A 34-Year-Old Man Is Admitted to the Hospital After Sustaining

question 146

Multiple Choice

A 34-year-old man is admitted to the hospital after sustaining a head injury and fractures of both femurs in a motor vehicle collision.  CT scan of the head reveals a left-sided extradural hematoma.  He has no history of chronic illness and takes no medications.  The patient receives intravenous fluid boluses and blood transfusions and is taken to the operating room for fracture repair and removal of the hematoma.  On the first postoperative day, laboratory results show high plasma glucose and lactate levels.  Which of the following is the primary contributor to this patient's elevated blood glucose levels?

• A)Administration of intravenous fluid boluses
• B)Decreased hepatic glycerol supply
• C)Increased anaerobic glycolysis
• D)Increased hepatic glucose production
• E)Increased renal gluconeogenesis

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Definitions:

Car Type SS

Refers to a specific classification or model of a vehicle, often implying a designation for performance or body style.

SSE

The sum of squared errors, a measure used in statistics to quantify the discrepancy between data points and a model's predictions.

ANOVA Table

A table used to display the output of an Analysis of Variance, which helps to identify significant differences between group means.

P-value

A statistical measure indicating the probability of obtaining the observed results, or more extreme, assuming the null hypothesis is true.