This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Disorders of Adrenal Gland, Subject name: Medicine
[{'content': 'A female patient has primary adrenal insufficiency. She is on hydrocoisone 15 mg a day and fludrocoisone 0.1 mg daily. She becomes acutely ill after eating raw oysters. She has severe, "cramping" abdominal pain and profuse watery diarrhea. Vital signs show a hea rate of 135 bpm, respiration rate of 28 bpm, blood pressure of 72/25 mm Hg, and temperature of 38.1degC. The exam shows tachycardia, dry oral mucosa, clear lungs, and diffuse abdominal tenderness. A rectal exam is heme negative. There are no skin rashes. Which of the following is most appropriate for the initial management of this patient? \nSelect and explain. \nA. Saline bolus, B. Dobutamine, C. D5 half-normal saline at 100 cc/hour, D. CT of abdomen and pelvis', 'role': 'user'}, {'content': "Answer: A \nExplanation: Anytime the BP is <80 need to give Saline bolus and correct the dehydration component. /F of the patient is Dehydration with known case of Addison's disease.(primary adrenal insufficiency)", 'role': 'assistant'}]