PhPr 860B Exam 1

Question 1

What is the volume of distribution of 1L of D5-0.45% NS into the cell

Accepted Answer

333 mL

Question 2

A patient has a K+ level of 3.1. What's her new expected level if she was given 40 mEq of K+ over 4 hrs IV.

Accepted Answer

3.5

Question 3

Select the risk factors associated with PUD

Accepted Answer

Smoking, Alcohol, NSAID/ASA use, Older age

Question 4

Which of the following H2RAs is a CYP inhibitor and has numerous drug interactions and adverse events

Accepted Answer

Cimetidine

Question 5

Calcium gluconate is used to treat which of these electrolyte disorders?

Accepted Answer

Hyperkalemia, Hypermagnesemia

Question 6

How would you treat this patient?

Accepted Answer

Omeprazole 40 mg for 8-12 weeks

Question 7

Which of the following is NOT a result of a H. Pylori infection

Accepted Answer

Decreased inflammatory cytokines and lymphocytes

Question 8

Calculate this patient's alkali loading dose if they are 75 kg, current HCO3 is 18, and desired is 24

Accepted Answer

225

Question 9

Distal RTA Type I typically presents how?

Accepted Answer

hyperchloremic, hypokalemic

Question 10

Which of the following is NOT a risk factor for acute pancreatitis?

Accepted Answer

Age < 50

Question 11

Calculate this 80 kg Male's sodium deficit if their current sodium is 109

Accepted Answer

528 mEq

Question 12

To diagnose pancreatitis, you need at least two of which of the following?

Accepted Answer

Upper abdominal pain, Characteristic findings on imaging studies, Serum lipase or amylase concentration at least 3x more than the upper limit

Question 13

What does this patient likely have?

Accepted Answer

Gastric ulcer

Question 14

Ibuprofen and ACEs together increase the risk for which type of AKI

Accepted Answer

Pre-renal

Question 15

In acute severe metabolic acidosis, what is the preferred treatment?

Accepted Answer

Sodium bicarbonate

Question 16

What is the number one cause of chronic pancreatitis?

Accepted Answer

Long-term alcohol consumption

Question 17

Which of the following would be potential risk factors for this patient?

Accepted Answer

Jewish ethnicity, Use of contraceptives

Question 18

Which of the following is more common in UC than Crohns

Accepted Answer

Crypt abscecces

Question 19

Which of the following is NOT a strong evidence-based recommendation for acid suppression therapy

Accepted Answer

Stereoisomeric specfic PPIs like esomeprazole have higher efficacy

Question 20

Which of the following would have the smallest impact on a patient's chloride levels?

Accepted Answer

Plasma-Lyte A

Question 21

Which of the following may increase the risk of contrast-induced Intra-renal failure

Accepted Answer

Multiple myeloma, Contrast media volume greater than 100 mL, Diabetes mellitus

Question 22

Select the alarm symptoms for perforation in PUD

Accepted Answer

Abdominal rigidity, Tachycardia, Sudden onset of abdominal pain

Question 23

Which of these products is incorrectly paired with their contents?

Accepted Answer

K-Phos No 2: 250 mg (8 mmol) PO4, 45 mg (1.1 mEq) K, 298 mg (13 mEq) Na

Question 24

Which of the following is not a cause of High Anion Gap Metabolic Acidosis

Accepted Answer

Beta Blockers

Question 25

Which of the following may cause a non-anion gap acidosis?

Accepted Answer

Topiramate

Question 26

Which of the following is most likely the cause of Euvolemic Hyponatremia

Accepted Answer

SIADH

Question 27

What is the volume of distribution of 1L of 0.9% NaCl into the interstitial space?

Accepted Answer

750 mL

Question 28

24 mEq of Mg is equivalent to how many grams?

Accepted Answer

3 g

Question 29

A 65 kg female presents with severe hyponatremia. Calculate her Na deficit if her current Na is 108 mEq

Accepted Answer

390

Question 30

Select the starting and maximum dosing after titration for Creon

Accepted Answer

Start: 2 capsules for meals, 1 for snacks, Max: 5 capsules for meals, 3 for snacks

Question 31

Select the correct statements

Accepted Answer

Iron therapy should be started when TSAT<30% and ferritin<500 ng/mL, The goal Hb level in CKD patients is 10-12 gm/dL, Darbopoetin can increase the risk for stroke

Question 32

Based on the information, what does this patient have?

Accepted Answer

Ulcerative Colitis

Question 33

Interpret this patient's ABG: pH of 7.48, PaCO2 28, HCO3 19

Accepted Answer

Chronic respiratory alkalosis

Question 34

How would you describe this patient's Crohn's

Accepted Answer

Severe/Fulminant

Question 35

Calculate the corrected calcium for this pt: Serum albumin 2.2, measured serum Ca: 10.1

Accepted Answer

11.5

Question 36

Select the following risk factors for GERD

Accepted Answer

Smoking, Age ≥ 40 years, Pregnancy

Question 37

What is a good maintenance fluid rate for a 60 yo 75 kg male patient who is NPO

Accepted Answer

115

Question 38

Calculate this 60 kg F patient's free water deficit if current Na is 155

Accepted Answer

2.9 L

Question 39

Calculate the plasma osmolality for this pt: Na: 137, Glucose: 118, BUN: 18

Accepted Answer

287

Question 40

Which of the following diuretics does not remove potassium?

Accepted Answer

Spironolactone

Question 41

Which of the following is NOT a non-pharm therapy for GERD

Accepted Answer

Include fat-rich meals in diet

Question 42

Which of the following medications is likely the offending agent?

Accepted Answer

Omeprazole

Question 43

What is the most likely cause of hypervolemic hypernatremia?

Accepted Answer

Hospital induced through giving too much sodium

Question 44

Interpret this patient's ABG: pH 7.32, PaCO2 38, HCO3: 18

Accepted Answer

Acute metabolic acidosis

Question 45

How would you treat this patient's BP?

Accepted Answer

This patient's BP is at goal

Question 46

How would you start therapy?

Accepted Answer

IV methylprednisolone 40-60 mg/day

Question 47

Which of these drugs may exacerbate Distal RTA Type IV?

Accepted Answer

Ibuprofen, Lisinopril, Metoprolol

Question 48

Which of these exchange resins has a black box warning and should be avoided in hyperkalemic patients?

Accepted Answer

Sodium polystyrene sulfonate

Question 49

Which of the following can be used in patients with a penicillin allergy?

Accepted Answer

Pylera, Bismuth quadruple therapy

Question 50

If the patient has Distal Type IV RTA, which of the following should not be used in treatment?

Accepted Answer

Potassium citrate, Potassium bicarb/potassium citrate

Question 51

Which of these can be recommended options for maintenance for this patient?

Accepted Answer

Tofacitinib, Adalimumab (Humira)

Question 52

Which of these following drugs are NOT dialyzable using hemodialysis

Accepted Answer

Amitriptyline, Rituximab

Question 53

Is a patient with a serum albumin of 4.5, Ca 9.4, and P of 3.7 at risk for calcification?

Accepted Answer

No

Question 54

Calculate the total body water of a 185 lb man

Accepted Answer

50.5 L

Question 55

Which of the following can be involved in the induction of this patient

Accepted Answer

Budesonide, Sulfasalazine

Question 56

Select the following medications that can cause GERD

Accepted Answer

Isosorbide mononitrate, Potassium Chloride, Aspirin, Alendronate

Question 57

Which of the following drugs can be used in pts with a GFR of 22?

Accepted Answer

Lisinopril

Question 58

Which of the following are appropriate treatments for a patient with acute pancreatitis?

Accepted Answer

Give lactated ringer's 250-500 mL/hr for the first 12-24 hours, Giving IV morphine for pain, Giving IV antiemetics for nausea

Question 59

Which of these drugs can be associated with diabetes insipidus?

Accepted Answer

Foscarnet, Lithium

Question 60

Which of the following is NOT a treatment for chronic pancreatitis?

Accepted Answer

Eating fewer, larger meals to reduce number of times enzymes are released

Question 61

Which of the following can be used in the maintenance of this patient

Accepted Answer

Mesalamine enema, Mesalamine suppository

Question 62

If present, which of these prognostic factors would make it harder to treat this patient?

Accepted Answer

Elevated CRP, Low serum albumin

Question 63

Which of the following is FALSE regarding H. Pylori testing?

Accepted Answer

False positive may occur in UBT when PPI or Abx used in previous 2 weeks

Question 64

Which of these drugs can induce Acute interstitial nephritis

Accepted Answer

Penicillins, NSAIDs, Sulfonamides

PhPr 860B Exam 1

Questions 75

PhPr 860B Exam 1

Questions 75