KROK 1 2013 – Question 158 · KROK (Medicine) · Pathophysiology

A hypertensive patient had been keeping to a salt-free diet and taking antihypertensive drugs together with hydrochlorothiazide for a long time. This resulted in electrolyte imbalance. What disorder of the internal environment occurred in the patient?

  1. A. Metabolic acidosis
  2. B. Hypochloremic alkalosis
  3. C. Increase in circulating blood volume
  4. D. Hypermagnesemia
  5. E. Hyperkalemia
Hint

Think about which ions a thiazide diuretic wastes in the urine, especially on a low-salt diet, and how the acid-base balance responds.

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