kiranmayi Forum Guru
Topics: 237 Posts: 407
| | 02/14/04 - 12:21 PM  
 
   
 
|   #1 |
A 13-year-old girl comes to the clinic complaining of polyuria, polydipsea, and nausea. She does not have a family history of diabetes. A urinalysis reveals significant glucose. The patient also has abnormal glucose tolerance. Which of the following metabolic processes are occurring in this patient? A. Decreased catabolism of amino acids B. Decreased triglyceride breakdown C. Increased peripheral glucose uptake D. Insulin concentration is usually low and blood is hypo-osmolar E. Low intracellular concentration of potassium
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| peekay Forum Guru
Topics: 102 Posts: 588
| | 02/14/04 - 01:19 PM  
 
   
 
|   #2 |
D- this is late onset D.M
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| asmi Forum Hero
Topics: 1043 Posts: 4,609
| | 02/14/04 - 01:21 PM  
 
   
 
|   #3 |
D...
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| auubar Forum Senior
Topics: 30 Posts: 182
| | 02/15/04 - 02:42 AM  
 
   
 
|   #4 |
Hey how about E
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| kiranmayi Forum Guru
Topics: 237 Posts: 407
| | 02/15/04 - 12:31 PM  
 
   
 
|   #5 |
Answer is E. Low intracellular concentration of potassium
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| Idiopathic Forum Guru
Topics: 19 Posts: 641
| | 02/15/04 - 12:41 PM  
 
   
 
|   #6 |
Clarify: this is type I, right? Not 'late-onset DM.
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| uscan Forum Senior
Topics: 19 Posts: 88
| | 02/15/04 - 10:02 PM  
 
   
 
|   #7 |
Please explain the answer :oops:
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| Huntseatchick Forum Junior

Topics: 11 Posts: 52
| | 02/17/04 - 01:27 PM  
 
   
 
|   #8 |
Not E because insulin drives K+ into the cell
___________________ Do not worry about your difficulties in mathematics. I can assure you mine are still greater. -- Albert Einstein
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| meg Forum Guru
Topics: 62 Posts: 806
| | 02/17/04 - 01:41 PM  
 
   
 
|   #9 |
the answer should be E. this is a young diabetic (so suspect IDDM). Insulin is required to push K+ into the cells, hence in its absence, K+ accumulates in plasma. In DKA you have hyperkalemic acidosis. insulin + glucose is a drug given in hyperkalemia.
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| Huntseatchick Forum Junior

Topics: 11 Posts: 52
| | 02/17/04 - 01:51 PM  
 
   
 
|   #10 |
Sorry, but this is why E is wrong: She doesn't have insulin, so she can't drive K+ into the cells, which explains why she has low intracellular potassium.
___________________ Do not worry about your difficulties in mathematics. I can assure you mine are still greater. -- Albert Einstein
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