OMSB Physician Exam Practice Questions - OMSB Licensing Examination - Physician (CBT Via Prometric) Exam

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A 24-year-old woman with type 1 diabetes presents with vomiting, abdominal pain, and deep rapid breathing. Capillary glucose is 28 mmol/L, venous pH 7.10, bicarbonate 8 mmol/L, and ketones strongly positive. What is the most appropriate immediate first step in management?

Intravenous 0.9% sodium chloride fluid resuscitation Intravenous insulin bolus Intravenous sodium bicarbonate Oral rehydration with glucose solution

Correct Answer:

Intravenous 0.9% sodium chloride fluid resuscitation

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