Anion gap MCQ 11+

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• In type -2 or proximal renal tubular acidosis
  ক

  Urinary acidification occurs in collecting duct

  খ

  There is hypokalemia

  গ

  PCT fails to secrete hydrogen ions -

  ঘ

  There is reabsorption of bicarbonate ions

  ঙ

  Urinary pH is > 5.5
• Renal tubular acidosis may presents with
  ক

  Failure to thrive

  খ

  Polyuria

  গ

  Polydipsia

  ঘ

  Anemia

  ঙ

  Hypertension
• Features of renal tubular acidosis are
  ক

  Acidosis

  খ

  Hypokalemia

  গ

  Hypercholremia

  ঘ

  Hyperkalemia

  ঙ

  Increased anion gap
• Proximal renal tubular acidosis may be associated with
  ক

  Aminoaciduria

  খ

  Renal glycosuria

  গ

  An inability to lower the urinary pH

  ঘ

  Hypercalciuria

  ঙ

  Hyperkalaemia
• Cause(s) of distal renal tubular (type I) acidosis is (are)
  ক

  Sjogren's syndrome

  খ

  Lithium therapy

  গ

  Amyloidosis

  ঘ

  Hypoaldosteronism

  ঙ

  Carbonic anhydrase inhibitors
• High anion gap metabolic acidosis due to
  ক

  Ketoacidosis

  খ

  Methanol poisoning

  গ

  Lactic acidosis

  ঘ

  Diarrhea

  ঙ

  Hypokalemia
• Plasma anion gap is
  ক

  Increased in lactic acidosis

  খ

  Difference between measured cation and anion in urine

  গ

  Difference between unmeasured cation and anion in plasma

  ঘ

  It is 25-35 meq/L

  ঙ

  Decreased in renal failure
• Causes of high anion gap
  ক

  Ethylence glycol intoxication

  খ

  Hypovolemic shock

  গ

  Salicylate intoxication

  ঘ

  Renal tubular acidosis

  ঙ

  Diarrhoea
• Plasma anion gap is increased in
  ক

  Renal failure

  খ

  Ketoacidosis

  গ

  Lactic acidosis

  ঘ

  Renal tubular acidosis

  ঙ

  Diarrhea
• Anion gap is increased in
  ক

  Methanol poisoning

  খ

  Diabetic ketoacidosis

  গ

  Salicylate poisoning

  ঘ

  Acute watery diarrhoea

  ঙ

  Renal tubular acidosis
• Etiology of high anion gap metabolic acidosis are
  ক

  Lactic acidosis

  খ

  Alcohol poisoning

  গ

  Diarrhoea

  ঘ

  Renal tubular acidosis

  ঙ

  Hypoaldosteronism