physio q.... - rawalian - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 1 (https://www.usmleforum.com/forumdisplay.php?fid=2) +--- Thread: physio q.... - rawalian (/showthread.php?tid=580397) |
physio q.... - rawalian - ArchivalUser - 04-16-2011 A 70-kg (154-lb) man on a fixed NaCl intake (200 mmol/day) is given daily injections of a potent mineralocorticoid hormone for 4 days. He has free access to water and consumes his usual caloric intake. Excretion of NaCl is as follows: Day NaCl (mmol) 1 30 2 90 3 180 4 200 Assuming that 1 L of 0.9% saline contains 150 mmol of NaCl and weighs 1 kg, how much will this patient weigh (in kg) at the end of day 4? (A) 66 (B) 68 © 70 (D) 72 (E) 74 0 - ArchivalUser - 04-16-2011 is it "D" 0 - ArchivalUser - 04-16-2011 E.. 0 - ArchivalUser - 04-16-2011 sarim or maryam can you guys PLEASE explain how you got the answer...thanx... 0 - ArchivalUser - 04-16-2011 answer is D though... 0 - ArchivalUser - 04-16-2011 the man was given 800 mmol of NaCl in 4 days (200 mmol/day) out of 800, he lost 500 in the urine (30 + 90 + 180 + 200 =500) so at the end of 4th day he's got 300 mmol NaCl in excess compared to initial state 150 mmol = 1 kg 300 mmol = 2 kg Initial wt 70 kg + 2 kg (from excess 300 NaCl) =72 kg 0 - ArchivalUser - 04-16-2011 THANx a lot that was helpful.. GL |