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  #1  
Old 03-24-2012
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Kidney Nephrology Question.....pls explain


A 12-year-old girl with type 1 diabetes mellitus is
brought to the
physician because of shortness of breath and fatigue
for 1 day. Since
menarche began 4 months ago, she has had one episode
of diabetic
ketoacidosis per month; prior to that she had been
stable. Her blood pressure is
110/70 mm Hg, pulse is 140/min, and respirations are
36/min. She
appears to be moderately dehydrated. Laboratory
studies show:


Serum
Na+ 132 mEq/L
Cl– 90 mEq/L
K+ 5.9 mEq/L
HCO3– 6 mEq/L
Urea nitrogen (BUN) 48 mg/dL
Glucose 600 mg/dL
Creatinine 2.8 mg/dL
Urine
Glucose 4+
Ketones 3+
Protein 1+

Which of the following is the most likely underlying
cause of this
patient's respiratory disorder?

A
) Acute interstitial nephritis

B
) Acute renal failure

C
) Diabetic nephropathy

D
) Hyperinsulinemia

E
) Increased plasma ketone level
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  #2  
Old 03-24-2012
tyagee's Avatar
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e? she has Dka...kussmauls?
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  #3  
Old 03-24-2012
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Warning!

Please mark NBME questions as such!
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  #4  
Old 03-24-2012
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damn! its nbme q.
@benny
personal request, do not put in nbme q,i havent accessed myself still. whats point in solving q first and then getting false assessment??please consider.

if u want to put in nbme q , please mention in the question, so that i can leave that q.
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Old 06-17-2012
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acute renal failure
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  #6  
Old 06-19-2012
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hello.
PLEASE do not post NBME questions.
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  #7  
Old 06-19-2012
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Quote:
Originally Posted by achistikbenny View Post
A 12-year-old girl with type 1 diabetes mellitus is
brought to the
physician because of shortness of breath and fatigue
for 1 day. Since
menarche began 4 months ago, she has had one episode
of diabetic
ketoacidosis per month; prior to that she had been
stable. Her blood pressure is
110/70 mm Hg, pulse is 140/min, and respirations are
36/min. She
appears to be moderately dehydrated. Laboratory
studies show:


Serum
Na+ 132 mEq/L
Cl– 90 mEq/L
K+ 5.9 mEq/L
HCO3– 6 mEq/L
Urea nitrogen (BUN) 48 mg/dL
Glucose 600 mg/dL
Creatinine 2.8 mg/dL
Urine
Glucose 4+
Ketones 3+
Protein 1+

Which of the following is the most likely underlying
cause of this
patient's respiratory disorder?

A
) Acute interstitial nephritis

B
) Acute renal failure

C
) Diabetic nephropathy

D
) Hyperinsulinemia

E
) Increased plasma ketone level
intrarenal azotemia
__________________
Everything is possible for him who believes (MARK 9:23)
245/247/passed on 1st attempt/223/2mos Obsie /3 US LORS/visa not needed/2008 grad
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