clek01

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Case-2: Patient History

A 58-year-old obese woman with hypertension, type 2 diabetes, and chronic kidney disease is admitted to hospital after a right femoral neck fracture sustained in a fall. Recently, she has been complaining of fatigue and was started on epoetin alfa (erythropoietin) subcutaneous injections. Her other medications include an angiotensin-converting enzyme inhibitor, a β-blocker, a diuretic, calcium supplementation, and insulin. On review of systems, she reports mild tingling in her lower extremities. On examination, her blood pressure is 148/60 mm Hg. She is oriented and able to answer questions appropriately. There is no evidence of jugular venous distention or pericardial friction rub.

Analyze this case study and answer the next two questions that follow.

Case-2: Question-1

Which of the following is true of the pathogenesis of bone disease in chronic kidney disease? (select all that apply)

Which of the following may lead to cancer?

A mutation in the gene

A fault in the DNA repair procedure

Loss of control over the cell cycle

All of the choices

DNA serves as a messenger of what code