A 24-year-old woman with type 1 diabetes has abdominal pain, vomiting, and rapid breathing. Glucose is 486 mg/dL, bicarbonate is 10 mEq/L, anion gap

Question

A 24-year-old woman with type 1 diabetes has abdominal pain, vomiting, and rapid breathing. Glucose is 486 mg/dL, bicarbonate is 10 mEq/L, anion gap is 26, beta-hydroxybutyrate is elevated, and potassium is 5.2 mEq/L. Which of the following is the most likely diagnosis?

Accepted Answer

Diabetic ketoacidosis

Answer

Lactic acidosis from sepsis alone

Answer

Starvation ketosis

Answer

Hyperosmolar hyperglycemic state

Answer

Acute pancreatitis without ketosis

DKA — USMLE Step 3 MCQ

A 24-year-old woman with type 1 diabetes has abdominal pain, vomiting, and rapid breathing. Glucose is 486 mg/dL, bicarbonate is 10 mEq/L, anion gap is 26, beta-hydroxybutyrate is elevated, and potassium is 5.2 mEq/L. Which of the following is the most likely diagnosis?