Audio Qbank – Q308 – A 64F with diabetes

 

A 64-year-old woman with a 30-year-history of poorly controlled type II diabetes mellitus presents to the physician for a one-week history of nosebleeds and fatigue. Serum creatinine is 2.2 mg/dL. A renal biopsy is shown.

Which of the following is most likely to be seen in this patient?

↑ 24,25-OH2-Vitamin D3; ↑ Serum ALP; ↑ pCO2
↑ 24,25-OH2-Vitamin D3; ↑ Serum ALP; ↓ pCO2
↑ 24,25-OH2-Vitamin D3; ↓ Serum ALP; ↑ pCO2
↑ 24,25-OH2-Vitamin D3; ↓ Serum ALP; ↓ pCO2
↓ 24,25-OH2-Vitamin D3; ↑ Serum ALP; ↑ pCO2
↓ 24,25-OH2-Vitamin D3; ↑ Serum ALP; ↓ pCO2
↓ 24,25-OH2-Vitamin D3; ↓ Serum ALP; ↑ pCO2
↓ 24,25-OH2-Vitamin D3; ↓ Serum ALP; ↓ pCO2

 

Cut-to-the-chase Answer (0:42):