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	<owl:Ontology rdf:about="https://www.wikidoc.org/index.php/Special:ExportRDF/WBR0903">
		<swivt:creationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2026-07-31T07:51:38+00:00</swivt:creationDate>
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		<rdfs:label>WBR0903</rdfs:label>
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		<swivt:page rdf:resource="https://www.wikidoc.org/index.php/WBR0903"/>
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		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">&lt;10 and &lt;20:1</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Since the patient is dehydrated his BUN/Creatinine ratio should be high reflecting a low fluid volume in his body.  BUN/Creatinine &lt;20:1 is incorrect.</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">&lt;10 and &gt;20:1</property:AnswerB>
		<property:AnswerBExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Since the patient is dehydrated, his spot urine sodium is expected to be low because he is having extrarenal losses of sodium, while his BUN/Creatinine ratio should be high reflecting a low fluid volume in his body.</property:AnswerBExp>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">&gt;10 and &gt;20:1</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Since the patient is dehydrated, his spot urine sodium is expected to be low and not &gt;10.</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">&gt;20 and &gt;20:1</property:AnswerD>
		<property:AnswerDExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Since the patient is dehydrated, his spot urine sodium is expected to be low and not more than 20.</property:AnswerDExp>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">&gt;20 and &lt;20:1</property:AnswerE>
		<property:AnswerEExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A spot urine sodium &gt;20 and a BUN/creatinine ratio &lt;20:1 is usually found in the setting of euvolemic patients. Since the patient is dehydrated, his spot urine sodium is expected to be low and not more than 20.  Moreover, the patient is dehydrated; therefore, his BUN/Creatinine ratio should be high reflecting a low fluid volume in his body.  BUN/Creatinine &lt;20:1 is incorrect.</property:AnswerEExp>
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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A 33 year old male patient known to have diabetes mellitus type 1 on insulin presents to the ER for severe vomiting and abdominal pain.  His symptoms started in the afternoon shortly following a lunch meeting his company organized.  When he was asked about what he ate throughout this day, he answers that he didn’t eat anything except some egg salad.  Upon physical exam, the patient looks pale, his skin and mouth mucosa are dry and the upper abdomen is tender.  Vital signs are: temperature of 37 degree Celsius, blood pressure of 100/60 mmHg and heart rate of 100 bpm.  Blood results reveal a sodium level of 132 mEq/L.  What are the most possible values of spot urine sodium and BUN/creatinine ratio respectively that are expected in this patient’s conditions?</property:Prompt>
		<property:RightAnswer rdf:datatype="http://www.w3.org/2001/XMLSchema#string">B</property:RightAnswer>
		<property:WBRKeyword rdf:resource="&wiki;Dehydration"/>
		<property:WBRKeyword rdf:resource="&wiki;Hyponatremia"/>
		<swivt:wikiPageModificationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2020-10-28T02:02:22Z</swivt:wikiPageModificationDate>
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