What pharmacologic treatment can be used to treat Diabetes insipidus?
Desmopressin (DDAVP)
Furosemide
Diuretics
Corticosteroids
The Correct Answer is A
A. Desmopressin (DDAVP) is the correct treatment for Diabetes insipidus. This medication is a synthetic form of vasopressin, which helps the kidneys to retain water, thereby reducing the symptoms of excessive urination and thirst in individuals with Diabetes insipidus.
B. Furosemide is a loop diuretic used to treat fluid retention, not Diabetes insipidus. It increases urine output, which would worsen the condition in patients with Diabetes insipidus.
C. Diuretics are used to increase urine output and are not used in the treatment of Diabetes insipidus, as they could exacerbate dehydration.
D. Corticosteroids are not used to treat Diabetes insipidus. They are typically used to treat inflammatory conditions, such as rheumatoid arthritis, but not Diabetes insipidus.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dehydration increases the risk of renal calculi (kidney stones) because it leads to concentrated urine, which promotes the formation of stones. When there is insufficient fluid intake, the kidneys cannot dilute substances like calcium and oxalate, which can form crystals and eventually stones.
B. A sedentary lifestyle is a risk factor for a variety of health issues, including obesity, but it does not directly increase the risk of kidney stones. Physical inactivity can contribute to weight gain, which in turn may increase the risk of developing stones, but it is not as direct a cause as dehydration.
C. Drinking 32 ounces of milk per day does not directly increase the risk for kidney stones. In fact, moderate calcium intake can help prevent the formation of certain types of kidney stones. However, excessive calcium intake from supplements (rather than food) may increase the risk.
D. Running 5 miles does not increase the risk of kidney stones. In fact, regular physical activity can help prevent the formation of kidney stones by promoting overall health and hydration.
Correct Answer is C
Explanation
A. In diabetic ketoacidosis (DKA), serum bicarbonate is typically decreased, not increased. The decrease is due to metabolic acidosis resulting from the accumulation of ketones.
B. Serum potassium is often elevated in DKA initially due to the shift of potassium from inside the cells to the bloodstream as a result of acidosis. However, potassium levels may drop with treatment, especially with insulin administration, which drives potassium back into cells.
C. Urine pH in DKA is often acidic due to the presence of ketones, which are acidic byproducts of fat metabolism. A urine pH of 4.0 indicates aciduria, which is consistent with ketoacidosis.
D. Serum pH in DKA is typically low (below 7.35), indicating acidosis. A serum pH of 7.5 would suggest alkalosis, which is not typical of DKA.
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