04-20-2008, 07:02 PM
25.
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
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