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WorksheetsE2 DKA quiz
Total questions: 10
Worksheet time: 20mins
1. Ms. Y a 25 year old female, presented to the Emergency department with reduced consciousness (Coma like state). Upon examination she was diagnosed to be in shock. Choose the correct sequence of emergency management for this patient.
Resuscitation, IV fluid therapy, IV insulin therapy
IV insulin therapy, Resuscitation, IV fluid therapy
IV fluid therapy, IV Insulin therapy, Resuscitation
IV fluid therapy, Resuscitation, IV insulin therapy
2. Mr. O, an 18 year old male, who came to the Emergency department with shock, was initially resuscitated and given IV fluids along with Insulin. But he was still in shock and symptoms were not improved. What is your next step of management?
Give mannitol 0.5 - 1 g/kg or hypertonic solution
Re-evaluate and Repeat the above procedure of Resuscitation
Transition to SC insulin therapy
Add 5% dextrose in the infusate and adjust type of IV fluid based on serum sodium concentration after 4 - 6 hours
3. Mr. B is a 26 year old male, he came to the hospital with abdominal pain and vomiting. Upon examination, he was hyperventilating and showed some signs of dehydration. He was not in shock and was fully conscious. Which of the following is the most appropriate step to manage Mr. B?
IV fluid therapy, electrocardiography (ECG), potassium therapy
IV fluid therapy, IV insulin infusion
Nasogastric tube insertion, saline infusion
Wait and observe
4. Mr. D was a 25 year old, he came to the hospital with abdominal pain and vomiting. He is diagnosed by a physician with diabetic ketoacidosis (DKA). IV fluid therapy was given to him, what would be the next appropriate step?
IV insulin infusion with dosage of 0.1 - 0.2 unit/kg/hour
Subcutaneous insulin
Oral insulin
IV insulin infusion with dosage of 0.05 - 0.1 unit/kg/hour
5. Ms. V is a 19 year old female, she came with complaints of mild abdominal pain and vomiting. Upon examination, she showed minimal signs of dehydration and she is tolerating oral fluid. Which of the following should be the next step of management for Ms. V?
Resuscitation
IV fluid therapy, electrocardiography (ECG), potassium therapy
Subcutaneous insulin, oral hydration
IV insulin, saline infusion
6. Mr. J is a 24 year old male, he came to the hospital due to vomiting and mild abdominal pain, he was diagnosed with diabetic ketoacidosis (DKA) by a physician and subcutaneous insulin and oral hydration was initiated but he showed no signs of improvement. What would be the next step of management for Mr. J?
Resuscitation
Increase dosage of subcutaneous insulin, IV fluid therapy
IV fluid therapy, electrocardiography (ECG), potassium therapy
Nasogastric tube insertion, potassium therapy
7. Mr. A, a 35 year old male was brought to the Emergency department with complaints of Vomiting and hyperventilation by his wife. Please choose the correct sequence of Emergency management for this patient,
IV fluid therapy, IV Insulin therapy
IV Insulin therapy followed by IV fluid therapy
IV fluid therapy only
IV Insulin therapy only
8. Mr. Q was treated in the Emergency care for DKA and was under observation. Later he was found to be irritable, drowsy and suffering from a headache, and was suspected to have cerebral edema. What is the next course of treatment for Mr. A?
No further treatment required
Transition to SC Insulin form IV insulin
Give mannitol 0.5 - 1 g/kg or hypertonic solution, Transfer for ICU with specialist care
Add 5% dextrose in the infusate and adjust type of IV fluid based on serum sodium concentration after 4 - 6 hours
9. Ms. G came to the emergency department in shock with reduced conscious level, the physician present diagnosed her with diabetic ketoacidosis (DKA) and resuscitation was done immediately. She was critically observed after she was stabilized. You noticed her BG level reached 15 mmol/L, what would be the next step of management?
Mannitol administration, restriction of IV fluids
Addition of dextrose, adjustment of IV fluid type based on serum sodium concentration
Initiate subcutaneous insulin
Initiate treatment for sepsis
10. After initial management for DKA, Ms. Z showed signs of improvement, she is tolerating well with oral fluids and appears clinically well, what would be the next step of management?
Mannitol administration and restrict fluid
No further management is required
Start subcutaneous insulin and stop IV insulin immediately
Start subcutaneous insulin and stop IV insulin after an appropriate interval
