Q:

An 18 year old lady in her 30th week of pregnancy is brought to the hospital in an altered sensorium. She is taking slow, shallow breaths and her breath has a fruity smell. An ABG: pH 7.20, urine ketones: +ve. What is the most probable diagnosis?

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An 18 year old lady in her 30th week of pregnancy is brought to the hospital in an altered

sensorium. She is taking slow, shallow breaths and her breath has a fruity smell. An ABG: pH

7.20, urine ketones: +ve. What is the most probable diagnosis?


  1. HONK
  2. DKA
  3. HELLP syndrome
  4. PIH
  5. GDM

All Answers

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The key is B. DKA. [Shallow breath and fruity smell with acidosis in ABG and positive ketone body in

urine suggests the diagnosis of DKA].

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