Pathology EMQ template.

Name: Thomas Constandinou

Theme:Diabetes

 

OPTION LIST

 

A	Diabetes Mellitus TI	I	Nephropathy
B	Diabetes Mellitus TII	J	Neuropathy
C	Diabetic Ketoacidosis	K	None of the above
D	Hyperglycaemia	L	Retinopathy
E	Hyperosmolar Hyperglycaemic State	M
F	Hypoglycaemia	N
G	Intoxication	O
H	Ischemic heart Disease	P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 72 year old lady presents to her GP with a “down and out” left eye, she had stopped taking her metformin as the tablets are too dry. Both pupils respond to light.

 

2. A man presents to A & E in a confused state. He had been at a music festival before getting drowsy. His blood glucose levels are 40mmol/L and he shows signs of severe dehydration however there are no ketones found in his urine.

 

3. A patient’s ABG shows a pH of 7.00, a PCO₂ of 2.5kPa and a high anion gap with a blood glucose level of >300mg/dL.

 

4. A 15 year old Patient has a fasting plasma glucose of 6.7 mmol/L and a 2hr OGTT of 8.9mmol/L.

 

5. A 52 year old  man has been experiencing polyuria, polydipsia and tiredness. He has a fasting plasma glucose of 7.2 mmol/L and a 2hr OGTT of 13mmol/L.

 

 

ANSWERS

1. J

2. E

3. C

4. K

5. B