Thermoregulation and Body Fluids · USMLE Step 1

A patient with severe hyponatremia has seizures. Which cellular change contributes most to neuronal dysfunction?

  1. Neuronal shrinkage
  2. Neuronal swelling
  3. Loss of potassium from neurons
  4. Increased calcium influx
Show answer and explanation

Correct answer: Neuronal swelling

Hyponatremia decreases extracellular osmolality, causing water to move into neurons. Cytotoxic swelling leads to neurologic symptoms.

Difficulty: Medium Question 19 of 20

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