26-year-old Primigravida in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1589

SMLE Question #1589

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old primigravida at 10 weeks’ gestation has 2 weeks of severe nausea and vomiting several times daily. She cannot tolerate most oral intake and reports marked thirst and reduced urine output. Examination shows dry mucous membranes and decreased skin turgor. Urinalysis is ordered to support the suspected diagnosis. Which urinalysis finding would most strongly support hyperemesis gravidarum?

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