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MMLU / A 34-year-old woman comes to the office because of a 3- to 4-week history of…

Problem

Answer published by the source. Consult the official source to check your work against its answer.

question

A 34-year-old woman comes to the office because of a 3- to 4-week history of swelling of her legs and a 9-kg (20-lb) weight gain. Medical history is significant for sickle cell trait and mild anemia. She has been taking 800 mg of ibuprofen three times daily for Achilles tendinitis diagnosed 1 month ago. She has smoked five cigarettes daily for the past 15 years, and she drinks one to five beers on weekends. She experimented with cocaine briefly 16 years ago, but she has never used intravenous drugs. She has been in a monogamous sexual relationship for the past 12 years. Today, vital signs are temperature 37.2°C (99.0°F), pulse 88/min, respirations 16/min, and blood pressure 145/95 mm Hg. Physical examination discloses periorbital edema but no jugular venous distention. Lungs are clear to auscultation. Cardiac examination discloses an S1 and S2 without murmurs or gallops. Abdominal examination discloses bulging flanks and shifting dullness to percussion. Examination of the lower extremities shows pitting edema from the mid thigh to the ankles bilaterally. Results of which of the following studies are most likely to be abnormal in this patient?

choices

  1. HIV antibody study
  2. Serum B-type natriuretic peptide concentration
  3. Toxicology screening of the urine
  4. Urine protein concentration

subject

professional_medicine

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Source and history

task_id
05347559-b7f8-5971-ad0d-6da649093dea
task_key
all--test--05347559-b7f8-5971-ad0d-6da649093dea
task_revision_id
1
config / split
all / test

Official source

initial import