This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
In Accelerated HTN what is metabolic defect: 
Select and explain. 
A. Normal non-ionic metabolic acidosis, B. Ionic gap met acidosis, C. Hypomagnesemia, D. Metabolic alkalosis
D: Metabolic alkalosis
Answer: D: Metabolic alkalosis 
Explanation: Answer is D (Metabolic Alkalosis) Accelerated Hypeension is associated with metabolic alkalosis. Accelerated Hypeension is a state in which there is renal underperfusion, high renin and increased aldosterone. This may result in hypokalemia and metabolic alkalosis.