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USMLE Step 2 CK: Diagnosing Metabolic Acidosis with Anion Gap Calculation With complete solution– Expert Verified | Latest Version | 100 Guaranteed Success

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USMLE Step 2 CK: Diagnosing Metabolic Acidosis with Anion Gap Calculation With complete solution– Expert Verified | Latest Version | 100 Guaranteed Success

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USMLE Step 2 CK: Diagnosing Metabolic Acidosis with Anion
Gap Calculation With complete solution– Expert Verified |
Latest Version | 100 Guaranteed Success




What is the patient's blood pH indicating in this case? - The blood pH of 7.20
indicates metabolic acidosis.


What is the primary abnormality in the patient's lab profile? - A primary decrease
in HCO3- (bicarbonate) is noted.


What is the best next step in diagnosing this patient's acid-base status? - Calculate
the plasma anion gap.


How is the plasma anion gap calculated? - AG = Na+ - (HCO3- + Cl-).


What is the normal range for the anion gap? - The normal anion gap is between 6
and 12 mEq/L.


What does an increased anion gap indicate? - It indicates the presence of non-
chloride acids in the body.


Name a common cause of anionic gap metabolic acidosis related to hypoxia. -
Lactic acidosis.


What are the causes of ketoacidosis that can lead to anionic gap metabolic
acidosis? - Type I diabetes, starvation, or alcoholism.

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