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A patient with mild skin pigmentation comes to you because of sudden abdominal pain, fever and a rigid abdomen. Her lab report show blood sugar of 55, Na of 119, and K of 6.2. Her BP is 88/58. She undergoes an exploratory laparotomy. Which of the following 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 a al glands
CDeath from untreated chronic adrenal insufficiency may occur within hours of surgery
DThe most common underlying cause today is infection with MDR tuberculosis
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