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NBME p2ck_form8 Answers

step2ck_form8/Block 3/Question#32 (3.2 difficulty score)
A 12-year-old boy is brought to the physician ...
Restrict his intake of phosphorousπŸ”

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submitted by step_prep2(17),
  • Normally the kidneys can handle phosphorous, but in setting of renal failure they cannot and it can lead to build-up of phosphorous that can lead to a variety of deleterious effects, such as metastatic calcification (which can increase risk of stroke, heart attack, etc.) and weak bones (because phosphorous pulls calcium out of bones); these complications are particularly important for kids because they progress chronically over time

submitted by kingfriday(3),

Why would increasing fluids be incorrect?

kingfriday  nvm, someone whose kidneys dont work means they not able to get rid of fluids anyway so giving them fluids can make things worse +  
letsdothis  Yeah, I feel like increasing fluid in any chronic renal conditions is always correct, but I like the steppreps explanation. +