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When comparing the clinical manifestations of both diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic syndrome (HHNKS), which condition is associated with only DKA?

A 47 year old male comes in to the clinic for a workup for an adrenocortical carcinoma. He has two elevated pressures after you follow the protocol of two separate readings at least 2 minutes apart, with the patient seated, the arm supported at heart level, after 5 minutes rest, with no smoking or caffeine intake for 30 minutes. His BP readings are the following:160/94, and 166/98. The patient:

A 52-year black male presents for a routine health screen. Recently, he has been making attempts to lose weight and eat healthier, but has noticed his blood pressure being elevated at the gym. Your records show that he was seen two weeks ago at your affiliated urgent care site and had a blood pressure reading of 144/88. Today in the office you measure a blood pressure of 150/100. His physical exam findings are unremarkable, he has no additional complaints, and he takes no medications. Recent blood work is also negative for any evidence of diabetes or kidney disease. Which of the following is the next best step in management?

Secondary hypertension is rapidly progressive hypertension in which diastolic pressure is usually greater than 140 mmHg. 

A 79 year-old male with history of hypertension, benign prostatic hypertrophy, and normal renal function presents to the emergency department with symptoms of fever and generalized weakness that has been ongoing for the past two days. His family notes that he has not been eating as much today and fell when trying to stand up from his chair. He also seems sleepier than usual today. On review of symptoms, the patient denied any symptoms other than stating “I just don’t feel well”. Pertinent physical exam findings include the following: ill appearing diaphoretic elderly gentleman, tachycardia, tachypnea, slight discomfort to palpation of suprapubic region, and mottling of the skin of his extremities. His vitals are as follows: Heart rate: 135 beats/minute, Respiratory rate: 25 breaths/minute, Blood pressure: 72/45 mm Hg, pOx: 91% on room air, and temperature of 38.5C. Labs are sent and chest X-ray is done with the following results:  WBC 24.1 Normal: 4.0-10.5 x103/uL Hb 10.2 Normal: 14-16 g/dL HCT 31% Normal: 42-48% PLT 490 Normal: 150-450 x 103/uL Bands.      12% Normal: 0-5 Sodium     144  Normal: 135 – 145 mmol/L  Potassium 3.1 Normal: 3.5-5.0 mmol/L Chloride 106 Normal: 96-106 mmol/L CO2 18 Normal: 23-29 mmol/L BUN 44 Normal: 6-20 mg/dL Creatinine 2.1 Normal: 0.8-1.2 mg/dL Glucose 61 Normal: 64-100 mg/dL eGFR 49 Normal: >60 mL/min Lactate 4.5 Normal: 0-2.0 mmol/L Urinalysis shows >30 wbcs, 4+ bacteria, and positive nitrates. Portable chest xray shows slight blunting of costophrenic angles with no evidence of infiltrates or consolidations. At what point would it be appropriate to initiate pressor support with norepinephrine for this patient?

Undiagnosed pneumonias can lead to:

Stagflation may result from:

The aggregate demand curve is downward sloping because of 

quiz 12.jpg This quiz is on 11th chapter. Please read our chapter 11 carefully and then start this quiz. You have two attempts and I consider your highest grade as your quiz grade.  You are supposed to submit each of these attempts in one sitting , you cannot save it and come back later to submit it. Also please make sure to submit your quizzes by deadlines. Your quiz grades will be lowered by one full letter for each day late submission.  One-day late submission is accepted with 10% off the max grade.   Two-day late submission is accepted with 20% off the max grade.  Three-day late submission is accepted with 30% off the max grade.  Beyond that late submission is accepted with 50% off the max grade.  Best of Luck! 

I understand and am aware that if I do not complete the Honorlock Agreement Quiz for practice. In addition, I must also complete the Honorlock Practice WebAssign prior to the first exam.  If I have not completed this agreement and practice I will be administratively withdrawn from the course for non-participation and not actively pursuing the course.  That may occur after the opportunity for a refund, and I may not be allowed back into the course.