A 50-Year-Old Male Comes to the Office for Routine Follow

question 227

Multiple Choice

A 50-year-old male comes to the office for routine follow up. He has a chronic kidney disease due to diabetic nephropathy. He has also hypertension and hyperlipidemia. Blood pressure is 140/85 mmHg and pulse is 85/min. weight is 82kg. Physical examinations are normal. Serum creatinine is 1.8 mg/dl and it has been increasing over the past 2 year. Serum calcium and phosphorus levels are in the normal range. Which of the following is most likely responsible for maintaining the serum phosphorus within normal range despite declining renal function?

• A)Elevated serum thyrotropin
• B)Hypocalcemia
• C)Hypomagnesemia
• D)Increased serum fibroblast growth factor 23 level
• E)Suppressed serum parathyroid hormone level

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Definitions:

Physical Needs

Basic human requirements for survival and well-being, such as food, water, shelter, and sleep.

Intrinsic Benefits

Advantages or positive aspects inherent to something, not dependent on external factors.

Benefit

An advantage, gain, or positive outcome derived from a situation, action, or policy.

Maslow's Hierarchy

A theory in psychology proposed by Abraham Maslow, depicting a five-tier model of human needs, arranged in a hierarchy from basic needs to self-actualization.