[MCQ] Acidosis & Alkalosis- Part 4

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Acidosis & Alkalosis- Part 1 |Acidosis & Alkalosis- Part 2| Acidosis & Alkalosis- Part 3| Acidosis & Alkalosis- Part 4

1.High urine chloride metabolic alkalemia without hypertension includes all except ?
A. Excess bicarbonate administration
B. Gitelman syndrome
C. Bartter’s syndrome
D. Liddle’s syndrome
2.  In acute respiratory acidosis, [HCO3-] levels increase by how much for every 10 mm Hg increase in PaCO2 ?
A. 1 mmol/L
B. 2 mmol/L
C. 3 mmol/L
D. 4 mmol/L
3.  In chronic respiratory acidosis, [HCO3-] levels increase by how much for every 10 mm Hg increase in PaCO2 ?
A. 1 mmol/L
B. 2 mmol/L
C. 3 mmol/L
D. 4 mmol/L

4.  In respiratory acidosis, serum HCO3– usually does not increase above ?
A. 28 mmol/L
B. 38 mmol/L
C. 48 mmol/L
D. 58 mmol/L

5.  In respiratory acidosis, papilledema is due to ?

A. Vasoconstriction
B. Vasodilatation
C. Hyperviscosity
D. Renal failure

6.  Diagnosis of respiratory acidosis requires measurement of ?
A. PaCO2
B. PaO2
C. [HCO3–]
D. All of the above

7.  In chronic respiratory alkalosis a 1-mm Hg fall in PaCO2 causes a drop in [HCO3–] of ?
A. 0.1 to 0.2 mmol/L
B. 0.2 to 0.3 mmol/L
C. 0.3 to 0.4 mmol/L
D. 0.4 to 0.5 mmol/L

8.  [HCO3–] falls by how much for each 10-mmHg decrease in PaCO2 in acute hypocapnia ?
A. 2 mmol/L
B. 3 mmol/L
C. 4 mmol/L
D. 5 mmol/L
9.  [HCO3–] falls by how much for each 10-mmHg decrease in PaCO2 in chronic hypocapnia ?
A. 2 mmol/L
B. 3 mmol/L
C. 4 mmol/L
D. 5 mmol/L

10.  In pure respiratory alkalosis, plasma HCO3– is usually more than ?
A. 12 mmol/L
B. 14 mmol/L
C. 16 mmol/L
D. 18 mmol/L

11.  Which of the following shift inside the cell in acute respiratory alkalosis ?
A. Na+
B. K+

C. PO4–
D. All of the above

12. Which of the following is an early finding in gram-negative septicemia ?
A. Fever
B. Hypoxemia
C. Respiratory alkalosis
D. Hypotension

13. Most common acid-base disturbance in critically ill patients is ?
A. Acute respiratory acidosis
B. Acute respiratory alkalosis
C. Chronic respiratory acidosis
D. Chronic respiratory alkalosis

14.  What is the anion gap in a patient if albumin is 2 gm/dL, Na+ is 140 mEq/L, Cl– is 100 mEq/L, and HCO3 is 20 mEq/L ?
A. 15
B. 20
C. 25
D. 30
15.  Which of the following is an ineffective osmole ?
A. Inositol
B. Urea
C. Betaine
D. Glutamine
16.  For each decrease in blood pH of 0.10, the plasma potassium rises by ?
A. 0.5 mmol/L
B. 0.6 mmol/L
C. 0.7 mmol/L
D. 0.8 mmol/L
17.  Normal range of urine ammonia is ?
A. 10 – 30 meq/day
B. 30 – 50 meq/day
C. 50 – 100 meq/day
D. 100 – 150 meq/day
18.  Normal range of urine creatinine is ?
A. 1.0 – 1.6 g/day

B. 1.6 – 2.2 g/day
C. 2.2 – 2.6 g/day
D. 2.6 – 3.0 g/day
19.  Normal range of urine potassium is ?
A. 5 – 25 meq/day
B. 25 – 100 meq/day
C. 100 – 200 meq/day
D. 200 – 300 meq/day
20.  Normal range of urine sodium is ?
A. 10 – 60 meq/day
B. 60 – 100 meq/day
C. 100 – 260 meq/day
D. 260 – 460 meq/day
21.  Normal range of urine uric acid is ?
A. 50 – 250 mg/day
B. 250 – 800 mg/day
C. 800 – 1800 mg/day
D. 1800 – 3000 mg/day
22.  Normal range of urine urea nitrogen is ?
A. 6 – 17 g/day
B. 17 – 37 g/day
C. 37 – 57 g/day
D. 57 – 87 g/day
23. Normal range of urine osmolality is ?
A. 50 – 150 mosmol/kg
B. 150 – 300 mosmol/kg
C. 300 – 900 mosmol/kg
D. 900 – 1500 mosmol/kg