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8/11/2019 Neurology Questions
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Nephrology - Item 1
A 20-year-old woman is evaluated during the third trimester of an otherwise uneventful first
pregnancy because of right calf tenderness. Medical history is unremarkable. On physicalexamination she is anxious afebrile and slightly tachypneic. !er respiratory rate is "#$min and
blood pressure is "0%$&% mm !g. !er abdomen is slightly tender. !er right calf is tender but no
venous cord is pal-pable. !oman's sign is negative.(aboratory studies)!ematocrit *"+
(eukocyte count ,000$( normal differential/latelet count 220000$(lood urea nitrogen % mg$d(1erum creatinine 0.# mg$d(
1erum sodium "*2 me$(1erum potassium *., me$(1erum chloride ,% me$(1erum bicarbonate 20 me$(
Arterial oxygen saturation ,3+4rinalysis p! #.0 specific gravity ".020 dipstick negative normal microscopicexamination5hich of the following clinical scenarios is most likely based on this patient's serum electrolyte
values67A8 Acute respiratory alkalosis secondary to a possible pulmonary embolism
78 Metabolic acidosis due to a gastrointestinal disorder
798 !yperchloremic metabolic acidosis caused by renal tubular acidosis
7:8 ;ormal electrolyte values in a pregnant woman
Nephrology - Item 2
A #3-year-old man has a "0-year history of hypertension hypercholesterolemia treated withlovastatin and intermittent claudication diagnosed 2 years ago. :espite treatment with b-blockersand diuretics his blood pressure readings are typically "30$"00-"0% mm !g and have never
reached the goal of "
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8/11/2019 Neurology Questions
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Nephrology - Item 3
A &&-year-old woman is evaluated because of dysuria urinary freuency pyuria and fever. Onphysical examination the patient weighs %< kg 7"", lb8. !er temperature is *3.0 ?9 7"00.
