A 21-Year-Old Man Is Brought to the Emergency Department Due

question 202

Multiple Choice

A 21-year-old man is brought to the emergency department due to diffuse muscle aches and weakness.  He has also noticed darkening of his urine.  The patient recently joined the military and was participating in rigorous training exercises in hot weather earlier in the day.  He has no significant medical conditions and takes no medications.  Medical evaluation and laboratory testing performed prior to military enlistment showed no abnormalities.  Temperature is 36.7 C (98 F) , blood pressure is 100/60 mm Hg, pulse is 105/min, and respirations are 16/min.  Physical examination shows dry mucous membranes and muscle tenderness over the bilateral thighs and calves.  Laboratory results are as follows: Which of the following urine microscopy findings is most likely to be seen in this patient?

• A)Dysmorphic red blood cells
• B)Eosinophils
• C)Granular casts
• D)Isomorphic red blood cells
• E)Polymorphonuclear leukocytes
• F)Red blood cell casts

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Definitions:

Conscientiousness

A personality trait characterized by thoroughness, a high level of organization, dependability, efficiency, and a strong sense of duty.

Openness To Experience

A personality dimension that involves willingness to try new things, embrace new ideas, and engage in imaginative and intellectual activities.

Self-Centered And Narcissistic

Characteristics of an individual who is excessively preoccupied with themselves, lacking empathy and consideration for others.

21st Century

The current century, spanning from the year 2001 to 2100.