The multiple-choice examination that appears at the end of this article is designed to test your understanding of the following article according to the educational objectives listed below. This article and accompanying examination are part of the TEM Continuing Education Curriculum. If you have not registered for this course and wish to enroll, refer to the announcement on page iv. Given a closed-book, multiple-choice examination, the enrollee should be able to apply the information leamed in the journal article in answering all the test items that require him/her to: 1. Recognize electrolyte abnormalities associated with the diagnosis of diabetic keroacidosis (DKA). 2. Summarize the biochemistry involved in the pathogenesis and treatment of DKA. 3. Determine appropriate insulin therapy in DKA. 4. Discuss electrolyte management in DKA. 5. Identify complications and adjunctive therapies in the management of DKA.