Close
4th April 2024
A 76-year-old male on dialysis for end-stage renal failure secondary to poorly controlled diabetes mellitus sustains a fracture of his left neck of the femur following a fall from standing.
A 76-year-old male on dialysis for end-stage renal failure secondary to poorly controlled diabetes mellitus sustains a fracture of his left neck of the femur following a fall from standing. As part of his pre-surgical work-up, he undergoes blood tests which are shown below. What is the likely diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
| Result | RR | |
|---|---|---|
| Na | 144 mmol/L | 135-145 mmol/L |
| K | 5.6 mmol/L | 3.5-5.0 mmol/l |
| Cr | 354 umol/L | 55-120 umol/l |
| Urea | 20.1 mmol/L | 2.0-7 mmol/l |
| eGFR | 4 ml/min/1.73m² | >90 ml/min/1.73m² |
| AdjCa | 2.59 mmol/L | 2.1-2.6 mmol/L |
| Phosphate | 0.79 mmol/L | 0.8-1.4 mmol/L |
| PTH | 22.2 pmol/L | 0.9-5.4 pmol/L |
| ALT | 32 iu/L | 3-40 iu/L |
| AST | 19 iu/L | 3-30 iu/L |
| ALP | 143 umol/L | 30-100 umol/L |
Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)
Written by Medibuddy. Last updated: October 2026. Clinical Genetics is
Clinical Genetics ST3
Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)
Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru
Clinical Radiology ST3
Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)
Written by Medibuddy. Last updated: October 2026. If you’re planning
Paediatric Surgery ST3
Take your subscriptions with you
Our mobile app allows you to access your interview and exam question banks wherever you are.
