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Use the following patient vignette to answer questions 27 and 28. A 38-year-old woman visits her primary care provider for an annual wellness visit.  Past medical history is significant for type 2 diabetes.  Her only medication is metformin (1000 mg/day).  She smokes ½ pack of cigarettes a day and drinks 1 glass of wine at dinner. Family history is significant for cardiovascular disease; her mother was diabetic and died at age 65 of myocardial infarction. Vital signs are: BP, 148/98 mmHg; HR, 73 bpm; RR, 19; Temperature 98.2℉. Serum chemistries show 138 mg/dL glycemia; 175 mg/dL triglyceridemia; 210 mg/dL LDL 41 mg/dL HDL; BMI is 34. 27. Which of the following lifestyle modifications is most likely to lower blood pressure in this patient?

A 41-year-old man is brought to the emergency department for confusion, headache,  and vomiting over the last 14 hours. The headache has become progressively worse over time and has been unmanageable by the most common analgesics. At admittance, patient appears disoriented and uncooperative. Vital signs are: temperature, 96.6℉; HR, 100 bpm; RR, 22 bpm; and BP, 220/120 mm Hg.  Examination is otherwise unremarkable. 24. Which of the following is the most likely diagnosis?

6. A 32-year-old woman is being evaluated for possible acute kidney injury, and a urinalysis is ordered.  The presence of which of the following specimens in this patient’s urine would support a diagnosis of acute interstitial nephritis?

19. Which of the following patient presentations is most consistent with a diagnosis of acute kidney injury?

15. A 55-year-old woman with hypertension is diagnosed with nephrotic syndrome.  Blood pressure is 160/102 mm Hg.  Urinalysis reveals albuminuria (39 mg/g).  Which of the following treatments is most likely to reduce this patient’s albuminuria?

 A [m]-kg child starts from rest on the top of a frictionless slide and reaches the bottom with a speed of [v] m/s. What is the height of the slide?

8. In a patient with renal azotemia, which of the following diagnoses is associated with fractional excretion of Na+ (FENa) = 2.7% and eosinophils?

20. Which of the following patient presentations is most consistent with a diagnosis of chronic kidney disease?

A machinist turns on the power on to a grinding wheel at time t = 0 s. The wheel accelerates uniformly from rest for [t] s and reaches the operating angular speed of [omega] rad/s. What is the angular acceleration during this time period?

A machinist runs a grinding wheel the operating angular speed of 88 rad/s. After he finishes his job, he shut off the power. The wheel slows down uniformly at 1.6 rad/s^2 until the wheel stops. What is the total number of revolutions made by the wheel in the slowing down process?