An 85 year old women with a history of diabetes mellitus and a broken hip has been confined to bed for 3 months. She has been complaining of aching muscles and her recent blood glucose result is 250mg/dL (Normal Range 70 - 100mg/dL) Urinalysis is with the following results: I.
An 85 year old women with a history of diabetes mellitus and a broken hip has been confined to bed for 3 months. She has been complaining of aching muscles and her recent blood glucose result is 250mg/dL (Normal Range 70 - 100mg/dL) Urinalysis is with the following results: I.
Biomedical Instrumentation Systems
1st Edition
ISBN:9781133478294
Author:Chatterjee
Publisher:Chatterjee
Chapter19: Biomedical Laboratory Instrumentation
Section: Chapter Questions
Problem 1CS
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Hi hope your doing well. I have the answer, but I just want to make sure I got them right. The answers I got were:
A. b
B. d
C. a
Transcribed Image Text:An 85 year old women with a history of diabetes mellitus and a broken hip
has been confined to bed for 3 months. She has been complaining of aching
muscles and her recent blood glucose result is 250mg/dL (Normal Range 70
- 100mg/dL) Urinalysis is with the following results:
Color: Reddish brown
Appearance: Clear
Sp Gr: 1.020, pH 5.0
Protein: 2+
Glucose: 100 mg/dL (3+)
Ketones: Negative
Blood: Moderate
Bilirubin: Negative
Urobilinogen: Normal
Nitrite: Negative
Leukocyte esterase: Negative
Microscopic exam: 0 – 2 WBC/hpf; few squamous epithelial cells/hpf
Questions
A. What is the significance of the negative Ketones result?
a. Increased fat metabolism
b. Fat is not being metabolized for energy
c. Starvation
d. Patient has just consumed a high fat meal
B. Glucose will appear in the urine when the:
a. Blood level of glucose is greater than 180 mg/dL
b. Tm (Transport maximum) for glucose in tubular cells is exceeded
c. Renal threshold for glucose is exceeded
d. All of the above
C. The proteinuria in this patient should be classified as:
a. Glomerular proteinuria
b. Tubular proteinuria
c. Overflow proteinuria
d. Post renal proteinuria
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