45-year-old Man in Medicine / Internal Medicine — 45yo Man | Gastroenterology | SMLE Q#11645
SMLE Question #11645
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 45-year-old man presents to the emergency department after 2 days of profuse, non-bloody vomiting after a meal. He cannot keep down fluids and feels weak and lightheaded on standing. Examination shows dry mucous membranes and decreased skin turgor. Which of the following best describes the most likely serum electrolyte and acid–base pattern?
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