NBME 23 Serum BUN: 40;<br />Serum creatinine: 2;<br />Urine Na+: 5;<br />Urine specific gravity: 1.025 (NBME Answers)

Retired NBME 23 Answers

nbme23/Block 2/Question#19 (reveal difficulty score)
A 70-year-old man with severe congestive ...
Serum BUN: 40;
Serum creatinine: 2;
Urine Na+: 5;
Urine specific gravity: 1.025 🔍 / 📺 / 🌳 / 📖
tags: _CHF_ CHF congestive_heart_failure BUN Creatinine

+16 upvote downvote
submitted by ∗brolycow(33)

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He hsa taerh eaurlif hwich ealds to a aseecred ni rnale oobld lfwo dan rpaleern tazmaeoi. nI narlpree i,ozaetam CNUrB: atori si &=g;t 0;2 aotitnAvci fo eht SARA tessmy eud ot eth nlrepare iaeatzom msnae htta teh csep varg is hihg at 0251. and eh si godilhn otno mdisou os raiyurn soiudm wlli eb wol &0t2;(l, aFEN l;1&).t%

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figprincess ddi oyu eifurg tuo teh hte tiaro yb lcalauyt dnidvig uot hte nsmerub insec hte q 'niddt giev ti as a a?otir sloa ahtw coserrue esltl su what rranelep cspe tvrgiay sohlud b?e +

brolycow I usjt luluysa beerremm from lsacs ahtt cesp rvag -1100001..1 si dcsoienedr ildetu uneir, nda gnaiythn 5120. dna abvoe is ron.tentceacd For hsti qenutsio alplyief,ccis I hkint I rrmebeem three lnyo igneb oen ntioop thta neev dah teh aroit =0,>2 lal fo eht tersoh ewer ikle 51 ro s,els os sjtu hvae ot rleu them .tuo +10

benzjonez reyV uhplfel vdieo rof acteu keinyd i:nuryj /hKuwIDhw?.tpoybw=utxQtpvsc6.wmMbKo:a/e/c2t +11

notadoctor rAnoeth xlieaapontn ttah dehepl em is ahtt ltiyibnai to oectrnteacn het neuri enams mogenhsit si nrwgo wtih the kisy.end If uyo evha ieutld eirnu, or the ecsp trvaiyg is bwtneee .01001.1-01 ni soneemo wtih low runei ptutuo it stuggess eghminsto is nowrg wiht eht nniectoaocntr mencssaimh fo eth ekni.yd cuaBsee shit reosnp dha noevcigtes haert frlueai ew ewre yaaerdl iokgnlo ofr ethnmgiso ttah ahtecmd pu ihtw lepenrar eaamozti os we nac tteyrp hcum tge idr fo lla hte nerswa cohicse that ggstues hteor temos.iaaz ehTn nflayil to etg the risecep resanw I klooed ta eht UNrB/C riota cihhw uyo ludwo peextc ot be hi;tgg=h(& 02.) +

mikay92 oWudl ylulf mmdrceone eht OlEdidMenne devoi no I.KA sGoe rhthoug het nreailtfd,fie bla eltss,ur tttrmanee, tec ni a ryve ercal nad seocinc rennam. +

drdoom opsrte via bjnzen@oze t;-&g .=em/2uDt/owvpbocty?swpuc/Kwxh6b.KttMQwaIh: +

drdoom @iamky92 is ihts eth iMneEddnelO ieodv 'yrueo rrefgreni ?to g-&;t ogeuN.stMV/y0bFtWp//5zthutE: +1

drdoom !aha reteh si an puadtde KIA devoi ubt uoy ndee na EMOlnenided e)ef(r tnaocuc ot wvie :it /e-ueey/nntsguenq/nrtojtahiireykpp-derco/lah:gimasc.pul/rydi/oonde +

popofo I rntedsunda taht NBr:CU g;t& 20 if ranel rsioefnpu is pirre,ead btu ni thaer fialeru dowlunt' heret be sirnecdae roseiecnt of /NPABNP ofmr het atari atht pshsue pu the sdimou ?enctexroi +

an1 wtha aoutb P/NA NB?P if CHF is tenpres o'nwt htese ndwo atgeerlu ARS,A ligenda to sesl DHA dna a erom ldetiu rnu?ie I nsutddnrea siht q sysa hte eruni pttuuo hsa aecesedrd os sith dt'wnolu be teh asce ere.h tBu nwhe uwold ew nokw htta etyh watn hte ANB/NPP rothey? +

+1 upvote downvote
submitted by lostdinosaurs(1)

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yeH nac eomseno penlxai hte alrne isn?nidfg Pyosih si feltyeindi ont ym ostrgn iust.

Is ti ceebsau he has la/fidNu+ netrotein atht sih iecsfipc iagrvyt nad +Na rae os lo?w Is three a oarens rof hoets icsficep BicnaNeni/Uret vroe the o?ehrts

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brolycow eH hsa thear ariuelf hchwi daels ot a adeeesrc ni laern lodbo owlf dan renaplre omi.azeta nI peraelrn oatemiza NUBC/r itaor si => 2;0 aoncivAitt fo hte RSAA smeyst due to hte aelrerpn ataeiozm eanms ttha hte espc garv is high ta 2.105 nad eh is dgohlni oton idumos os ayriurn ismdou ilwl eb olw 0<2(, NEFa 1)<.% +7

mousie reeAg hwti ae,ovb HF adn tno tkiagn desm luwod senciear ro tcavitae SRAA = reeacsni IAIT nda osneredtoAl cihhw desla ot obdy aneigirtn aN and O2H os het ieunr noiectnrtanoc of aN lwli be olw dan the einru ilwl eb rvye acodntenrcet ie.. ihgh GS. I idnd't hknti atobu hte rBCU:N > 20 tbu tsih olduw heav laso nrwraedo ti !dwon +2

+1 upvote downvote
submitted by ∗haozhier(23)

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I cohse C ecsbaeu I thgouht it hsa ebne ofur eswek os it msut ehva eebn uceat btaruul cs.nsiroe Cna oyaenn xialn?ep sk!nTha

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miriamp3 izh@ehaor fi ouy ear iinddgec ot ntkhi tath he adh a ATN eucesab of teh 4 esk..we hetn eh lsoduh eb by wno ni teh yceerrvo au(ryleo,psahip r/uBnc llaf) tuB he si tiwh HF and sih urien puotut sha lopessyrvregi drsecaee. So KIA penealrr FH /cuBrn ;2&.0tg hte only neo si .D 'Dont teg cousndef iwth hte trse fo eth to.nifoinrma +

jesusisking I thtuogh teh same gihtn so cohes C as e!llw +

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submitted by ∗imgdoc(183)

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fI oyu eerw ilke me dna rwee inkgniht ttha thsi is uecta ulbtrau ssoncrei seceabu the WU be/staFlA psaaesg nometin HF sa a ceaus fo TAN, neht rade wl.oeb

uoY veha to naudrsdnte ttha ceatu ynekid ruiyjn essitx on a umcseptr nehw ti cmeos to rlnae obdol wlfo esrea.dces fI yuo eavh a etnaitp hwo is lurgoici and owh sah dah alenr odobl olfw lsos eu(d ot xeevsicse dierutci eeuosvr, F,H eoma,hrherg aimsiech fo llbaisacy nay )asceu eht iftrs nhtgi to nppaeh si ELREAPRN TE.AMAZOI rdtwsf,Aaer ouy rrossegp to caeut buurtal sco,ensri ehrwe oyu wlil get eth islscca deesrseca ierun l,molstayio nurie a+N assdcee,re +aNFe ee,ncsari adn mrseu /BNCrU e.scrdaees

eRremebm hist si a rtmsecpu fro lrean odbol fwlo ascr,eeeds het eorm eervse eht emro hnasecc ti wlil speorrgs ot .NTA nI itsh e,csa sit alerrenp iom,eaatz so lyno ecicho D ekmsa ese.sn

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submitted by ∗handsome(3)

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fa 2002 pg 016 t'ERSEH a aetlb bauot elsuav . eedlfxiimpe yb eht oeutiqns dan teh eytogloi of erp lnear toemaziah as sene ni the etaitpn F.-H

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