104. A 32-year-old man is brought to the emergency department by ambulance 30 minutes after he was found unresponsive by his wife. Paramedics say that his blood glucose concentration was 22 mg/dL by fingerstick at the scene. He became responsive following administration of an ampule of 50% dextrose. On arrival, he says that he has a 3-month history of episodes of sweating and feeling shaky. His symptoms resolve when he eats a candy bar. Physical examination shows no abnormalities. The tentative diagnosis of insulinoma is made. In addition to a decreased glucose concentration, which of the following sets of findings in this patient during a fasting-induced hypoglycemic episode is most likely to confirm the diagnosis? A) B) C) D) F) Serum C Peptide Insulin ↑ ↑ T ↓ ↓ Urine Ketones present absent present absent present absent

icon
Related questions
Question
104. A 32-year-old man is brought to the emergency department by ambulance 30 minutes after he was found unresponsive by his wife. Paramedics say that his blood glucose concentration was 22 mg/dL by
fingerstick at the scene. He became responsive following administration of an ampule of 50% dextrose. On arrival, he says that he has a 3-month history of episodes of sweating and feeling shaky. His
symptoms resolve when he eats a candy bar. Physical examination shows no abnormalities. The tentative diagnosis of insulinoma is made. In addition to a decreased glucose concentration, which of the
following sets of findings in this patient during a fasting-induced hypoglycemic episode is most likely to confirm the diagnosis?
A)
B)
C)
D)
E)
F)
Serum
C Peptide
↑
Insulin
1
↓
Urine
Ketones
present
absent
present
absent
present
absent
Transcribed Image Text:104. A 32-year-old man is brought to the emergency department by ambulance 30 minutes after he was found unresponsive by his wife. Paramedics say that his blood glucose concentration was 22 mg/dL by fingerstick at the scene. He became responsive following administration of an ampule of 50% dextrose. On arrival, he says that he has a 3-month history of episodes of sweating and feeling shaky. His symptoms resolve when he eats a candy bar. Physical examination shows no abnormalities. The tentative diagnosis of insulinoma is made. In addition to a decreased glucose concentration, which of the following sets of findings in this patient during a fasting-induced hypoglycemic episode is most likely to confirm the diagnosis? A) B) C) D) E) F) Serum C Peptide ↑ Insulin 1 ↓ Urine Ketones present absent present absent present absent
Expert Solution
trending now

Trending now

This is a popular solution!

steps

Step by step

Solved in 3 steps

Blurred answer