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Kaplan Qbank USMLE



Author8 Posts
  #1

(QId - 244) A 45-year-old male was involved in an argument over a drug deal. He ended up being shot in the head and abdomen. He was immediately intubated and taken to the operating room for an exploratory laparotomy. Postoperatively, he remained on the ventilator and was started on total parenteral nutrition. Seven days later, he developed a sudden onset of glucose intolerance. What does this most likely indicate?

A) Liver dysfunction

B) Sepsis

C) Hypophosphatemia

D) Bowel atrophy

E) Carbon dioxide retention



  #2

A


  #3

He has been parenteral nutrition.
I think answer is D. bowel atrophy

  #4

an abrupt rise in blood glucose concentration may be the first indication of impending SEPSIS

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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)

  #5

yes sepsis

  #6

Most likely B
I am not sure about D as the Q does not say if intolerance occured after entaral nutrition was started... In any way, it is kind of short period of time for bowel atrophy

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Don't live in a town where there are no doctors

  #7

complications parenteral nutrition HYPERGLICEMIA(causes:glucose overload,Diabetes,rapid infusion,sepsis

  #8

THANKS LILIAELIZ








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