Name: Sarah Evans

Theme: Diabetes

OPTION LIST

A	Type II diabetes	I	SIADH
B	Psychogenic Polydipsia	J	Hypoglycaemia
C	HONK	K	Dehydration
D	Type I diabetes	L	Respiratory acidosis
E	Obesity	M	Respiratory alkalosis
F	DKA	N	None of the above
G	Diabetes Insipidus	O
H	Iatrogenic illness	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 34 year old lady presents to her GP with polyuria, polydipsia and a BMI of 30. A glucose tolerance test showed plasma glucose of 6.8mmol/L at 2 hours.

2. A 65 year old man arrives at A+E breathless and weak; he notices this occurs after he has exercised. On closer questioning exercise is a walk down to the shop and back. He has a previous history of two MI’s and sleep apnoea.

3. A 54 year old diabetic lady has been increasingly unwell over the last few hours with confusion, tachycardia and sweating. Her temperature has been consistently 39˚C for two days, and she has not eaten during that time. Her blood tests showed a glucose level of 3.9mmol/L.

4. You asked for an opinion on a patient with Polydipsia as to the likely diagnosis, they have a Na of 25 mmol/L and urine Osmolality is 550mosmol/kg.

5. You are given the following details on a 40 year old diabetic inpatient. pH 7.1, Na: 141 K:4, U:5 G:4 Cl:93 Bicarb:4 Urine is negative for Ketones.

ANSWERS

1. B

2. E

3. K

4. I

5. H