Pathology EMQ

Name: Lauren Crook

Theme: Diabetes

 

OPTION LIST

 

A

Continue current treatment

I

No treatment required

B

Bendroflumethiazide

J

Oral glucose

C

Diet and exercise

K

Stop current treatment

D

Fluid replacement

L

 

E

Glibenclamide

M

 

F

Glucagon injection

N

 

G

Insulin

O

 

H

Metformin

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 19 year old male with known diabetes presents to A&E with abdominal pain, nausea and vomiting and a 24 hour history of increasing polyuria and polydipsia. Examination reveals Kussmaul breathing.

 

2. A 40 year old man with a BMI of 34 and a family history of cardiovascular disease complains of tiredness. His random blood glucose is 10.2mmol/l.

 

 

3. A 17 year old boy presents with polyuria and polydipsia, complaining of feeling tired all the time. His BMI is 19.

 

 

4. A 45 year old woman complains about the 2 hour wait in a diabetes clinic. She looks pale and sweaty and is complaining of feeling tired and weak.

 

 

5. A 50 year old diabetic man currently controls his diabetes with diet and exercise alone. On review his HbA1C is 8.5% and his fasting glucose is 10.4mmol/l.

 

 

 

ANSWERS

1. D

2. C

3. G

4. J

5. H