HY USMLE Q #1137 – Cardio / Renal

A 26-year-old man is admitted to hospital for accelerated hypertension and advanced hypertensive retinopathy. Serum creatinine concentration is 4.5 mg/dL. He has a friction rub heard over the central chest. Which of the following is most likely to be seen in this patient?

   Diffuse ST-segment elevations; ↑ Bicarb; ↑ Calcium; ↑ PTH
   Diffuse ST-segment elevations; ↑ Bicarb; ↓ Calcium; ↑ PTH
   Diffuse ST-segment elevations; ↑ Bicarb; ↑ Calcium; ↓ PTH
   Diffuse ST-segment elevations; ↑ Bicarb; ↓ Calcium; ↓ PTH
   Diffuse ST-segment elevations; ↓ Bicarb; ↑ Calcium; ↑ PTH
   Diffuse ST-segment elevations; ↓ Bicarb; ↓ Calcium; ↑ PTH
   Diffuse ST-segment elevations; ↓ Bicarb; ↑ Calcium; ↓ PTH
   Diffuse ST-segment elevations; ↓ Bicarb; ↓ Calcium; ↓ PTH
   Electrical alternans; ↑ Bicarb; ↑ Calcium; ↑ PTH
   Electrical alternans; ↑ Bicarb; ↓ Calcium; ↑ PTH
   Electrical alternans; ↑ Bicarb; ↑ Calcium; ↓ PTH
   Electrical alternans; ↑ Bicarb; ↓ Calcium; ↓ PTH
   Electrical alternans; ↓ Bicarb; ↑ Calcium; ↑ PTH
   Electrical alternans; ↓ Bicarb; ↓ Calcium; ↑ PTH
   Electrical alternans; ↓ Bicarb; ↑ Calcium; ↓ PTH
   Electrical alternans; ↓ Bicarb; ↓ Calcium; ↓ PTH

Leave a Reply

Your email address will not be published. Required fields are marked *