support the site ⋅ become a member ⋅ unscramble the egg
free120  nbme24  nbme23  nbme22  nbme21  nbme20  nbme19  nbme18  nbme17  nbme16  nbme15  nbme13 

NBME 18 Answers

nbme18/Block 2/Question#44 (8.2 difficulty score)
35 yo woman, passed out while washing dishes
K+: decreased; HCO3: increased; Anion gap: normal; pH: increased🔍

Login to comment/vote.

 +2  upvote downvote
submitted by sugaplum(224),
unscramble the site ⋅ become a member ($36/month)

FA 2109 pg 555
e cusa of ocaebmtli llaissoka inonigi tmv eesnomo oswh a i,ucmlbe mylkahoaeip and yomaephrciolh rae coomm.n
aonin gap lfmrauo li+Cc()abNbra- icnSe ew hvea iescevexs crbbia hetre luosd'htn eb a rlaeg .pag arNmlo is 2.81-

She's vomiting - Metabolic Alkalosis > loss of HCL > ie; acid, there would be increased HCO3 Anion gaps are usually with metabolic acidosis because in alkalosis there is high HCO3 which keeps gap normal. For the K+ > vomiting > loose water along with the vomit > decreased blood volume > RAAS activation > aldosterone secretes H+ and K+ > hypokalemia