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Emergency Medicine: Fluid Therapy

Instructions:
  • Answer 50 questions in 15 minutes.
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  • Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. Resuscitation phase: if the animal is in shock -rehydration phase -maintenance phase






2. 4% body weight






3. Maintain the animal in zero fluid balance - with input equaling output.






4. Plasma proteins -sodium and associated anions






5. Polydispersed complex starch dissolved in 0.9% NaCl -small molecules confer oncotic pressure -large molecule confer duration of action -a synthetic colloid






6. Albumin






7. 60% body weight






8. 20% body weight






9. 40% body weight






10. 20 to 25 mmHG






11. The elasticity of skin depends on hydration status -pull up the skin over the thorax and watch the speed at which - it returns to normal position -also able to assess overhydration






12. Sustained volume expansion of the vascular space






13. For every positively charged ion in body fluids - there is a balancing negatively charged ion.






14. Short duration of volume expansion -transient hypernatremia -reflex bradycardia






15. A natural colloid that is not very efficient at raising albumin or COP.






16. 132 x BW (kg)^0.75






17. Obese animals have increased elasticity -very thin animals have decreased elasticity






18. 40% body weight






19. Increased PCV and TP (hemoconcentration) -increased BUN (pre-renal azotemia) -sodium concentration will remain the same with isotonic loss






20. Sodium and associated anions






21. Practical - with limited equipment required -can be administered on an outpatient basis






22. Extravasation of the catheter into the SC -thrombosis and thromboembolism -thrombophlebitis -infection of the catheter site and into the blood -can fragment and become a foreign body






23. Hypovolemic is the most reponsive -distributive shock -obstructive shock - above the obstruction






24. 6% body weight






25. Dose dependent coagulopathy due to dilution of clotting factors and impaired platelet aggregation - especially with hetastarch.






26. Occur at the loss of 30% of blood volume -occur when dehydration reached 10% of body weight






27. Extracellular water + intracellular water






28. 70% body weight






29. 5% body weight






30. 300 mosm/L






31. 10 to 20 ml/kg IV bolus






32. 70 x BW (kg)^0.75






33. Increased colloid oncotic pressure -shorter duration of effect due to rapid excretion






34. Correction of acid-base disorders -rehydration -replacement of ongoing losses -resuscitation






35. A decrease in in capillary oncotic pressure due to protein loss resulting in filtration of fluid into the interstitial fluid.






36. A new formulation of hydroxyethyl starch that has decreased coagulopathy effects - safe up to 50 to 100 ml/kg/d






37. All body fluids are iso-osmolar is relation to other body flids despite a different ionic composition.






38. Osmolality of solution is approximately equal to that of blood - replacing water as well as electrolytes.






39. Young animals have increased elasticity -old animals have decreased elasticity






40. 0.9% NaCl -reduction of SID due to an increase in Cl in relation to Na






41. Total body water






42. 30% body weight






43. 50 m;/kg/day






44. Saliva -evaporation at skin -evaporation at the respiratory tract






45. The concentration of effective osmoles + the concentration of ineffective osmoles.






46. Changes in body weight over time.






47. Generates osmotic pressure by causing a shift of water across a boundary that is not permeable to the osmotically active particle.






48. Unreliable rate of absorption -cannot be used for resuscitation or replacement of fluids in critically ill patients -hypo- or hypertonic solutions cannot be used due to tissue damage and injury






49. Normalization of vital signs -MAP above 65 -urine output about 0.5 ml/kg/hr






50. 70% body weight







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