KROK 1 2021 – Question 107 · KROK (Medicine) · Pathophysiology
A 48-year-old woman with diabetes mellitus has been hospitalized in a severe precomatose state. Analysis of her acid-base balance revealed metabolic acidosis. What primary mechanism is the cause of the changes detected in the woman's acid-base balance?
- A. Disturbed utilization of O₂ in the cells
- B. Disturbed blood buffer systems
- C. Decreased CO₂ excretion
- D. Excretion of alkaline components with urine
- E. Formation of underoxidized products
Hint
Think about which acidic metabolites accumulate when insulin deficiency forces the liver to break down fatty acids in large amounts.
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