Nova Southeastern University (NSU) Board Review Course
Cumulative EXAM LATEST 520 QUESTIONS AND 100% Verified
ANSWERS JUST RELEASED
All of the following are excepted systems presentation for a patient in liver failure EXCEPT
A. Increased Na excretion
B. Thrombocytopenia
C. Portal HTN
D. Increased total blood volume - answer>>Answer: A. Increased Na excretion
*incr Na RETENTION
Which volatile agent is most appropriate for use intraoperatively in a patient with liver failure?
A. Isoflurane
B. Desflurane
C. Halothane
D. Sevoflurane - answer>>Answer: A. Isoflurane
B. Desflurane
C. Halothane
*hepatitis
D. Sevoflurane
*compound A
What techniques can be utilized to reduce postoperative hepatic dysfunction?
A. Direct acting vasopressors
B. Fluid restriction
C. PEEP
D. Indirect acting vasopressors - answer>>Answer: A. Direct acting vasopressors
,*targeted VC avoids decr bf to liver
B. Fluid restriction
*hypovol = decr HBF
C. PEEP
*intr thoracic press = decr HBF
D. Indirect acting vasopressors
*may VC hepatic vesseld and decr HBF
If ADH is inhibited what is the effect on urine volume and osmolality?
A. Small; Low
B. Large; High
C. Small; High
D. Large; Low - answer>>Answer: D. Large; Low
*dilute urine = low osmolality
Which renal function test result reflects a 50% reduction in GFR?
A. BUN 20 mg/dL
B. Creatinine 2.1 mg/dL
C. UO .1mL/kg/hr
D. Creatinine Clearance 115 mL/min - answer>>Answer: B. Creatinine 2.1 mg/dL
*Cr doesn't change until 50% nephron is lost
What is the normal production of insulin per day?
A. 10 units
,B. 20 units
C. 30 units
D. 50 units - answer>>Answer: D. 50 units
All of the following are effects of poor insulin regulation except
A. Acidosis
B. Hypoglycemia
C. Gastroparesis
D. Peripheral neuropathy - answer>>Answer: B. Hypoglycemia
*HypERglycemia w/ poor insulin
*Other options are all side effects of hypERglc
*low insulin = incr K = incr H+
What stimulates the release of insulin?
A. Beta blockers
B. Infection
C. Hyperkalemia
D. Acetylcholine - answer>>Answer: D. Acetylcholine
*NT of PNS (rest and digest) = ACh
A 15F 42kg presents in the ER following a single car MVC. She is disoriented and combative, and there
are no obvious injuries upon physical examination. You are unable to obtain a history. Labs are
obtained after restraining the patient.
Which lab finding is consistent with your diagnosis?
A. Bld glucose 120 mg/dL
B. K 3.6
, C. Na 120 mEq/L
D. None of the above - answer>>Answer: C. Na 120 mEq/L
*low Na = decr CNS = confusion (High Na = seizures)
A. Bld glucose 120 mg/dL
*elevated but not bad
B. K 3.6
*normal
The majority of diabetics are classified as
A. DM Type 1
B. DM Type 2
C. Gestational DM
D. Secondary DM - answer>>Answer: B. DM Type 2
*insulin resistance
*type 1 insulin dependent, Autoimmune
Diabetic ketoacidosis most commonly presents in which type of DM?
A. Secondary DM
B. DM Type 1
C. DM Type 2
D. Gestational DM
E. All of the above - answer>>Answer: B. DM Type 1
*seen in peds
Cumulative EXAM LATEST 520 QUESTIONS AND 100% Verified
ANSWERS JUST RELEASED
All of the following are excepted systems presentation for a patient in liver failure EXCEPT
A. Increased Na excretion
B. Thrombocytopenia
C. Portal HTN
D. Increased total blood volume - answer>>Answer: A. Increased Na excretion
*incr Na RETENTION
Which volatile agent is most appropriate for use intraoperatively in a patient with liver failure?
A. Isoflurane
B. Desflurane
C. Halothane
D. Sevoflurane - answer>>Answer: A. Isoflurane
B. Desflurane
C. Halothane
*hepatitis
D. Sevoflurane
*compound A
What techniques can be utilized to reduce postoperative hepatic dysfunction?
A. Direct acting vasopressors
B. Fluid restriction
C. PEEP
D. Indirect acting vasopressors - answer>>Answer: A. Direct acting vasopressors
,*targeted VC avoids decr bf to liver
B. Fluid restriction
*hypovol = decr HBF
C. PEEP
*intr thoracic press = decr HBF
D. Indirect acting vasopressors
*may VC hepatic vesseld and decr HBF
If ADH is inhibited what is the effect on urine volume and osmolality?
A. Small; Low
B. Large; High
C. Small; High
D. Large; Low - answer>>Answer: D. Large; Low
*dilute urine = low osmolality
Which renal function test result reflects a 50% reduction in GFR?
A. BUN 20 mg/dL
B. Creatinine 2.1 mg/dL
C. UO .1mL/kg/hr
D. Creatinine Clearance 115 mL/min - answer>>Answer: B. Creatinine 2.1 mg/dL
*Cr doesn't change until 50% nephron is lost
What is the normal production of insulin per day?
A. 10 units
,B. 20 units
C. 30 units
D. 50 units - answer>>Answer: D. 50 units
All of the following are effects of poor insulin regulation except
A. Acidosis
B. Hypoglycemia
C. Gastroparesis
D. Peripheral neuropathy - answer>>Answer: B. Hypoglycemia
*HypERglycemia w/ poor insulin
*Other options are all side effects of hypERglc
*low insulin = incr K = incr H+
What stimulates the release of insulin?
A. Beta blockers
B. Infection
C. Hyperkalemia
D. Acetylcholine - answer>>Answer: D. Acetylcholine
*NT of PNS (rest and digest) = ACh
A 15F 42kg presents in the ER following a single car MVC. She is disoriented and combative, and there
are no obvious injuries upon physical examination. You are unable to obtain a history. Labs are
obtained after restraining the patient.
Which lab finding is consistent with your diagnosis?
A. Bld glucose 120 mg/dL
B. K 3.6
, C. Na 120 mEq/L
D. None of the above - answer>>Answer: C. Na 120 mEq/L
*low Na = decr CNS = confusion (High Na = seizures)
A. Bld glucose 120 mg/dL
*elevated but not bad
B. K 3.6
*normal
The majority of diabetics are classified as
A. DM Type 1
B. DM Type 2
C. Gestational DM
D. Secondary DM - answer>>Answer: B. DM Type 2
*insulin resistance
*type 1 insulin dependent, Autoimmune
Diabetic ketoacidosis most commonly presents in which type of DM?
A. Secondary DM
B. DM Type 1
C. DM Type 2
D. Gestational DM
E. All of the above - answer>>Answer: B. DM Type 1
*seen in peds
