A Patient Presents with a Urine Flow (V), of 12

question 7

Multiple Choice

A patient presents with a urine flow (V) , of 12 L/day. You find that plasma osmolality (P_OSM) is above normal and that plasma AVP levels are very low. Based on this information, and given the following choices, what is your best diagnosis for this patient?

• A) Hypothalamic (central) diabetes insipidus
• B) Nephrogenic diabetes insipidus
• C) Diabetes mellitus
• D) Polydipsic diabetes insipidus
• E) Diabetes macula densa

---

Definitions:

Bulimic Symptoms

Manifestations of bulimia nervosa that include binge eating followed by self-induced vomiting or other forms of purging to prevent weight gain.

Internalize

The process of incorporating the values, attitudes, or norms of another into one’s own belief system.

Depressive Subtype

Specific categories or sets of characteristics that differentiate among various forms of depression, based on symptoms, severity, duration, or presumed causes.

Major Depression

A more severe form of depression involving significant depressive episodes that affect daily life, including work, sleep, and personal relationships.