Beruflich Dokumente
Kultur Dokumente
Week 2
1.
A 28-year-old man decides to donate a kidney to his
brother, who is in chronic renal failure, after HLA
typing suggests that he would be a suitable donor.
He is admitted to the hospital, and his right kidney is
removed and transplanted into his brother. Which of
the following indices would be expected to be
decreased in the donor after full recovery from the
operation?
(A) Creatinine clearance
(B) Creatinine production
(C) Daily excretion of sodium
(D) Plasma creatinine concentration
(E) Renal excretion of creatinine
2.
A 65-year-old man develops oliguria and peripheral edema over a
period of weeks. Urinalysis reveals hematuria and proteinuria;
examination of the urinary sediment reveals red cell casts.
Radiologic and ultrasound studies fail to demonstrate an
obstructive lesion. Renal biopsy shows many glomerular
crescents. This presentation is most suggestive of which of the
following conditions?
(A) Anti-glomerular basement membrane disease
(B) Diabetic nephropathy
(C) Hypertensive nephropathy
(D) Lupus nephritis
(E) Minimal change disease
3.
A 46-year-old female patient with epilepsy has a grand mal seizure while in the
hospital. Laboratory values obtained shortly after the seizure included
plasma
arterial blood
Na+ = 144 mEq/L
PO2 = 95 mm Hg
K+ = 6 mEq/L
PCO2 = 32 mm Hg
Cl- = 100 mEq/L
pH = 7.2
HCO3- = 10 mEq/L
Which of the following best describes the acid base disturbance
A metabolic acidosis with respiratory compensation
B metabolic acidosis with respiratory alkalosis
C metabolic alkalosis with respiratory alkalosis
D respiratory acidosis with metabolic alkalosis
E respiratory acidosis with nongap metabolic acidosis
Winters formula
Expected PCO2 = 23 +/- 2
Expected CO2 < Measured concurrent
respiratory acidosis
4.
In the diagram shown, point X indicates the acid-base status of ahealthy person
at sea level. Which of the following is the most likely cause of the condition
indicated by point Y?
5.
A 35-year-old man with type 1 diabetes is admitted to the emergency
depaqrtment after being found unconscious and unresponsive
at home. His breath has a "fruity" odor. His wife told the EMTs that
his diabetes had been "out of control" lately and that he has no other
medical problems. His breathing is deep and rapid. An arterial
blood sample is taken for analysis. Which of the following sets
of arterial blood gases is most likely.
A pH 7.00; PCO2 50; HCO3- 12
B pH 7.22; PCO2 30; HCO3- 12
C pH 7.56; PCO2 40; HCO3- 35
D pH 7.51; PCO2 45; HCO3- 35