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11824 Medicine

A 74-year-old man is brought to the hospital because of urinary retention. His past medical history includes hypertension, and benign prostatic hypertrophy. A Foley catheter is inserted to relieve the obstruction, and 1500 cc of urine is emptied from his bladder. Over the next few hours, he has 200cc/h of urine output. Which of the following urine electrolyte values is most likely in keeping with his diagnosis of post obstructive diuresis?

Ahigh sodium
Blow potassium
Chigh specific gravity
Dlow pH
Medicine
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11826 Medicine

A 47-year-old woman is seen in the emergency department for accelerated hypertension (blood pressure 210/105 mm Hg). She notes frequent headaches for the past month but no chest pain, shortness of breath, vision changes, or limb weakness. Her past medical history is negative except for hypertension during her first pregnancy. Family history is also positive for both parents and a brother who have hypertension.On physical examination, the blood pressure is 210/105 mm Hg in both arms, the heart rate is 88/min, and the patient is alert and oriented. The heart sounds reveal a S4, the lungs are clear and there are no focal neurological deficits. Which of the following findings are most likely on examination of the fundii? (See Figure below)

Aretinitis obliterans
Bcotton wool spots
Cretinal detachment
Doptic atrophy
Medicine
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