Poor Oral Intake in Medicine / Internal Medicine — 36yo Woman | Nephrology | SMLE Q#752

SMLE Question #752

Medicine / Internal Medicine Nephrology
Last updated: February 2026
A 36-year-old woman has 2 weeks of persistent, non-bloody vomiting several times daily with poor oral intake and lightheadedness on standing. She denies diarrhea and abdominal pain. Examination shows dry mucous membranes and decreased skin turgor. Which of the following is the most likely acid–base or electrolyte abnormality caused by this patient’s prolonged vomiting?

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