Practice questions II Pathology of endocrine pancreas
Practice questions Pathology of endocrine pancreas II © Jun Wang, MD, PhD 1. Use this case for the next two questions . A 59-year-old man presents with dizziness and sweating for 2 hours. He was diagnosed with type 2 diabetes two months ago, and has been compliant with his medication. In addition, he started an aggressive diet plan to reduce weight. He skipped his breakfast and hiked 3 miles before he felt dizzy. His past medical history include hypertension and obesity. He does not drink alcohol or smoke cigarette. Physical examination reveals a BMI at 35 (normal 18-25). He appears to be slightly confused and his skin is moist. His heart rate is 135 bpm. No other abnormalities are noted. Laboratory test reveal a glucose at 52 mg/dl (normal 70-100 mg/dl) and HbA1C at 8.0% (normal 4-5.6%). Other laboratory test results are within normal range. What is the diagnosis? A. Diabetic ketoacidosis B. Diabetic nephropathy C. Diabetic neuropathy D. Hyperosmolar hyperosmotic syn