HY USMLE Q #990 – Endocrine

An 8-year-old girl is brought to emergency for a 2-hour history of confusion and lethargy. She says she is very thirsty. One week ago she recovered from an upper respiratory tract viral infection. Laboratory studies show a serum glucose concentration of 500 mg/dL. Which of the following combinations of findings is most likely to be seen in this patient?

  ↑ Anion gap; ↑ Serum K+; ↑ Total body K+; ↑ pCO2
  ↑ Anion gap; ↑ Serum K+; ↓ Total body K+; ↑ pCO2
  ↑ Anion gap; ↑ Serum K+; ↑ Total body K+; ↓ pCO2
  ↑ Anion gap; ↑ Serum K+; ↓ Total body K+; ↓ pCO2
  ↑ Anion gap; ↓ Serum K+; ↑ Total body K+; ↑ pCO2
  ↑ Anion gap; ↓ Serum K+; ↓ Total body K+; ↑ pCO2
  ↑ Anion gap; ↓ Serum K+; ↑ Total body K+; ↓ pCO2
  ↑ Anion gap; ↓ Serum K+; ↓ Total body K+; ↓ pCO2
  ↔ Anion gap; ↑ Serum K+; ↑ Total body K+; ↑ pCO2
  ↔ Anion gap; ↑ Serum K+; ↓ Total body K+; ↑ pCO2
  ↔ Anion gap; ↑ Serum K+; ↑ Total body K+; ↓ pCO2
  ↔ Anion gap; ↑ Serum K+; ↓ Total body K+; ↓ pCO2
  ↔ Anion gap; ↓ Serum K+; ↑ Total body K+; ↑ pCO2
  ↔ Anion gap; ↓ Serum K+; ↓ Total body K+; ↑ pCO2
  ↔ Anion gap; ↓ Serum K+; ↑ Total body K+; ↓ pCO2
  ↔ Anion gap; ↓ Serum K+; ↓ Total body K+; ↓ pCO2