Clin Skills Exam 2

1.

1 point

a pt with confirmed hypermagnesium could be caused by

medication disturbance

low dietary intake

idiopathic

acute renal insuf

2.

1 point

this form of back pain seen on a CT scan can lead to spinal canal problems as well as foraminal stenosis

infection

disc dz.

osteomyelitis

spondylosis

3.

1 point

what is the predominant WBC in bacterial meningitis?

NK cell

eosinophil

lymphocyte

neutrophil

4.

1 point

what imagining technique is used for a neurological deficit such as a suspected spinal cord injury?

MRI

CT w/contrast

CT w/o contrast

Conventional radiograph

5.

1 point

a pt presents with an anion gap of 16, what state is this pt in?

metabolic acidosis

respiratory acidosis

metabolic alkalosis

respiratory alkalosis

6.

1 point

what is the first line study for any suspected intracranial pathology?

CT w/o contrast

MRI

CT w/contrast

CT angiography

7.

1 point

in which pt would you "by the books" get a CT scan? (we all know that like Mr. Fenn said pretty much everyone gets one, but just humor this question)

pt with last seizure 1 month ago

55 y/o male

type 1 diabetic

Gary

8.

1 point

contraindication for a LP

focal neuro symptoms

circulation defect

CNS infection

SAH

9.

1 point

which of the following is a common cause of hypercalcemia?

leprosy

malignancy

pheochromocytoma

TPN

10.

1 point

a pt's CT scan just return from the radiologist. On it you see that the radiologist stated the pt has an effacement. what does that mean

collapse of CSF space

brain displacement across structures

displacement of tissue

structural shift

11.

1 point

which tube is used for checking glucose and protein

4

2

1

3

12.

1 point

what is considered an acute reason to image the head and neck?

vasculature problem

infection

dental abscess

tumors

13.

1 point

a pt with calculated CrCl of 50 has what GFR issues

severe GFR decline

kidney failure

mod GFR decline

small GFR decline

14.

1 point

which BUN:SCr ratio is likely to show dehydration in a pt?

10:1

15:1

20:1

5:1

15.

1 point

what sign/test is used to check for hypomagnesium?

Malampati sign

Trousseau's sign

Chvostek sign

Romberg test

16.

1 point

what is the most common cause for hyperkalemia?

GI bleed

missed dialysis

poor dietary habits

DKA

17.

1 point

which of the following is not an indirect test for a UTI

nitrite

urobilinogen

pH alkalinity

leukocyte esterase

18.

1 point

what is the major extra cellular anion?

calcium

chloride

sodium

potassium

19.

1 point

at what pressure is the intracranial pressure considered to be pathological?

300+

250+

200+

150+

20.

1 point

what is the most commonly use renal fxn marker?

creatinine

Cr-EDTA

inulin

cystatin c

21.

1 point

what is not an indication for placing a foley cath

bypass obstruction

to hold skin graft in place

monitor ureter input

acquire sterile sample

22.

1 point

LP returns with the following levels: WBC 225, Protein 110, Glucose 60, what is the most probable cause for the levels?

bacterial meningitis

levels are within normal limits

fungal meningitis

viral meningitis

23.

1 point

what type of hemorrhage is defined as "conforms to the CSF containing spaces e.g sulci, cisterns and ventricle"

epidural

subdural

intraparenchymal

subarachnoid

24.

1 point

premature cataracts, papilledema and dry puffy skin are all signs for what electrolyte imbalance?

hypokalemia

hypocalcemia

hypomagnesium

hyponatremia

25.

1 point

which of the following is not a cause of hypokalemia

cyclic vomiting

renin secreting tumor

aldosterone derangements

medications

26.

1 point

a pt BMP returns with the following: Na+ 120, K+ 4.2, Cl- 82, HCO3- 14, BUN 18, Cr 1.1, Glucose 84. Calculate the anion gap

20

18

24

26

22

27.

1 point

when sodium levels reach 115 mmol/L in the body what is a possible adverse effect

respiratory arrest

hyperreflexia

muscle spasms

restlessness

28.

1 point

calculate the CrCl for a 5'10" 53 y/o male with SCr of 0.9

84

98

62

106

29.

1 point

which of the following is a radioactive marker used for research related kidney function?

serum creatinine

iothalamate

cystatin c

inulin

30.

1 point

which of the following could be a finding in a head CT when looking for and infarct?

enhancement of insular ribbon

mass effect of sulci

hyperdense artery

midline shift

31.

1 point

Total body water deficit > total body sodium deficit

hypernatremia

hypokalemia

hyperkalemia

hyponatremia