A 14-Year-Old Boy Is Brought to the Emergency Department Due

question 118

Multiple Choice

A 14-year-old boy is brought to the emergency department due to excessive urination and thirst.  He has lost 4.5 kg (10 lb) in the last 3 weeks.  The patient has no past medical problems.  His father has type 1 diabetes mellitus.  Physical examination shows dry mucous membranes.  Laboratory studies reveal blood glucose of 455 mg/dL, normal anion gap, and hemoglobin A1c of 11.3%.  The patient is diagnosed with type 1 diabetes, and treatment with insulin is initiated.  In addition to lowering blood glucose, insulin increases glycogen synthesis in hepatocytes.  Activation of which of the following molecules most likely promotes this metabolic effect?

• A)Janus kinase (JAK)
• B)Lipoxygenase
• C)Phospholipase C
• D)Protein kinase A
• E)Protein phosphatase

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Definitions:

Birth Order

The theory that a person's rank by age among their siblings influences their personality and psychological development.

Modern Psychotherapists

Professional individuals in the field of psychology who employ contemporary theories and practices to treat mental health issues.

Carl Jung

A psychiatrist and psychoanalyst from Switzerland who established analytical psychology, focusing on the significance of the personal psyche and the individual's pursuit of completeness.

Clergy

Religious leaders and ordained members of religious institutions tasked with leading worship, performing rituals, and providing spiritual guidance.