WBR1144

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Author [[PageAuthor::Pratik Bahekar, MBBS [1]]]
Exam Type ExamType::USMLE Step 2 CK
Main Category MainCategory::Internal medicine
Sub Category SubCategory::Endocrine
Prompt [[Prompt::A 43 year old man, is complaining of increased frequency of urination, increased thirst, weakness and fatigue. He is exercising regularly and trying to reduce weight. He denies difficulties in the vision, and tingling and numbness in hands and feet. His BMI is 27.2, however his appearance is otherwise normal. The fasting blood glucose was 121mg/dl and Hb A1c: 7.1

Glucose tolerance test results are, 1 hr blood glucose level is 186mg/dl and 2 hr blood glucose is 154mg/dl. What is the most likely diagnosis?]]

Answer A AnswerA::Diabetes mellitus
Answer A Explanation AnswerAExp::
Answer B AnswerB::Diabetes insipidus
Answer B Explanation AnswerBExp::
Answer C AnswerC::Impaired glucose tolerance
Answer C Explanation AnswerCExp::
Answer D AnswerD::Insulinoma
Answer D Explanation AnswerDExp::
Answer E AnswerE::Growth hormone excess
Answer E Explanation AnswerEExp::
Right Answer RightAnswer::A
Explanation [[Explanation::

Educational Objective:
References: https://www.aace.com/files/position-statements/a1cpositionstatement.pdf]]

Approved Approved::No
Keyword WBRKeyword::Diabetes mellitus, WBRKeyword::Diabetes mellitus type 2
Linked Question Linked::
Order in Linked Questions LinkedOrder::