Pathology EMQ template.

Name: Kasra Razi

Candidate number:  00456194

Theme: Potassium Handling

 

OPTION LIST

 

A

Hyperkalaemia

I

Adrenaline

B

Hypokalaemia

J

Saline

C

Normal

K

Calcium Gluconate

D

Hypokalaemic Alkalosis

L

Insulin

E

Hyperkalaemic Acidosis

M

50% i.v. dextrose

F

Hypokalaemic Acidosis

N

Conn’s

G

Hyperkalaemic Alkalosis

O

Cushing’s Syndrome

H

Hypernatraemia

P

Some form of cancer

 

 

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 51 year old inpatient whose condition is stable has blood taken from their drip arm.  What will the blood result show?

 

2. A man in a motorcycle accident is rushed into A+E after suffering from crushing injuries.  What will the blood results show with regards to the potassium?

 

 

3. What is the 1st line of management in the motorcyclist?  Considering the potential risks of the patient.

 

 

4. A few days later renal biopsy results show that the same patient is diagnosed with Acute Renal Failure (ARF). The doctor performs an Arterial Blood Gas and the results are a low ph, low bicarbonate and low CO2 what is the diagnosis?

 

 

5. A diabetic obese patient (female) complains of weight gain, easy bruising and depression.  Blood results show hypokalaemia.  She is also hypertensive.  What is the likely diagnosis?

 

 

 

ANSWERS

1. B

2. A

3. KLM

4. E

5. O