nbme2 bl2 q17 - sweetiful - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: nbme2 bl2 q17 - sweetiful (/showthread.php?tid=521317) |
nbme2 bl2 q17 - sweetiful - ArchivalUser - 07-25-2010 17. A 42-year-old woman comes for a follow-up examination. Two weeks ago, her blood pressure was 152/94 mm Hg during a routine visit. Her blood pressure today is 150/94 mm Hg, pulse is 76/min, and respirations are 14/min. Examination shows no other abnormalities. Serum studies show: Na+ 142 mEq/L Cl“ 105 mEq/L K+ 4 mEq/L HCO3“ 26 mEq/L Urea nitrogen (BUN) 12 mg/dL Glucose 101 mg/dL Creatinine 0.8 mg/dL An ECG shows no abnormalities. Which of the following is the most appropriate next step in management? A ) Measurement of plasma renin activity B ) Serum lipid studies C ) 24-Hour urine collection for measurement of metanephrine level D ) Echocardiography E ) Captopril renal scan 0 - ArchivalUser - 07-25-2010 B. other don't fit. 0 - ArchivalUser - 07-26-2010 but we start screening for lipid disorders at age 45 for women 0 - ArchivalUser - 07-26-2010 yes agree for routine screening. But here she has high BP, b4 we start TM, we need base line lipid profile, we usually does b4 life style modification. |