A 62-year-old woman with type 2 diabetes mellitus comes to the physician because of a 3-month history of fatigue and weakness. Her hemoglobin A1c concentration was 13.5% 12 weeks ago. Her blood pressure is 152/92 mm Hg. Examination shows lower extremity edema. Serum studies show: K+ 5.1 mEq/L Phosphorus 5.0 mg/dL Ca2+ 7.8 mg/dL Urea nitrogen 60 mg/dL Creatinine 2.2 mg/dL Which of the following is the best parameter for early detection of this patient’s renal condition?
ASerum total protein
BSerum creatinine
CUrinary red blood cell casts
DSerum urea nitrogen
EUrinary albumin
Which factor most strongly influences protein filtration at the glomerulus?
AElectrical charge
BMolecular size
CShape
DTemperature
A healthy 30-year-old female has a measured creatinine clearance of 100 mL/min. She has a filtration fraction (FF) of 25%. Serum analysis reveals a creatinine level of 0.9 mg/dL and an elevated hematocrit of 0.6. Which of the following is the best estimate of this patient’s renal blood flow?
A1.2 L/min
B600 mL/min
C800 mL/min
D400 mL/min
E1.0 L/min
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