Name: Mustaffa Junaid

Candidate number: N/A

Theme: Causes of hypoglycaemia

 

OPTION LIST

 

A	Addison’s disease	I	Reactive hypoglycaemia
B	Hypopituitarism	J	Septicaemia
C	Liver failure	K	Aspirin overdose
D	Bulimia nervosa	L	Exercise
E	Gastrectomy	M	Low carbohydrate intake
F	Alcohol misuse	N	Islet cell hyperplasia
G	Insulinoma	O	Quinine therapy
H	Insulin overdose	P	Sulphonylurea overdose

 

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. An 11 year old girl is seen by her GP complaining of lethargy. When asked about her diet, her mother says that she eats very well but is concerned that she is too underweight.

 

 

2. A 22 year old lady is brought into hospital after being found unconscious by her flatmate. On examination she appears weak and also complains of double vision. Lab results show fasting glucose of 2.4 mmol/l, insulin of 30 mcU/l (normal 5-20) and C-peptide of 0.97 µmol/l (normal 0.17-0.83).

 

 

3. An overweight 30 year old man is seen by a dietician. He tells her that he feels very tired, especially after a large meal. He has a family history of type 2 diabetes.

 

 

4. A 35 year old lady complains of chronic fatigue, depression and weight loss. On examination hyperpigmentation is noted in some areas.

 

 

5. A 25 year old businessman is brought into A+E when his ex-wife finds him semi-conscious. She says that he recently lost his job. His fasting glucose is 2.1 mmol/l.

 

 

ANSWERS

1. D

2. G

3. I

4. A

5. F