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3687 Surgery

A patient with mild skin pigmentation comes to you because of sudden abdominal pain, fever and a rigid abdomen. Her lab repo show blood sugar of 55, Na 119, and K 6.2. Her BP 88/58. She undergoes exploratory laparotomy. Which statement is true?

ATreatment with exogenous steroids is usually ineffective
BThis condition is commonly seen as a consequence of metastasis of distant cancers, such as lung or breast to the adrenal glands
CDeath from untreated chronic adrenal insufficiency may occur within hours of surgery (Correct Answer)
DThe most common underlying cause today is infection with MDR tuberculosis