The Primary Form Of Elimination Of Vecuronium

The Primary Form Of Elimination Of Vecuronium
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The Primary Form Of Elimination Of Vecuronium
1. Which of the following is a cause of metabolic alkalosis?
A. Prolonged suction on nasogastric tube
B. Administration of acetazolamide
C. Diarrhea
D. Ethylene glycol administration
2. An increase in which of the following ions will decrease the strong ion
difference (SID)?
A. Calcium
B. Sodium
C. Chloride
D. Magnesium
3. An anion gap metabolic acidosis with a normal osmolar gap is seen with
ingestion of which of the following substances?
A. Methanol
B. Ethanol
C. Ethylene glycol
D. Aspirin
The Primary Form Of Elimination Of Vecuronium
4. 24. Which of the following best describes the acid-base disturbances seen with
salicylate overdose?
A. Anion gap metabolic acidosis with respiratory compensation
B. Respiratory alkalosis with renal compensation
C. Combined metabolic acidosis and respiratory alkalosis
D. Combined metabolic and respiratory acidosis
5. Excretion of which of the following intravenous anesthetics is unaffected in
patients with end-stage renal disease (ESRD)?
A. Propofol
B. Ketamine
C. Etomidate
D. Thiopental
6. Increased levels of normeperidine, seen in patients with renal failure, are
associated with what symptoms?
A. Emesis
B. Seizures
C. Bradycardia
D. Hypotension
7. Which of the following classes of drugs must be dosage-adjusted in patients
with renal impairment?
A. Phenothiazines (eg, promethazine)
B. Antidopaminergics (eg, droperidol)
C. H2
-receptor antagonists
D. 5-HT3 antagonists
8. Which inhalation agent can react with barium hydroxide lime or soda lime to
form compound A?
A. Isoflurane
B. Desflurane
C. Sevoflurane
D. Nitrous oxide
9. Approximately how much is potassium concentration elevated following
administration of succinylcholine in patients with ESRD?
A. 0-0.2 mEq/L
B. 0.5-1 mEq/L
C. 1.0-1.5 mEq/L
D. 1.5-2 mEq/L
The Primary Form Of Elimination Of Vecuronium
10. What is T?
A. Renal excretion
B. Biliary excretion
C. Degradation by nonspecific esterases
D. Hoffman elimination
11. Cisatracurium is often used in patients with renal impairment. What is the
primary mode of metabolism of cisatracurium?
A. Renal excretion
B. Biliary excretion
C. Degradation by nonspecific esterases
D. Hoffman elimination
12. 32. Which of the following morphine metabolites can be responsible for delayed
respiratory depression in patients with renal impairment?
A. Morphine-3-glucuronide
B. Morphine-6-glucuronide
C. Normorphine
D. Codeine
13. In what population has mannitol been shown to be protective against AKI?
A. Patients undergoing laparoscopic partial nephrectomies
B. Patients undergoing infrarenal abdominal aortic aneurysm repair
C. Cadaveric kidney transplant recipients
D. Patients with traumatic rhabdomyolysis
14. Which of the following statements is true of eplerenone?
A. It may cause gynecomastia in males.
B. Hypokalemia is a common side effect.
C. It acts in the distal convoluted tubule.
D. It is indicated in patients with ascites due to end-stage liver disease.
15. Nonsteroidal anti-inflammatory drugs (NSAIDs) most commonly contribute to
what type of kidney injury?
A. Prerenal
B. Acute tubular necrosis
C. Glomerulonephritis
D. Postrenal obstruction
16. Which of the following is true of fenoldopam?
A. Rebound hypertension may occur when an infusion is discontinued.
B. It is a nonselective α- and β-agonist.
C. It is equipotent with dopamine.
D. It is a selective DA1 receptor agonist.
17. On which part of the nephron do loop diuretics work?
A. Proximal tubule
B. Thick ascending limb
C. Distal convoluted tubule
D. Collecting duct
18. Which of the following is the mechanism of action of acetazolamide?
A. Inhibition of carbonic anhydrase
B. Blockade of NaCl cotransporter in the distal convoluted tubule
C. Increasing the oncotic pressure in tubular filtrate
D. Inhibition of the Na-K-2Cl cotransporter in the thick ascending loop
19. Which of the following electrolyte abnormalities is most likely to be seen with
uremia?
A. Hypokalemia
B. Hypernatremia
C. Hyperphosphatemia
D. Hypomagnesemia
20. 40. In a patient with a blood urea nitrogen (BUN) of 80 mg/dL, which of the
following elements meets criteria for a diagnosis of uremia?
A. Potassium of 6.1 mEq/L
B. Serum creatinine of 4.5 mg/dL
C. Urine output of 100 cc over a 24-hour period
D. Asterixis and hiccups
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