UPDATED ABSITE EXAM BUNDLE 2026
COMPLETE COMPILATION WITH VERIFIED
CORRECT ANSWERS
◉ Glutamine Answer: Comprises 2/3 of the free intracellular amino
acid pool.
◉ Metabolic acidosis with a normal anion gap Answer: Results from
either administration or a loss of bicarbonate from gastrointestinal
(GI) losses.
◉ Peaked T waves Answer: An early ECG change seen with
hyperkalemia.
◉ Flattened P wave Answer: An ECG change that may be seen with
hyperkalemia.
,◉ Prolonged PR interval Answer: An ECG change that may indicate
first-degree block associated with hyperkalemia.
◉ Sine wave formation Answer: An ECG change that may occur with
severe hyperkalemia.
◉ Ventricular fibrillation Answer: A severe ECG change that may be
seen with hyperkalemia.
◉ Best test for metabolic acidosis with increased anion gap Answer:
What is the best test to order in a patient showing clinical signs of
metabolic acidosis with increased anion gap?
◉ Daily maintenance fluid calculation Answer: What is the formula
to calculate daily maintenance fluid?
◉ Sign of spasm from pressure on nerves Answer: A spasm resulting
from pressure applied to the nerves and vessels of the upper
extremity, as when obtaining a blood pressure.
◉ Sign of spasm from tapping facial nerve Answer: A spasm
resulting from tapping over the facial nerve.
,◉ Effective osmotic pressure control Answer: The effective osmotic
pressure between the plasma and interstitial fluid compartments is
primarily controlled by.
◉ Metabolic derangement in profuse vomiting Answer: The
metabolic derangement most commonly seen in patients with
profuse vomiting.
◉ Best determinant of metabolic acidosis vs alkalosis Answer: What
is the best determinant of whether a patient has a metabolic acidosis
versus alkalosis?
◉ Excessive administration of normal saline Answer: Can lead to
what metabolic derangement?
◉ Acute Answer: A patient with hypercalcemia, the first step in
management.
◉ Congestive heart failure Answer: This is due to decreased cardiac
contractility.
◉ Serum bicarbonate Answer: Helps determine whether the
acidosis is due to increased acid generation or loss of bicarbonate.
, ◉ Fluid requirement formula Answer: 100 ml/kg/day for the first
10 kg + 50 ml/kg/day for the second 10 kg + 20 ml/kg/day for every
kg after the first 20 kg.
◉ Trousseau sign Answer: A clinical sign associated with
hypocalcemia.
◉ Chvostek sign Answer: A clinical sign associated with
hypocalcemia.
◉ Hypochloremic, hypokalemic metabolic alkalosis Answer:
Vomiting with a closed pylorus results in the loss of gastric fluid,
which is high in chloride and hydrogen, leading to this condition.
◉ Arterial pH (ABG) Answer: This is the only test that can confirm
metabolic acidosis.
◉ Sodium chloride Answer: Is mildly hypertonic, containing 154
mEq of sodium balanced by 154 mEq of chloride.
◉ Correct extracellular fluid deficit Answer: This is the most
important step in treatment in order to prevent poor prognosis.
COMPLETE COMPILATION WITH VERIFIED
CORRECT ANSWERS
◉ Glutamine Answer: Comprises 2/3 of the free intracellular amino
acid pool.
◉ Metabolic acidosis with a normal anion gap Answer: Results from
either administration or a loss of bicarbonate from gastrointestinal
(GI) losses.
◉ Peaked T waves Answer: An early ECG change seen with
hyperkalemia.
◉ Flattened P wave Answer: An ECG change that may be seen with
hyperkalemia.
,◉ Prolonged PR interval Answer: An ECG change that may indicate
first-degree block associated with hyperkalemia.
◉ Sine wave formation Answer: An ECG change that may occur with
severe hyperkalemia.
◉ Ventricular fibrillation Answer: A severe ECG change that may be
seen with hyperkalemia.
◉ Best test for metabolic acidosis with increased anion gap Answer:
What is the best test to order in a patient showing clinical signs of
metabolic acidosis with increased anion gap?
◉ Daily maintenance fluid calculation Answer: What is the formula
to calculate daily maintenance fluid?
◉ Sign of spasm from pressure on nerves Answer: A spasm resulting
from pressure applied to the nerves and vessels of the upper
extremity, as when obtaining a blood pressure.
◉ Sign of spasm from tapping facial nerve Answer: A spasm
resulting from tapping over the facial nerve.
,◉ Effective osmotic pressure control Answer: The effective osmotic
pressure between the plasma and interstitial fluid compartments is
primarily controlled by.
◉ Metabolic derangement in profuse vomiting Answer: The
metabolic derangement most commonly seen in patients with
profuse vomiting.
◉ Best determinant of metabolic acidosis vs alkalosis Answer: What
is the best determinant of whether a patient has a metabolic acidosis
versus alkalosis?
◉ Excessive administration of normal saline Answer: Can lead to
what metabolic derangement?
◉ Acute Answer: A patient with hypercalcemia, the first step in
management.
◉ Congestive heart failure Answer: This is due to decreased cardiac
contractility.
◉ Serum bicarbonate Answer: Helps determine whether the
acidosis is due to increased acid generation or loss of bicarbonate.
, ◉ Fluid requirement formula Answer: 100 ml/kg/day for the first
10 kg + 50 ml/kg/day for the second 10 kg + 20 ml/kg/day for every
kg after the first 20 kg.
◉ Trousseau sign Answer: A clinical sign associated with
hypocalcemia.
◉ Chvostek sign Answer: A clinical sign associated with
hypocalcemia.
◉ Hypochloremic, hypokalemic metabolic alkalosis Answer:
Vomiting with a closed pylorus results in the loss of gastric fluid,
which is high in chloride and hydrogen, leading to this condition.
◉ Arterial pH (ABG) Answer: This is the only test that can confirm
metabolic acidosis.
◉ Sodium chloride Answer: Is mildly hypertonic, containing 154
mEq of sodium balanced by 154 mEq of chloride.
◉ Correct extracellular fluid deficit Answer: This is the most
important step in treatment in order to prevent poor prognosis.
