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Kaplan Qbank USMLE



Author10 Posts
  #1

The concerned parents of a 14 yo girl bring their daughter to the clinic for evaluation of a possible eating disorder. They state that over the past 1-2 months the girl seemed to drink nothing but diet soda and water and lost 15lbs. They do admit that she "eats like a horse" and wonder if she purges her meals.
The girl, once her parents are out of the room, denies any problems with her self image and wishes she could keep her weight up, as she feels her weight loss is limiting her ability as an athlete. She reports feeling weak and fatigue over the past month and asks if she might have a unrinary tract infection, as she always seems to be urinating. She has never been ill and knows of no illnesses that run in her family.
Exam reveals a thing, well appearing teenager. Which of the following is a likely finding upon further examination and lab testing?

A. Antiglutamic acid decarboxylase Abs
B. Elevated fasting cholesterol and TG levels
C. Parotid gland hypertrophy and loss of tooth enamel
D. Significant proteinuria on a urine dipstick
E. Retinal vessel proliferation



  #2

by process of elimination answer-a (antibodies)

answer -e is associated with diabetes..

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  #3

she has classic symptoms of type 1 DM

A-----> Antiglutamic acid decarboxylase Abs

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  #4

It's primary polydipsia. Robin, Type I DM presents with DKA. By process of elimination, it seems the answer is A.

  #5

It's primary polydipsia. Robin, Type I DM presents with DKA. By process of elimination, it seems the answer is A.

  #6

"4 much" symptoms: eat too much, drink too much, urinate too much, and lose weight----->DM type 1.

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The Key to Succeed is Patience.

  #7

agree with Robin

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Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.

  #8

I looked it up, and your right. Thanks. I thought type I always presented as DKA.

What is anitglutamic acid decarboxylase Abs

  #9

Type 1 DM is thought to have an autoimmune etiology... specifically anti-glutamic acid decarboxylase antibody (sometimes just abbreviated anti-GAD in some books)

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  #10

Kaplan Qbank, a







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