A 42-Year-Old Male Is Brought to the ER Due to Found

question 38

Multiple Choice

A 42-year-old male is brought to the ER due to found to be unresponsive. He has a history of alcohol disorder. In ER he looks disoriented, malnourished, and confused. Thiamine, Folic acid, and dextrose-containing IV fluid are given. After a few hours. He develops marked muscle weakness. On lab tests there is an obvious low serum phosphate concentration of 0.4 mg/dl (normal: 2.5-4.5) . Which of the following is the most likely cause of this patient's low serum phosphate level?

• A)Decreased renal proximal tubular reabsorption
• B)Increased colonic excretion of phosphate
• C)Increased extracellular binding with calcium
• D)Increased uptake by bone cells
• E)Redistribution of phosphate into hepatic and muscle cells

---

Definitions:

Passive Approach

A strategy or method that involves minimal intervention, often referring to investment strategies or management styles.

Self-correction

The adjustment process by which economic variables return to their long-run equilibrium without government intervention, often seen in business cycle contexts.

Nominal Wages

The amount of money paid to workers before adjustments for inflation, representing the face value of compensation received.

Real Wages

Wages adjusted for inflation, representing the purchasing power of income earned from work.