Diabetic ketoacidosis (DKA) is characterized by all of the following EXCEPT:

Correct answer: C. Ketosis

• A. Metabolic acidosis is a defining feature of DKA.
• B. Increased gluconeogenesis occurs in DKA.
• C. Keyed as the exception — but note that ketosis is in fact a HALLMARK of DKA, so this item is poorly constructed.
• D. Hyperglycemia is a defining feature of DKA.

Note: Flawed item: metabolic acidosis, gluconeogenesis, ketosis AND hyperglycemia all genuinely occur in DKA. The document keys 'ketosis' as the exception, but ketosis is actually central to DKA — treat this answer with caution.

Sources disagree on the answer to this question. Check a trusted reference.