Endocrine and Metabolic Emergencies Practice Test

You are treating a 45-year-old male with a known history of Addison's disease who is hypotensive and confused following a bout of gastroenteritis. His vital signs are: blood pressure 78/40 mmHg, pulse 110 beats/min, and respirations 22 breaths/min. Despite a 1-liter normal saline bolus, his blood pressure remains 80/44 mmHg. His blood glucose is 55 mg/dL.

An elderly female is found unresponsive in her home during a winter storm. The ambient temperature in the home is low. She is bradycardic at 44 beats/min, hypotensive at 88/50 mmHg, and has a respiratory rate of 8 breaths/min. Her skin is cool, pale, and has a non-pitting, doughy edema. Her blood glucose is 65 mg/dL.