Pathology EMQ template.

Name: Camilla Darlow

Candidate number:

Theme: Diabetes

 

OPTION LIST

 

A

Impaired fasting glucose

I

Gestational diabetes

B

Normal

J

Type 1 diabetes

C

Metabolic acidosis

K

HONK

D

Type 2 diabetes

L

 

E

MODY

M

 

F

Diabetic ketoacidosis

N

 

G

Diabetes insipidus

O

 

H

Impaired glucose tolerance

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 patient with a fasting plasma glucose of 6.1 mmol/l.

 

 

2. A patient with a fasting plasma glucose of 6.5 mmol/l and a plasma glucose of 9.7 mmol/l 2hrs after an oral glucose tolerance test.

 

 

3. A patient with a whole blood glucose of 10.8 mmol/l 2 hrs after an oral glucose tolerance test.

 

 

4. A 26 year old lady presents to A and E with polydipsia, polyuria, abdominal pain and confusion. On examination she shows clinical signs of dehydration.

 

 

5. A 58 year old Indian lady with a BMI of 35 presents with a 1 week history of increasing alteration in mental status. Clinically she is dehydrated and has a urine osmolality of 360mosmol/kg.

 

 

 

ANSWERS

1. A

2. H

3. D

4. F

5. K