A patient has symptoms of lethargy, oliguria, and itchy and dry skin. The patient also has chronic conditions including hypertension, type 2 diabetes mellitus, and coronary artery disease. Blood workup shows a drastic decrease in hemoglobin and hematocrit.
Which condition is described?
Polycystic kidney disease
End-stage renal disease
Renal cell carcinoma
Hypertensive kidney disease
The Correct Answer is B
ESRD is a condition in which the kidneys lose their ability to filter waste and fluid from the blood, resulting in a buildup of toxins and fluid in the body. ESRD can cause symptoms such as lethargy, oliguria (reduced urine output), and itchy and dry skin due to uremia (high levels of urea in the blood). ESRD can also cause anemia (low levels of red blood cells), which can explain the decrease in hemoglobin and hematocrit. ESRD can be caused by chronic conditions such as hypertension, diabetes, and coronary artery disease, which damage the kidneys over time.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
More H and HCO3 form, decreasing the blood's pH.
Rationale: Hypoventilation is a condition where the breathing rate is too slow or shallow, resulting in insufficient removal of carbon dioxide (CO2) from the body. CO2 reacts with water (H2O) to form carbonic acid (H2CO3), which can dissociate into hydrogen ions (H+) and bicarbonate ions (HCO3-). Therefore, when CO2 accumulates in the blood due to hypoventilation, more H2CO3 is formed, which lowers the blood's pH by increasing the concentration of H+ and HCO3-.
Correct Answer is B
Explanation
Metabolic acidosis is a condition where the blood's pH is lowered due to an excess of non-volatile acids in the body, such as lactic acid, ketoacids, or ingested acids. This can occur due to diabetes, kidney failure, diarrhea, or ingestion of toxins.
The body has several mechanisms to compensate for metabolic acidosis and restore the normal pH balance. One of them is to hyperventilate, which helps to remove CO2 from the body and reduce the formation of H2CO3.
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