A 16-Year-Old Girl Is Brought to the Office for Evaluation

question 499

Multiple Choice

A 16-year-old girl is brought to the office for evaluation of hyperglycemia.  A week ago, the patient was seen at an urgent care clinic due to vaginal discharge and dysuria.  She was diagnosed with candidal vulvovaginitis, and her urine dipstick was positive for glucose and negative for ketones.  Finger-stick blood glucose was 200 mg/dL and a subsequent hemoglobin A1c level was 7.6%.  The patient has been excessively thirsty over the past several weeks but has had no abdominal pain, nausea, or vomiting.  She has no previous medical conditions and takes no medications.  Family history is significant for diabetes mellitus and hypertension in both parents.  Vital signs are within normal limits and BMI is at the 95th percentile for her age.  Which of the following findings is most likely to be observed in this patient?

• A)Bitemporal hemianopia
• B)Elevated fecal fat levels
• C)Extensive acanthosis nigricans
• D)Glucokinase gene mutation
• E)Pancreatic autoantibodies

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Definitions:

Mode

The value that appears most frequently in a data set.

Introspection

The examination of one's own thoughts and feelings as a way of understanding one’s mental processes.

Mental States

Conditions of mind or consciousness, including emotions, thoughts, beliefs, intentions, and sensations.

Wundt

Wilhelm Wundt, often considered the father of psychology, who established the first psychological laboratory in Leipzig, Germany, focusing on introspection and psychological experiments.