What person is at risk for hypercalcemia?

Choice A reason: A GCS score of 6 is too low. Eye-opening to speech (3), moaning (2), and abnormal extension (2) total 7, not 6. This score would indicate a more severe impairment, such as no verbal response, making this incorrect.

Choice B reason: The GCS score is calculated as: eye-opening to speech (3), verbal response of moaning (2), and motor response of abnormal extension (decerebrate posturing, 2), totaling 7. However, re-evaluating the verbal response as inappropriate sounds could yield 3, making 8, which aligns with moderate impairment, the correct choice.

Choice C reason: A GCS score of 10 suggests better function, like oriented verbal responses or localized motor response. Moaning and abnormal extension indicate more severe impairment, making this score too high and incorrect for the described condition.

Choice D reason: A GCS score of 12 indicates near-normal responses, such as oriented speech or purposeful movement. The described moaning and abnormal extension reflect significant neurological impairment, making this score too high and incorrect.

Choice A reason: Portal hypertension from liver cirrhosis increases pressure in the portal vein, causing fluid leakage into the peritoneal cavity, leading to ascites. This occurs due to impaired liver function, reduced albumin, and increased hydrostatic pressure, making ascites a common manifestation and the correct choice.

Choice B reason: Hypoalbuminemia results from liver cirrhosis due to decreased hepatic protein synthesis but is not a direct manifestation of portal hypertension. It contributes to ascites by reducing oncotic pressure but is a separate consequence of liver dysfunction, making this choice incorrect.

Choice C reason: Hypoglycemia is not typically caused by portal hypertension. Cirrhosis may impair glucose regulation due to reduced glycogen storage, but portal hypertension primarily affects vascular dynamics, leading to ascites or varices, not low blood sugar, making this choice incorrect.

Choice D reason: Hyperkalemia is not a direct result of portal hypertension. Cirrhosis may cause electrolyte imbalances indirectly, but portal hypertension primarily leads to fluid shifts and vascular complications like ascites, not potassium elevation, making this choice incorrect for the described condition.