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Kaplan Qbank USMLE



Author2 Posts
  #1


A 6-year-old boy with cystic fibrosis is

brought to the

physician by his mother because his skin has been cool

and clammy for 30

minutes. Earlier in the day, he had been playing

outdoors, and the

temperature was 99 F. When returning indoors, he was

thirsty and restless. His

blood pressure is 70/40 mm Hg, and pulse is 120/min.

Examination shows

dry mucous membranes. Serum sodium level is 128

mEq/L, and serum

chloride level is 87 mEq/L. Which of the following is

the most likely

explanation for these findings?

A

) Excessive sweat electrolyte level

B

) Excessive sweat volume

C

) Excessive urinary output

D

) Excessive vasopressor secretion

E

) Inadequate sweat production



___________________
You become what you think you are!

  #2

A

that is why pts of cystic fibrosis are prone to develop heat cramps in hot environment.


Edited by dr.wad on 02/23/08 - 05:57 PM







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