Certified Hemodialysis Technologist/Technician Exam Medications and Pharmacology in Dialysis 2

Question 1

Which medication is used to reverse heparin anticoagulation in cases of bleeding during hemodialysis?

Accepted Answer

Protamine sulfate

Answer

Vitamin K

Answer

Fresh frozen plasma

Answer

Tranexamic acid

Question 2

Cinacalcet (Sensipar) is used in dialysis patients to treat which condition?

Accepted Answer

Secondary hyperparathyroidism

Answer

Anemia

Answer

Hypertension

Answer

Metabolic acidosis

Question 3

Which active form of vitamin D is most commonly prescribed to dialysis patients?

Accepted Answer

Calcitriol (1,25-dihydroxyvitamin D)

Answer

Ergocalciferol (D2)

Answer

Cholecalciferol (D3)

Answer

25-hydroxyvitamin D

Question 4

What is the primary concern when administering EPO (erythropoietin) to a dialysis patient with uncontrolled hypertension?

Accepted Answer

EPO can further increase blood pressure and risk of stroke

Answer

EPO lowers blood pressure dangerously

Answer

EPO is ineffective in hypertensive patients

Answer

EPO depletes iron stores faster in hypertension

Question 5

A dialysis patient taking calcium carbonate as a phosphate binder should be instructed to take it:

Accepted Answer

With meals to bind dietary phosphate

Answer

On an empty stomach 1 hour before meals

Answer

At bedtime

Answer

After dialysis sessions only

Question 6

Which electrolyte imbalance is most commonly treated with sodium bicarbonate supplementation in dialysis patients?

Accepted Answer

Metabolic acidosis

Answer

Hyperkalemia

Answer

Hypercalcemia

Answer

Hyperphosphatemia