A 27-Year-Old Man Is Brought to the Emergency Department Due

question 61

Multiple Choice

A 27-year-old man is brought to the emergency department due to confusion.  His roommate says that he has been binge drinking for the last 5 days and probably has had very little to eat.  The patient's medical history is significant for alcohol-related seizures 1 year ago.  He had been sober until 2 weeks ago, when he started drinking again.  The patient's past medical history is otherwise unremarkable.  On examination, he responds to voice but does not follow commands.  Fingerstick glucose is 35 mg/dL and urine is strongly positive for ketones.  Suppression of which of the following is the primary cause of this patient's hypoglycemia?

• A)Gluconeogenesis
• B)Glycogenolysis
• C)Insulin clearance
• D)Insulin sensitivity
• E)Lipolysis

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