A 58-Year-Old Woman Comes to the Office Due to Increasing

question 1268

Multiple Choice

A 58-year-old woman comes to the office due to increasing fatigue and muscle cramps over the past 2 months.  Medical history is significant for Sjögren syndrome.  Blood pressure is 130/74 mm Hg, and pulse is 86/min.  Physical examination shows enlarged parotid glands and dry oral mucosa.  Laboratory results are as follows: Urine pH is 6.8.  Which of the following is the most likely cause of this patient's acid-base imbalance?

• A)Impaired respiratory muscle function
• B)Impaired urinary acid excretion
• C)Increased gastrointestinal bicarbonate loss
• D)Increased ketoacid production
• E)Increased lactic acid production
• F)Intracellular shift of bicarbonate

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Definitions:

Units Produced

The total quantity of items manufactured during a specific period.

Units Produced

The total number of complete items that are manufactured or completed during a specific period of time.

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A detailed proposal for doing or achieving something, often involving a series of steps or actions.

Stainless Steel

A corrosion-resistant alloy of iron, chromium, and, in some cases, nickel and other metals, widely used for its strength and durability.