This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology, Subject name: Pediatrics
[{'content': 'A newborn baby presents with shock, hyperkalemia and hypoglycemia. What is the most likely diagnosis \nSelect and explain. \nA. Septicemia, B. Inborn error of metabolism, C. Diabetes mellitus, D. Congenital adrenal hyperplasia', 'role': 'user'}, {'content': 'Answer: D \nExplanation: These features of congenital adrenal hyperplasia may due to deficiency of 21-hydroxylase and present with ambiguous genetalia,polyuria,shock,recurrent vomiting and features of sepsis with negative septic screen. Reference : OP Ghai,essential paediatrics,8th edition page no 526', 'role': 'assistant'}]