If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

 Best of Five 126

 

   

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

 

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

 

 

 

Google
Web ydr.org.uk
acesforpaces.com medicalrevision.org

BOF: 126

A 20-year-old female presents with weakness of all four limbs of one days duration.

She had a history of similar episodes in the past.  No other significant illnesses in the past. She is not on any drugs.  No significant family history.

On examination her general condition was satisfactory, no signs of thyrotoxicosis.

Conscious alert rational, cranial nerves normal. On examination of her limbs there was no wasting, tone was decreased, weakness of all four limbs unable to move them against gravity tendon reflexes were normal no sensory loss. No other abnormality of note.

Investigations:

Blood sugar 5.7 mmol/l

Na 138 mmol/l

K 2.0 mmol/l

Chloride 112 mmol/l

Bicarbonate14 mmol/l

Blood urea 5.0 mmol/l

pH 7.28

Pa CO 2 3.8 kPa

Pa O2 13.0 kPa

Urine pH 7

In this patient treatment should be:

a)      Give iv Potassium before bicarbonate

b)      Give iv bicarbonate before potassium

c)      Give iv bicarbonate alone

d)      Give iv potassium alone

e)      Give iv calcium

In this patient the underlying diagnosis is:

a)      Proximal renal tubular acidosis

b)      Distal renal tubular acidosis

c)      Type A L- lactic acidosis

d)      Type B L-lactic acidosis

e)      D-lactic acidosis 

 

Back
Up
Next

Up ] Answer ]