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Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 10 Topic 2 Discussion

Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 10 Topic 2 Discussion

MCCQE Exam Topic 2 Question 10 Discussion:
Question #: 10
Topic #: 2

A 24-year-old man presents to your clinic with a 6-month history of fatigue. On examination, he is pale. His BMI is 16, and his blood pressure is 92/58 mm Hg. Initial laboratory work shows the following:

Creatinine: 64 µmol/L (49–93)

Potassium: 3.0 mmol/L (3.5–5.1)

Sodium: 138 mmol/L (136–146)

TSH: 2.40 mIU/L (0.34–5.60)

CBC: Normal

Which one of the following is the best next step?


A.

Ask permission to discuss the patient’s weight


B.

Refer the patient to the emergency department


C.

Advise increased caloric intake


D.

Consult gastroenterology


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