your patient has an abnormal sodium test result. She is very lethargic and confused. Is this hyponatremia or hypernatremia?
- A.
Hypernatremia
- 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
- 6.Your patient has secondary hypertension due to hyperaldosteronism. Would you expect to find hypernatremia or hyponatremia in this patient?
- A.
Hyponatremia
- B.
Hypernatremia
- 7.Your CHF patient has abnormal sodium test results. Would you expect this to be hyponatremia or hypernatremia?
- A.
Hyponatremia
- B.
Hypernatremia
- 8.Your patient has an arrhythmia. In a general sense, which electrolyte is likely the problem?
- A.
Sodium
- B.
Calcium
- C.
Magnesium
- 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
- 10.These can be causes of hyperkalemia (check all that apply):
- A.
ACE inhibitors
- B.
CCBs
- C.
Bumetanide
- D.
Spironolactone
- 11.If you are unable to correct for low potassium, what should you check?
- A.
Calcium
- B.
Magnesium
- C.
Sodium
- D.
Chloride
- 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
- 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
- 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
- 15.What is the most common cause of electrolyte imbalance?
- A.
CHF
- B.
Kidney injury
- C.
Malignancy
- D.
Drug overdose
- 16.Which drugs can increase serum glucose? Check all that apply.
- A.
Corticosteroids
- B.
Thiazides
- C.
Caffeine
- D.
Penicillin
- 17.All of these can be causes of LOW blood glucose except:
- A.
Thiazides
- B.
Propranolol
- C.
Malignancy
- D.
Starvation
- 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
- 19.BUN is ________ in kidney injury and ________ in hepatic failure.
- A.
Increased, increased
- B.
Increased, decreased
- C.
Decreased, increased
- D.
Decreased, 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
- 21.BUN:Creatine ration is usually ___.
- A.
1:1
- B.
20:1
- C.
10:1
- D.
1:10
- 22.Your patient is somnolent and has a shortened QT interval. Is this hypocalcemia or hypercalcemia?
- A.
Hypercalcemia
- B.
Hypocalcemia
- 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
- 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
Back to top