Examlex

Solved

A 30-Year-Old Hispanic Male Presents to the Office with Complaints

question 1385

Multiple Choice

A 30-year-old Hispanic male presents to the office with complaints of palpitations, tremor, nervousness and headache.  His past history is insignificant.  His mother has type 2 diabetes, which is well-controlled with medications.  His temperature is 37.0° C (98.6° F) , pulse is 100/min, blood pressure is 150/80 mm Hg, and respirations are 16/min.  He appears anxious, sweaty and shaky.  His neurological examination is non-focal, and examination of other systems is unremarkable.  His fingerstick blood glucose level is 38 mg/dL.  Intravenous administration of a bolus of 50% dextrose leads to the improvement of his symptoms.  He is then subjected to supervised prolonged fasting.  After an overnight fast, laboratory studies reveal: A 30-year-old Hispanic male presents to the office with complaints of palpitations, tremor, nervousness and headache.  His past history is insignificant.  His mother has type 2 diabetes, which is well-controlled with medications.  His temperature is 37.0° C (98.6° F) , pulse is 100/min, blood pressure is 150/80 mm Hg, and respirations are 16/min.  He appears anxious, sweaty and shaky.  His neurological examination is non-focal, and examination of other systems is unremarkable.  His fingerstick blood glucose level is 38 mg/dL.  Intravenous administration of a bolus of 50% dextrose leads to the improvement of his symptoms.  He is then subjected to supervised prolonged fasting.  After an overnight fast, laboratory studies reveal:   Based on the above information, what is the most likely cause of this patient's hypoglycemia? A) Beta cell tumor B) Non-beta cell tumor C) Sulfonylurea agents D) Exogenous insulin E) Glucagonoma Based on the above information, what is the most likely cause of this patient's hypoglycemia?


Definitions:

Pornography

Sexually explicit material that is generally evaluated negatively.

Sexual Violence

A broad term for rape, including extreme behaviors such as forced penetration.

Censorship

The act of censoring or banning parts of publications, movies, news, etc., deemed offensive, politically sensitive, or hazardous to security.

Daddy's Roommate

A children's book aimed at depicting and normalizing families headed by same-sex couples, focusing on a child living with his father and his father's same-sex partner.

Related Questions