CAMC Part 1 Exam Practice Questions - CAMC Regional Medical Registration Examination Part 1 (MCQ) Exam

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A 24-year-old woman with type 1 diabetes presents with vomiting, abdominal pain, deep rapid breathing and a capillary glucose of 28 mmol/L. Blood gas shows pH 7.18 and bicarbonate 10 mmol/L; urine ketones are strongly positive. What is the single most important first step in management?

Intravenous 0.9% sodium chloride fluid resuscitation Intravenous bolus of long-acting insulin Intravenous sodium bicarbonate Oral rehydration with glucose solution

Correct Answer:

Intravenous 0.9% sodium chloride fluid resuscitation

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