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Congestive heart failure - . . ANSWER ✔ ✔Severe
hypocalcemia can lead to heart failure due to decreased
cardiac contractility.
Serum bicarbonate - . . ANSWER ✔ ✔Helps determine
whether the acidosis is due to increased acid generation or
loss of bicarbonate.
Daily maintenance fluid formula - . . ANSWER ✔ ✔100
mL/kg/day for the first 10 kg + 50 mL/kg/day for the
second 10 kg + 20 mL/kg/day for every kg after the first
20 kg.
Trousseau sign - . . ANSWER ✔ ✔A spasm resulting
from pressure applied to the nerves and vessels of the
upper extremity, as when obtaining a blood pressure.
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Chvostek sign - . . ANSWER ✔ ✔A spasm resulting
from tapping over the facial nerve.
Effective osmotic pressure - . . ANSWER ✔ ✔The
pressure between the plasma and interstitial fluid
compartments is primarily controlled by protein.
Hypochloremic, hypokalemic metabolic alkalosis - . .
ANSWER ✔ ✔The metabolic derangement most
commonly seen in patients with profuse vomiting.
Vomiting with an closed pylorus - . . ANSWER ✔
✔Results only in the loss of gastric fluid, which is high in
chloride and hydrogen.
Urinary bicarbonate level - . . ANSWER ✔ ✔Initially
high in compensation for the alkalosis caused by vomiting.
Hydrogen ion reabsorption - . . ANSWER ✔ ✔Occurs
with an accompanied potassium ion excretion during
metabolic derangement.
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Aldosterone - . . ANSWER ✔ ✔A hormone that
mediates sodium reabsorption in response to volume
deficit.
Glutamine - . . ANSWER ✔ ✔The most abundant
amino acid in the human body, comprising 2/3 of the free
intracellular amino acid pool.
Arterial pH (ABG) - . . ANSWER ✔ ✔The best
determinant of whether a patient has metabolic acidosis
versus alkalosis.
Metabolic acidosis - . . ANSWER ✔ ✔A condition that
can result from acid administration or a loss of
bicarbonate from gastrointestinal (GI) losses.
Sodium chloride - . . ANSWER ✔ ✔A mildly hypertonic
solution containing 154 mEq of sodium balanced by 154
mEq of chloride.
Peaked T waves - . . ANSWER ✔ ✔ECG changes that
may be seen with hyperkalemia, indicating early
hyperkalemia.
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Flattened P wave - . . ANSWER ✔ ✔An ECG change
that may indicate hyperkalemia.
Prolonged PR interval - . . ANSWER ✔ ✔An ECG
change indicating first-degree block, which may be seen
with hyperkalemia.
Sine wave formation - . . ANSWER ✔ ✔An ECG change
that can occur in severe hyperkalemia.
Ventricular fibrillation - . . ANSWER ✔ ✔A life-
threatening arrhythmia that may occur due to
hyperkalemia.
Extracellular fluid deficit - . . ANSWER ✔ ✔The most
important step in management of a patient with acute
hypercalcemia to prevent poor prognosis.
PLR (Passive Leg Raise) - . . ANSWER ✔ ✔A maneuver
that allows restoration of perfusion and corrects metabolic
acidosis by ending anaerobic metabolism.