doc-o8
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21. A 42-year-old woman comes for a follow-up examination. Two weeks ago, her blood pressure was 152/94 mm Hg during a routine visit. Her blood pressure today is 150/94 mm Hg, pulse is 76/min, and respirations are 14/min. Examination shows no other abnormalities. Serum studies show:
Na+
142 mEq/L
Cl–
105 mEq/L
K+
4 mEq/L
HCO3–
26 mEq/L
Urea nitrogen (BUN)
12 mg/dL
Glucose
101 mg/dL
Creatinine
0.8 mg/dL
An ECG shows no abnormalities. Which of the following is the most appropriate next step in management?
A ) Measurement of plasma renin activity
B ) Serum lipid studies
C ) 24-Hour urine collection for measurement of metanephrine level
D ) Echocardiography
E ) Captopril renal scan
B;
22. A 42-year-old woman comes to the physician because of increasing low back pain for 2
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A ) Measurement of plasma renin activity
Na is borderline high
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