A 50-Year-Old Man Is Being Evaluated in the Office for Medication

question 494

Multiple Choice

A 50-year-old man is being evaluated in the office for medication adujstment due to recent finiding in last echocardiogram. He has a history of systolic heart failure. He reports a new feeling fatigue after short distances. The physician decides to add spironolactone to the treatment regimen.  The addition of this medication is most likely to cause a decrease in which of the following?

• A)Hydrogen ion generation by the proximal convoluted tubule
• B)Hydrogen ion secretion from the collecting duct
• C)Na+/K+/2Cl- cotransport in the thick ascending limb
• D)Proximal convoluted tubule brush border transport capacity
• E)Urea reabsorption in the collectin duct

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Definitions:

Equity

The principle of fairness or justice in the way people are treated, including the distribution of resources or treatment based on needs and merits.

Over Benefited

A condition in which an individual perceives receiving more from a relationship or exchange than they contribute to it.

Under Benefited

A feeling or situation where an individual perceives they are receiving less reward than they deserve compared to others.

Overbenefited

A situation where one receives more benefits or resources than what is fair or deserved.