Acid-base homeostasis · USMLE Step 1

Which acid–base disturbance is most likely in a patient with prolonged vomiting (gastric acid loss)?

  1. Respiratory acidosis
  2. Metabolic acidosis
  3. Metabolic alkalosis
  4. Respiratory alkalosis
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Correct answer: Metabolic alkalosis

Loss of gastric acid (HCl) leads to net loss of H⁺ and chloride, raising blood bicarbonate relative to acid — producing metabolic alkalosis.

Difficulty: Medium Question 11 of 19

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