Question 1 - redceo123 - 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: Question 1 - redceo123 (/showthread.php?tid=808532) |
Question 1 - redceo123 - ArchivalUser - 06-03-2015 A 35-year-old man is referred to the renal clinic for evaluation of proteinuria. He has no complaints other than foamy urine. The following data are obtained from the patient: Inulin clearance 100 mL/min Plasma osmolarity 286 mOsm/L Plasma sodium concentreation 140 mEq/L Urine flow 1.44 l/ 24 hour Urine osmolarity 205 mOsm/L Urine sodium concentration 100 mEq/L How much sodium does this patient reabsorb each day? A. 14 mEq B. 144 mEq C. 244 mEq D. 20,016 mEq E. 20,160 mEq Show your calculation. thanks 0 - ArchivalUser - 06-03-2015 Of the Na filtered, 99-99.5% is norm reabsorbed ( 67% PCT, 25% Loop hen & 8% DCT) ^Na filtration: ( Plasma Na conc & GFR = inulin clearance) 140 mEq/L x 100 mL/min -> 20,160 mEq/ DAY ^^Na excreted: ( Urine Na conc & Urine flow) 100 mEq/L x 1.44 L / day - > 144 mEq/DAY Na reabsorption = ^Filtered – ^^Excreted -> 20,160 mEq/DAY - 144 mEq/DAY -> 20,016mEq. The End. 0 - ArchivalUser - 06-03-2015 ohhh per "Day".....thats where i went wrong....thanks for the rescue as always!!! 0 - ArchivalUser - 06-03-2015 thanks cardio |