Renal azotemia Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

Learning videos

Flashcards

Expert reviewed

Spaced Repetition

Mobile app

Custom Quizzes

1 of 7

A 48-year-old man is brought to the emergency department for evaluation of altered mental status and flank pain. The patient was found unconscious on a sidewalk by a bystander who called EMS. The patient was provided with intravenous fluids en route, after which his mental status improved. Upon initial assessment, the patient endorses left flank pain radiating to the groin. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 20/min, and blood pressure is 135/85 mmHg. Physical examination demonstrates dry mucous membranes. The patient’s eyes open spontaneously, and he is oriented to time and place but not to person. Initial laboratory studies are shown. During the first six hours of admission, urine output is 40 mL.

 Laboratory value  Result  Reference range 
 Serum chemistry  
 Sodium  138 mEq/L  136-146 mEq/L 
 Potassium  3.6 mEq/L  3.5-5 mEq/L 
 Chloride  99 mEq/L  95-105 mEq/L 
 Bicarbonate  18 mEq/L  22-28 mEq/L 
 Serum creatinine  2.8 mg/dL  0.6-1.2 mg/dL 
 Urinalysis  
 Sediment  Granular “muddy brown” casts and envelope shaped crystals  None 
 Arterial blood gas (ABG)  
 pH  7.2  7.35-7.45 
 Partial pressure of carbon dioxide (pCO2)  40 mmHg  33-45 mmHg 
 Partial pressure of oxygen (pO2)  85 mmHg  75-105 mmHg 


Which of the following additional laboratory findings is most likely to be observed in this patient?

Elimination tool

Choose an option: