Pathology EMQ template.

Name: Shalil Solanki  

Theme: Acid Base Handling

 

OPTION LIST

 

A	Metabolic acidosis	I	Respiratory alkalosis
B	Metabolic acidosis with respiratory compensation	J	Respiratory alkalosis with metabolic compensation
C	Metabolic alkalosis	K
D	Metabolic alkalosis with respiratory compensation	L
E	Mixed respiratory and metabolic acidosis	M
F	Mixed respiratory and metabolic alkalosis	N
G	Respiratory acidosis	O
H	Respiratory acidosis with metabolic compensation	P

 

 

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 5-week-old child was admitted to hospital with a 2-day history of projectile vomiting. An ABG revealed a pH of 7.6, a PCO2 of 6.7KPa and a BE of +13mmol

 

 

2. A medical student nursing a hangover from the night before takes a considerable amount of alka-seltzer to relieve his upset stomach. His blood gases are likely to show what?

 

 

3. A newly diagnosed patient with Crohn’s had suffered from a week long history of excessive bowel movements. His blood gases are likely to show what?

 

 

4. An elderly gentleman is admitted with hypotension, hypoxia and in acute renal failure. He is noted to have a respiratory rate of over 50 breaths per minute. His blood gases include a pH of 7.1, PO2 of 3.0KPa and a BE of -21.0mmol

 

 

5. A young girl realises that she is about to fail her imminent exams and begins to breathe heavily until she faints. She was taken to hospital where her blood gases were taken.

 

 

 

ANSWERS

1. D

2. C

3. A

4. B

5. G