Pathology EMQ template.

Name: Jennifer Pringle

Theme: Sodium Handling

 

OPTION LIST

 

A	Glucose	I	Watch and wait
B	256.6	J	Urea
C	Addisons	K	HCOɜ
D	IM adrenaline	L	Chloride
E	Surgery	M	IV hydrocortisone
F	Cushings	N	Conns
G	256.8	O	244.2
H	Antibiotics	P	Primary hyperthyroidism

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 75 year old lady is taken to A&E after being found collapsed at home by her elderly husband. Her results came back as Na -119mmol/l, K  3.0mmol/l, urea 6.5mmol/l, Cr 9.2µmol/l, corrected Ca 2.45mmol/l, glucose 6.3mM. What is the plasma osmolality?

 

 

2. The equation needed to calculate the anion gap is:

 

Na + K – Cl – _?_

 

 

 

3. A 21 year old lady is admitted to A&E with generalised abdominal pain and vomiting. She had recently returned from a holiday in Spain. Her results on admission were: K – 6.3, Na – 125, urea – 9.1, glucose – 3.1. On examination her blood pressure was 90/60, heart rate of 105pm and she appeared tanned and slim. What treatment is she likely to need?

 

 

4. Which disease can cause both hyperkalaemia and hyponatraemia?

 

ANSWERS

1. G

2. K

3. M

4. C