need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 18 Answers

nbme18/Block 2/Question#44 (reveal difficulty score)
35 yo woman, passed out while washing dishes
K+: decreased; HCO3: increased; Anion gap: normal; pH: increased ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +11  upvote downvote
submitted by โˆ—aneurysmclip(209)
get full access to all contentpick a username

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

get full access to all contentpick a username
schep  Dirtyusmle has a good video on this topic if you're like me and struggle with renal https://www.youtube.com/watch?v=8codyTuFccI&list=PL5rTEahBdxV71pfkyqb3lpUMvVVFxuU-R&index=11 +3



 +3  upvote downvote
submitted by โˆ—sugaplum(487)
get full access to all contentpick a username

FA 2019 pg 555
cause of metabolic alkalosis vomiting in someone whos a bulemic, hypokalemia and hypochloremia are common.
anion gap formula Na-(Cl+bicarb) Since we have excessive bicarb there shouldn't be a large gap. Normal is 8-12.

get full access to all contentpick a username



Must-See Comments from nbme18

feliperamirez on He is medically qualified to drive
anechakfspb on Tubular atrophy
aneurysmclip on Endothelial nitric oxide synthase production
azibird on 24,25-Dihydroxycholecalciferol
famylife on Increased transcription of HMG-CoA reductase
match95 on Plasmid loss
apurva on Antineoplastic
cbreland on Basement Membranes
match95 on Proximal tubule: isotonic; Macula densa: ...
sugaplum on Abnormal migration of endoderm from the ...
amirmullick3 on Myelofibrosis
merpaperple on Primary spermatocyte
wishmewell on Alpha-synuclein
namira on Greening reaction on blood agar

search for anything NEW!