Pathology EMQ template.

Name: Danielle Ho     

Theme: Hypoglycaemia

 

OPTION LIST

 

A	Cushing’s disease	I	Congenital Hyperinsulinism
B	Cushing’s syndrome	J	Nocturnal hypoglycaemia
C	Addison’s disease	K	DKA
D	Alcohol overdose	L	HONK
E	Insulinoma	M
F	Early dumping syndrome	N
G	Late dumping syndrome	O
H	Reye’s syndrome	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 30 year old female with T1DM presents with repeated episodes of nightmares and night sweats.

 

 

2. A baby presents with lethargy, apnea and seizures shortly after birth. Along with repeated episodes of seizures, he is noted to have elevated pro-insulin, insulin and C-peptide.

 

 

3. A 65 year old female who recently had a Roux-en-Y bypass complains of flushing, palpitations and headaches 30-60 mins after her meals.

 

 

4. A 25 year old female presents with progressive weakness, fatigue, weight loss and hyperpigmentation.

 

 

5. A 50 year old man presents with diplopia, weakness and confusion after exercise. He is noted to be hypoglycaemic with a C-peptide ≥ 3.0 ng/mL.

 

 

 

ANSWERS

1. J

2. I

3. F

4. C

5. E