Endocrine and Metabolic Emergencies Practice Test

A 6-year-old female weighing 20 kg presents with lethargy, deep and rapid breathing, and a fruity odor on her breath. Parents report increased thirst and urination for the past week. Her blood glucose is 450 mg/dL. Vital signs include a BP of 80/50 mmHg and a heart rate of 140 beats/min.

A 34-year-old female presents with extreme agitation, confusion, and palpitations. Her skin is hot and profusely diaphoretic. Vital signs are BP 160/90 mmHg, HR 170 beats/min (sinus tachycardia), RR 28 breaths/min, and Temp 104°F (40°C). Her family states she has a 'thyroid problem' and recently stopped taking her medication.