2 Days Of Persistent in Medicine / Internal Medicine — 56yo Woman | Nephrology | SMLE Q#16538
SMLE Question #16538
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
A 56-year-old woman presents to the emergency department with 2 days of persistent vomiting and poor oral intake after gastroenteritis. She reports generalized weakness and lightheadedness and denies chest pain or dyspnea. Examination shows dry mucous membranes and decreased skin turgor; she is alert and breathing comfortably. An arterial blood gas on room air is obtained. Which of the following best describes the acid-base disturbance present in this patient?
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