An 8-Year-Old Boy Is Brought to the Emergency Department After

question 541

Multiple Choice

An 8-year-old boy is brought to the emergency department after 3 days of vomiting, diarrhea, and high fevers.  He has had no changes in weight, urine output, or oral intake.  The patient has mild persistent asthma for which he takes inhaled fluticasone twice daily and inhaled albuterol as needed.  His family history includes a maternal grandmother with type 2 diabetes mellitus.  Temperature is 39.4 C (103 F) , blood pressure is 70/30 mm Hg, pulse is 176/min, and respirations are 34/min.  BMI is 20 kg/m².  Examination shows a sleepy-appearing child with dry mucous membranes, prolonged capillary refill, hyperactive bowel sounds, and soft and nontender abdomen.  Initial laboratory results are as follows: Which of the following is the most likely explanation for this patient's hyperglycemia?

• A)Cushing's syndrome
• B)Inhaled corticosteroid use
• C)Stress hyperglycemia
• D)Type 1 diabetes mellitus
• E)Type 2 diabetes mellitus

---

Definitions:

Church-Sect Typology

A classification system developed by sociologists to distinguish between different types of religious organizations, ranging from formal, established churches to informal, dissenting sects.

Universalist Unitarians

is a liberal religious movement characterized by a pluralistic and inclusive approach to spiritual beliefs and practices.

Atheistic Beliefs

The conviction or position that there is no deity or deities, rejecting the concept of a supernatural god or gods.

Level Of Religiosity

Indicates the intensity or degree of religious beliefs, practices, and involvement of an individual or group.