Hypokalemia from diuretics — USMLE Step 3 MCQ
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Correct answer: D — Renal potassium wasting with metabolic alkalosis
Thiazide-type diuretics increase distal sodium delivery, promoting potassium and hydrogen ion loss with metabolic alkalosis.
Reference: 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM High Blood Pressure Guideline