Rationale for advising a decrease in dietary intake of sodium chloride in hepatic disease... - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-23-2012
Step-step's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 309
Threads: 19
Thanked 117 Times in 85 Posts
Reputation: 127
Default Rationale for advising a decrease in dietary intake of sodium chloride in hepatic disease...

Which of the following is the rationale for advising a decrease in dietary intake of sodium chloride in patients with hepatic disease who develop edema?

A) Edema fluid has a high concentration of Cl

B) Glomerular filtration rate is increased

C) Injured hepatocytes are more permeable to Na

D) Secondary hyperaldosteronism is present

E) Serum globulin concentration is increased
Reply With Quote Quick reply to this message
The above post was thanked by:
sruthi (08-23-2012)



  #2  
Old 08-23-2012
USMLE Forums Guru
 
Steps History: Not yet
Posts: 375
Threads: 17
Thanked 131 Times in 81 Posts
Reputation: 147
Default

D ????????????
Reply With Quote Quick reply to this message
  #3  
Old 08-23-2012
Step-step's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 309
Threads: 19
Thanked 117 Times in 85 Posts
Reputation: 127
Default

yes, D is correct.

Chronic liver injury
↓ ↓
Necrosis + Regeneration

Fibrosis + Regenerative Nodule

Cirrhosis

Inhibition of blood flow from portal vein to sinusoids and sinusoids to central vein

Blood backs up into portal vein

Portal hypertension

Increased hydrostatic pressure and decreased oncotic pressure (due to decreased production of albumin)

Fluid loss from vessels (transudate)

Decreased plasma volume

Decreased Renal Blood flow

Increased Renin from Juxtaglomerulo apparatus

Increased Aldosterone (secondary aldosteronism)

Increased sodium and water retention




I can't take credit for this explanation... it's not mine... but I think its put together very well.
Reply With Quote Quick reply to this message
The above post was thanked by:
Doc4Step1 (08-23-2012), dr.Zh (08-24-2012), drssbaz (08-24-2012)
 
  #4  
Old 08-23-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,039
Threads: 189
Thanked 570 Times in 323 Posts
Reputation: 580
Default my answer

D) Secondary hyperaldosteronism is present
Reply With Quote Quick reply to this message



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Chloride levels in hypealdosteronism? tyagee USMLE Step 1 Forum 2 06-23-2012 08:56 AM
Osmolarity, Serum Sodium, and Water Intake! Kabutar111 USMLE Step 1 Forum 38 05-02-2012 09:42 PM
Advising Teens on how to build muscles! usmleman2020 USMLE Step 1 Forum 6 08-15-2011 12:11 PM
How to help a hypertensive decrease salt intake kemoo USMLE Step 1 Forum 2 01-18-2011 07:43 AM
Maternal Drug Intake and Baby's Jaundice RRMadukha USMLE Step 2 CK Forum 2 05-19-2010 01:13 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)