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Kaplan Qbank USMLE



Author9 Posts
  #1

You are the health care provider of two patients. One of them is a 22y/o pregnant woman, in her second trimester, with no complaints and a normal physical examination , the other one is an alcoholic cirrhotic with decompensation.
Wich one of these do they share in pathophysiology?
a- ankle edema
b-respiratory alkalosis
c-proteinuria
d-increase abdominal girth
e-gynecomastia


Please explain.

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  #2

E, the mechanism for breast enlargement is same in pregnancy and cirrhosis :arrow: Inc. estrogen

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  #3

estrogen in pregnancy?

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  #4

ankle edema, due to fluid overload?

  #5

"Maty" wrote:
You are the health care provider of two patients. One of them is a 22y/o pregnant woman, in her second trimester, with no complaints and a normal physical examination , the other one is an alcoholic cirrhotic with decompensation.
Wich one of these do they share in pathophysiology?
a- ankle edema
b-respiratory alkalosis
c-proteinuria
d-increase abdominal girth
e-gynecomastia


Please explain.


I would go with b) respiroatry alkalosis, in both cases, there are increased levels of progesterone to stimulate respiratory center.
Ankel edema is not a routine sign during pregnancy althought it can be not clinical significance;
Proteinuria also is not a routine nor normal sign in pregnancy.
Both have inc abdominal girth but different pathophysiology;
I don't think "gynecomastia" is a right word for pregnant woman; and prolactin, progesterone, estrogen all contribute to the enlargement of the breasts during pregnancy.
Any thoughts?

  #6

respiratory alkalosis

  #7

You got it right man :lol: :lol: :lol:

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  #8

"Maty" wrote:
You got it right man :lol: :lol: :lol:



Who ?

  #9

Tess and you.

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