Pathology EMQ template.

Name: Matthew Hall

Theme: Hypoglycaemia

 

OPTION LIST

 

A

Glucose-6-phosphatase deficiency

I

Addison’s Disease

B

Insulinoma

J

Beckwith–Wiedemann syndrome

C

Inaccurate measurement

K

Type I Diabetes Mellitus

D

Sulfonylurea overdose

L

Reactive hypoglycaemia

E

Metformin overdose

M

Hypopituitarism

F

Anorexia Nervosa

N

Von Gierke’s Disease

G

Quinine Therapy

O

 

H

Alcohol

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 21 year old female it brought to A&E after collapsing during her birthday celebration night out at Oceana. She has a plasma glucose of 2.0 mmol/L and a Medical ID bracelet.

 

 

2. 40 year old male brought in to A&E unconscious. Brother reports that recently the patient has gained a lot of weight.

Glucose 2.3 mmol/L. Insulin 28mu/L. C-peptide 1000pmol/L

 

 

3. A 30 year old non-diabetic male visits his GP complaining of dizziness, headaches and irritability a few hours after meals. He has a gastric bypass 2 years previously.

 

 

4. A 60 year old male long time diabetic was found collapsed by his daughter. Glucose 2.0 mmol/L. He recently was started on a new diabetic drug by his GP.   

 

 

5. A 3 day old neonate is jittery and not feeding well. The neonate is very large (99th percentile birth weight and length) and has a large umbilical hernia.  Glucose 1.6 mmol/L.

 

 

ANSWERS

1. H

2. B

3.L

4. D

5. J