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Retired NBME 15 Answers

nbme15/Block 3/Question#15 (reveal difficulty score)
A 65-year-old man with hypertension ...
Acid-base: Metabolic alkalosis; Volume contraction: yes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—ergogenic22(401)
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Due to "contraction alkalosis" loop diuretics cause volume contraction, thats why you give them.

As a result, there is increase angiotensin II release, increase in Na+/H+ exchange in the PCT (a function of increase angiotensin II), and then increased HCO3- reabsorption, leading to alkalosis

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cassdawg  Important to remember: Loop and Thiazide diuretics cause alkalosis; Carbonic anhydrase inhibitors and potassium sparing diuretics cause acidosis (FA2020 p609) +9
cheesetouch  RE: cassdawg - FA18 p 591 +1



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