Section 3. Medical Calculations
Eloyes Hill and Thomas Colville
QUESTIONS
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1. How many milligrams of a drug should be given to a patient who weighs 22 lb if the dose is 0.2 mg/kg?
a. 2
b. 4.4
c. 20
d. 44
2. A 75-lb dog must be dewormed. If the daily dose of the dewormer is 1 tsp/25 lb of body weight for 3 days, approximately how much should be given each day?
a. 3 tbs
b. 1 tbs
c. 5 tsp
d. 1 tsp
3. A cat on intravenous fluids must receive 30 ml/hr normal saline. If this cat has a drip set that provides 60 drops/ml, what should the drip rate be?
a. 1 drop/2 sec
b. 1 drop/6 sec
c. 3 drops/sec
d. 16 drops/sec
4. The concentration of furosemide (Lasix) is 5%. How many milligrams are in 0.5 ml?
a. 150
b. 2.5
c. 25
d. 50
5. How many milliliters of a drug with a concentration of 100 mg/ml should be given to a 75-lb dog at a dose of 1 mg/lb?
a. 75
b. 100
c. 0.75
d. 0.34
6. A prescription in which 3 ml of lactulose are given orally twice daily will require how many ounces to last at least 30 days?
a. 3
b. 6
c. 90
d. 180
7. A commercial dog food is 420 kcal/cup. A dog weighing 60 lb fed at a rate of 70 kcal/lb/day should be fed how many cups at each meal if you feed him twice a day?
a. 5
b. 10
c. 2
d. 1
8. A cockatiel needs 100 mg/kg piperacillin via intramuscular injection. If the bird weighs 80 g, and the concentration of piperacillin is 100 mg/ml, how many milliliters should be given?
a. 0.08
b. 0.8
c. 80
d. 1.6
9. A rabbit needs 300 μg/kg of a 1% ivermectin solution. If the rabbit weighs 8 lb, how many milliliters of ivermectin should be given?
a. 8
b. 10
c. 0.1
d. 0.8
11. Six 12-oz puppies need deworming medication. If the dose is 1 ml/lb, how many milliliters do you dispense?
a. 12
b. 4.5
c. 6
d. 3
12. To make a solution with a concentration of 15 mg/ml, how many milliliters of sterile water should be added to 30 g of powdered drug?
a. 5
b. 200
c. 150
d. 2000
13. How many tablets would you dispense for a 30-day supply of a drug with a dose of one and one-half tablets three times daily?
a. 500
b. 45
c. 135
d. 90
14. One gram of powdered drug diluted with how many milliliters of sterile water will make a concentration of 20 mg/ml?
a. 0.05
b. 0.2
c. 100
d. 50
15. You regularly order six 10-ml vials per month of a drug that has a concentration of 50 mg/ml. Now that same drug is available in only 20-ml vials of 10 mg/ml. How many vials should you order this month to get the same total amount of drug?
a. 150
b. 60
c. 10
d. 15
16. If a dog that receives fluids at a rate of 120 ml/hr has a rate reduction of 20%, what would be the new rate in milliliters per hour?
a. 1.6
b. 0.4
c. 24
d. 96
17. A cat that weighs 5 kg is given 0.1 ml of a drug with a concentration of 10 mg/ml. What dose did this cat receive?
a. 0.05 mg/kg
b. 0.2 mg/kg
c. 2 mg/kg
d. 25 mg/kg
18. You give 5 mg of a drug to a 10-kg animal. What is the dose of the drug in mg/kg?
a. 2
b. 10
c. 0.5
d. 50
19. A bird that weighs 50 g requires a particular drug at 4 mg/kg divided twice a day. What is the morning dose?
a. 1 mg
b. 4 mg
c. 0.1 mg
d. 100 mg
20. How long will it take to give a whole blood transfusion of 60 ml at a rate of 2 ml/min?
a. 30 hours
b. 3 hours
c. 1/2 hour
d. 1.8 hours
21. If a prescription calls for one tablet to be given for 3 days bid, then one tablet for 5 days sid, then one-half tablet given every other day for 2 weeks, how many tablets should be dispensed?
a. 15
b. 18
c. 20
d. 11
22. Fifty milliliters of a solution of 50% dextrose is added to a liter of 0.45% NaCl with 2.5% dextrose to yield a solution with a final dextrose concentration of what percent?
a. 3%
b. 4.8%
c. 5%
d. 10%
23. A dog consumes five bowls of water in a 24-hour period. Each bowl contained exactly 100 ml. If you collect 475 ml of urine over the same 24-hour period, approximately how many milliliters constitute insensible loss?
a. 475
b. 500
c. 25
d. 5
25. Tidal volume for a dog is 15 ml/kg. If a 10-kg male dog is taking 10 breaths per minute, what is his minute volume?
a. 150 ml/min
b. 1500 ml/min
c. 15 ml/min
d. 10 ml/min
26. The 10-kg dog in the previous question has a diaphragmatic hernia, and his tidal volume is now only 10 ml/kg. If this dog were on a ventilator, what should his breathing rate be changed to?
a. 15 breaths/min
b. 5 breaths/min
c. 8 breaths/min
d. 100 breaths/min
27. An anesthesia machine is set to deliver 1 L/min oxygen and 3% isoflurane. Approximately how many milliliters of isoflurane will be used for a 1-hour procedure?
a. 30
b. 180
c. 2400
d. 1800
28. A 300-g bird must be tube fed 2 ml liquid formula per 100 g body weight three times daily. One gram of powdered formula will yield 15 ml of liquid formula after reconstitution, which is good for 24 hours only. How many grams of powdered formula should you measure out for a 24-hour period, assuming no waste?
a. 0.8
b. 0.4
c. 2.5
d. 1.2
29. A cat with a gastrotomy tube must receive 300 kcal daily. A 15-oz can of the prescribed diet has 1500 kcal. The prescribed diet must be diluted 50:50 with water to flow through the tube, and a maximum of 45 ml can be given at one feeding. Approximately how many feedings does this cat need daily?
a. 10
b. 8
c. 4
d. 2
30. If the cat in the previous question requires an additional 160 ml water daily, how many additional 45-ml boluses of water must be given?
a. 3.5
b. 2.5
c. 1.5
d. 5.5
31. Five tonometer readings in millimeters of mercury are 14, 15, 19, 14, and 18. What is the average (mean) reading?
a. 17
b. 18
c. 16
d. 15
32. A patient requires 3 units of insulin every 12 hours. If the concentration of insulin is 100 units/ml, how many milliliters should be given at each administration?
a. 0.3
b. 30
c. 0.03
d. 0.15
33. If the concentration of the insulin in the previous question were 30 units/ml, what would the volume of insulin given at each administration be?
a. 0.1
b. 10
c. 0.05
d. 0.01
34. A diagnostic laboratory requires 1 ml of serum to run a chemistry panel. A bird with a PCV of 50% would need how many full HCT tubes collected to have enough serum for the est? (Each HCT tube holds 0.1 ml of whole blood.)
a. 100
b. 20
c. 10
d. 5
35. A 20-kg dog with a PCV of 40% has 300 ml of blood collected. The red blood cells are separated from the serum. What volume of saline would you add to the red cells to make a PCV of 50%?
a. 360 ml
b. 240 ml
c. 180 ml
d. 120 ml
37. Six blood pressure readings are 115, 120, 123, 121, 121, and 112 mm Hg. What is the average (mean) value?
a. 123
b. 120
c. 121
d. 119
38. A growth in the skin is 2 inches in diameter. What is the diameter of the growth in centimeters?
a. 2.5
b. 30
c. 20
d. 5
39. The veterinary dermatologist is having you prepare a dog for a patch test. Forty antigens need to be tested, and each antigen must be 1 cm from the next. What size patch should you shave on the dog?
a. 4 cm × 4 cm
b. 20 cm × 20 cm
c. 8 cm × 5 cm
d. 16 cm × 10 cm
40. A 16-oz bottle contains how many milliliters?
a. 480
b. 240
c. 40
d. 1.6
41. Four hundred pounds is how many kilograms?
a. 880
b. 182
c. 600
d. 18
42. A commercial poultry diet contains 18 g of calcium per pound of feed on an as-fed basis. If calcium carbonate, the sole calcium source, is 60% elemental calcium, how much calcium carbonate is in 1 ton of feed?
a. 21.6 kg
b. 30 g
c. 6000 g
d. 18 kg
43. In a feed that has 20 lb of corn, 5 lb of beet pulp, 1 lb bone meal, and 2 lb of whey, approximately what percent is corn?
a. 98%
b. 28%
c. 40%
d. 71%
44. Approximately how many ounces of bleach diluted with water make 1 gallon of a 30% bleach solution (1 qt = 32 oz)?
a. 19
b. 38
c. 3
d. 76
45. A dose of 30 mEq KCl has been added to 1 L of normal saline. What drip rate would provide a patient with 2 mEq KCl/hr?
a. 15 ml/hr
b. 67 ml/hr
c. 6.7 ml/hr
d. 60 ml/hr
46. You have an injectable calcium solution that is 30 mg/ml. How much do you add to 1 L of lactated Ringer solution to deliver 4 mg/hr of calcium at a fluid rate of 30 ml/hr?
a. 133
b. 13.3
c. 4.4
d. 0.67
47. A 5% dextrose solution is diluted with sterile water. The volume of the sterile water added is 40% of the volume of the 5% dextrose solution. What approximately is the new dextrose concentration?
a. 1.4%
b. 2.3%
c. 3.6%
d. 6.5%
48. The volume of an injection for a small iguana is 0.005 ml. This amount is too small to measure accurately. What dilution would allow you to give a volume of 0.05 ml?
a. 1:10
b. 1:100
c. 1:1000
d. 1:50
50. You need to deworm 100 head of cattle with a pour-on product that is applied at a rate of 1 ml/100 lb and is sold in 250-ml bottles. The cattle weigh 825 to 1050 lb each. Approximately how many bottles of dewormer should you purchase?
a. 4
b. 8
c. 10
d. 16
51. The level of fluid in the 1-L IV bag reads halfway between the 4 and 5 marks. How much fluid remains in the bag?
a. 1000 ml
b. 550 ml
c. 450 ml
d. 0.5 L
52. The level of fluid in the 1-L IV bag reads at the 700 mark. How much fluid has been given?
a. 700 ml
b. 300 ml
c. 0.3 L
d. 300 cc
53. How many milligrams of dextrose does 1 ml of 50% dextrose solution contain?
a. 5 mg/ml
b. 50 mg/ml
c. 500 mg/ml
d. 5000 mg/ml
54. The “French” unit is commonly used to express the diameter of a urinary catheter. Each French unit is equivalent to 1/3 mm. What is the diameter of a 12 French catheter in millimeters?
a. 3 mm
b. 4 mm
c. 18 mm
d. 36 mm
55. What is the correct volume of epinephrine, in milliliters, to administer to a 28-lb dog, if the dose is 0.1 mg/kg and the concentration in the bottle is 1:1000 (1 mg/ml)?
a. 2.8
b. 1.4
c. 1.3
d. 0.28
56. How many milligrams of epinephrine are administered in the previous calculation?
a. 0.13
b. 2.8
c. 0.41
d. 1.3
57. How many milligrams of doxapram (Dopram) should be administered to a 7-lb cat, if the dose range is 1 to 5 mg/kg IV and the concentration in the bottle is 20 mg/ml?
a. 9.5
b. 0.59
c. 21
d. 0.21
58. How many milliliters will be administered in the previous calculation?
a. 1.3
b. 2.1
c. 0.95
d. 0.48
59. How many milliliters of a 50:50 mixture of diazepam and ketamine at a dose of 1 ml/20 lb should be given to an 8-lb cat?
a. 0.4 ml diazepam; 0.4 ml ketamine
b. 0.2 ml diazepam; 0.2 ml ketamine
c. 2 ml diazepam; 2 ml ketamine
d. 1 ml diazepam; 1 ml ketamine
60. The suggested oxygen flow rate for a circle rebreathing system is 25 to 50 ml/kg/min and 130 to 300 ml/kg/min for a nonrebreathing system. What is the most appropriate flow setting for a 10-lb cat?
a. 0.3 L
b. 900 ml
c. 3 L
d. 0.9 ml
61. Using the same suggested oxygen flow rates as in the previous question, what is the most appropriate oxygen flow rate for a 32-lb spaniel?
a. 8 L
b. 1.6 L
c. 435 ml
d. 0.435 ml
62. You have just administered an injection of 0.02 ml of acepromazine (10 mg/ml). How many milligrams did you give?
a. 2
b. 0.2
c. 20
d. 200
64. A 0.25 gr (grain) of phenobarbital is how many milligrams?
a. 15.2
b. 14
c. 16.2
d. 32.4
65. Lidocaine of 2% is prescribed for a 13-lb beagle at a dose of 2 mg/kg IV. How many milliliters will you deliver?
a. 1.6
b. 0.16
c. 0.6
d. 6
66. You just administered 1.2 ml of penicillin (300,000 U/ml). How many units did you administer?
a. 260,000
b. 360,000
c. 360
d. 0.26
67. What unit of measure is most commonly used for serum potassium?
a. French
b. mEq
c. International units
d. German
68. Your patient is a 42-lb Shepherd mix with a history of vomiting. The order reads: metoclopramide HCl (5 mg/ml); give 0.3 mg/kg IM q6h prn. How many milliliters will you deliver?
a. 8
b. 1
c. 5
d. 2
69. In the situation in the previous question, how many milligrams will you deliver?
a. 8
b. 1
c. 5.7
d. 2
70. NPH insulin is labeled 100 units/ml. The order is for a 12-lb poodle and reads: NPH insulin 1 unit/kg qd. How many units do you deliver?
a. 4
b. 3
c. 5.5
d. 6
71. How many milliliters will you draw up to deliver the number of units in the previous question?
a. 4
b. 3
c. 6
d. 0.05
72. You are preparing an insulin drip. If you add 1 unit of insulin per 100 ml of IV fluid, how many units will you add to the 1-L bag of fluids?
a. 100
b. 1
c. 10
d. 1000
73. The insulin drip prepared in the previous question is to be administered at 1 unit/hr. How many milliliters will this be per hour?
a. 1
b. 10
c. 0.01
d. 100
74. What would be the drip rate per second for 6 units of insulin using the drip prepared in Question 72 (1 unit/100 ml) administered over a 2-hour period using a 60 gtt (drops)/ml administration set?
a. 1 gtt/sec
b. 0.5 gtt/sec
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