Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  DM 




 
Kaplan Qbank USMLE



Author5 Posts
  #1

A 45-year-old male complains of fatigue and increased frequency of
urination. Questioning reveals that he is somewhat confused. Physical
examination reveals a 5'10", 240 lb. individual whose fat is centrally
distributed. Urine is positive for glucose, but negative for ketones.
A blood sample drawn from this patient is likely to exhibit which of
the following compared to that of a normal individual?
A. Decreased concentration of C-peptide
B. Decreased pH
C. Increased antibodies against islet cell proteins
D. Increased concentration of b-hydroxybutyrate
E. Increased osmolarity

doubt B or E
a short explanation please...

  #2

Increased osmolarity

am i correct, crista will you please give corrrrrect ans

  #3

looks like hyperosmolar nonketotic ...therefore E

  #4

A-.nope he's got type 2 (fat, older,)
B-nope nothing in stem about acidosis + no ketones in urine
C-nope Type 2
D-Nope no ketones in urine
E- yep glucose in urine means over 200mmol/dL in plasma, that adds to oveall osmolarity of plasma.

___________________
"Life not lived for others, is not worth living" Uncle Einstein
"A life is not important, except in the impact it has on other lives" -Jackie Robinson

  #5

yes,E







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.