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11 Cards in this Set
- Front
- Back
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A 21 year-old woman is brought to the Accident & Emergency Department having been generally unwell for 2 weeks. She was having Type 1 Diabetes. We are talking about:
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Diabetic Ketoacisdosis |
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VII. 01. Diagnosis of DKA can be suspected from the following EXCEPT: A. Thirst, polyuria, polydypsia and nocturia B. General weakness, malaise and lethargy C. Nausea, vomiting and abdominal pain D. Increased sweating, palpitation and giddiness E. Symptoms of associated infections
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D. Increased sweating, palpitation and giddiness |
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VII. 02. Following signs are helpful in the diagnosis of DKA, EXCEPT: A. Emaciated patient with an ill look B. Dry skin, mucus membrane increased turgor C. Patient remaining fully conscious throughout D. Tachycardia, tachypnoea, and hypotension E. Breath which has fruity smell of acetone |
C. Patient remaining fully conscious throughout |
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VII. 03. Various precipitating factors for DKA are the following EXCEPT: A. Missed insulin treatment B. Underlying infection C. Newly diagnosed, Type 2 DM D. Stress situations like Trauma, Surgery or MI E. Failure to appreciate symptoms of poor control of DM |
C. Newly diagnosed, Type 2 DM |
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VII. 04. The immediate differential diagnosis to be considered is: A. Hyper Osmolar Non Ketotic Coma B. Acute hypoglycemia C. Alcoholic ketoacidosis D. Acute appendicitis E. All of the above |
E. All of the above |
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VII. 05. Following are in accordance with the diagnosis of DKA EXCEPT: A. Glycosuria B. Ketonuria C. Hyperglycemia D. Hypernatremia E. Increased serum bicarbonate level |
E. Increased serum bicarbonate level |
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VII. 06. The general measures useful in the treatment of DKA are the following EXCEPT: A. Feeding by mouth for at least six hours B. Insertion of a nasogastric tube C. Insertion of an indwelling catheter D. Insertion of a central line E. Arterial line to monitor ABGs |
A. Feeding by mouth for at least six hours |
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VII. 07. The components of treatment are the following EXCEPT: A. The administration of modified insulin B. Fluid replacement C. Potassium replacement D. The administration of antibiotics E. Constant monitoring of metabolic parameters |
A. The administration of modified insulin |
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VII. 08. The following statement about IV fluids in DKA is NOT TRUE: A. A must since oral fluids are poorly absorbed. B. Insulin will not reach poorly perfused tissues C. Average fluid deficit is 6 liters; D. 1 liter is from intracellular compartment E. Caution in patients with compromised CVS |
D. 1 liter is from intracellular compartment |
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VII. 09. The deficit of extra-cellular fluid must be made good by infusing: A. 0.9% isotonic saline B. 5.0% Dextrose saline C. Ringer lactate solution D. 5.0% Dextrose solution E. 20% Mannitol solution |
A. 0.9% isotonic saline |
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VII. 10. The blood sugar level at which the saline infusion is to be substituted with 5% Dextrose saline is A. 550mg% B. 450mg% C. 350mg% D. 250mg% E. 150mg% |
D. 250mg% |
