Pathology EMQ template.

Name: Rachel D’oliveiro

Candidate number: 00412166

Theme: Diatbetes

OPTION LIST

A	Diabetes insipidus	I	Type 2 diabetes mellitus
B	Diabetic ketoacidosis	J
C	HONK	K
D	Impaired fasting glucose	L
E	Impaired glucose tolerance	M
F	Insulin resistance	N
G	Psychogenic polydipsia	O
H	Type 1 diabetes mellitus	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 22 year old male presents to A&E with nausea and vomiting. He is extremely agitated and hyperventilating. Blood glucose = 300 mmol/L, urine is positive for ketones.

2. A 45 year old overweight woman is referred to clinic after a random blood glucose test at her GP showed a blood glucose of 7 mmol/L. Subsequent investigations reveal a fasting plasma glucose of 6 mmol/L and 2 hours after a OGTT the plasma glucose is 7.9 mmol/L.

3. A 30 year old anxious woman presents with excessive thirst, complaining that she has to “drink all the time” but is still permanently thirsty. Her urine osmolality is 75 mosm/L and plasma osmalality is 305 mosm/L.

4. A 60 year old Asian gentleman presents to his GP with nocturia, polyuria and polydipsia. Fasting glucose is 7.2 mmol/L and 2 hours after an OGTT the plasma glucose is 11.5 mmol/L.

5. A 60 year old Asian gentleman presents to his GP with polyuria and polydipsia. Fasting glucose is 6.8 mmol/L and 2 hours after an OGTT the plasma glucose is 8.2 mmol/L.

ANSWERS

1. B

2. D

3. A

4. I

5. D