MEDICINE PRACTICE 2

            INSTRUCTION: SELECT THE SINGLE BEST OPTION
      

1.        Usually, the most important monitoring for a patient when correcting hypokalaemia is:
   a.       Urinalysis
   b.      Electrocardiography
   c.       Full blood count
   d.      Electromyography
   e.      Hourly electrolyte, urea and creatinine
   2.       The following can induce weakness in patients with hypokalaemic periodic paralysis except:
   a.       High carbohydrate diet
   b.      Meals with low sodium content
   c.       Excitement and noise
   d.      Flashing light
   e.      Cold temperature
   3.       The pathogenesis of diabetic ketoacidosis involves the following except:
   a.       Hyperglycaemia
   b.      Profound osmotic oliguria
   c.       Unrestrained lipolysis
   d.      Elevated level of stress hormones
   e.      Metabolic acidosis
   4.       The usual breathing pattern in a patient with diabetic ketoacidosis is:
   a.       Slow shallow breathing
   b.      Central neurogenic hyperventilation
   c.       Kussmaul respiration
   d.      Biot breathing
   e.      Cheyne-Stokes respiration
   5.       The following may result from metabolic acidosis in a patient with diabetic ketoacidosis except:
   a.       Redistribution hyperkalaemia
   b.      Hypothermia
   c.       Abdominal pains
   d.      Air hunger
   e.    None of the above
   6.        The following are ketone bodies except:
   a.       Acetone
   b.      Acetoacetate
   c.       Beta-hydroxybutyrate
   d.      All of the above
   e.      None of the above
   7.       The following are usually observed in the mouths of patients with diabetic ketoacidosis except:
   a.       Furred tongue
   b.      Cyanosis
   c.       Cracked lips
   d.      Fetid breath with sickly sweet smell
   e.      None of the above
   8.       Patients with diabetic ketoacidosis usually have the following except:
   a.       Cold extremities
   b.      Confusion
   c.       Elevated intra-ocular pressure
   d.      Tachycardia
   e.      Loss of skin tugor and weight loss
   9.       The following complications may result from diabetic ketoacidosis or  its management except:
   a.       Disseminated intravascular coagulation
   b.      Pulmonary oedema
   c.       Respiratory distress syndrome and hypovolaemic shock
   d.      Thromboembolism
   e.      none of the above
   10.   The following are usual precipitants of diabetic ketoacidosis except:
   a.       Stroke
   b.      Infection
   c.       Pancreatitis
   d.      Alcohol
   e.      Compliance with insulin therapy
   
   
   
   
   
   
   ANSWERS:
   1. b
   2. b
   3. b
   4. c
   5. e
   6. e
   7. c
   8. c
   9. e
   10. e