Hypoglycaemia Flashcards

1
Q

Choose the most appropriate answer from the list

  • Glycogen storage disease
  • Anorexia Nervosa
  • Alcohol misuse
  • Glucose-6-phosphatase deficiency
  • Cushing’s Syndrome
  • Congenital hyperinsulinism
  • Insulinoma
  • Insulin Overdose
  • Type I Diabetes
  • Excessive exercise
  • Type II Diabetes
  • Postprandial hypoglycaemia
  • Nocturnal hypoglycaemia

A 28 year old banker is brought into A+E when his girlfriend finds him semi-conscious. She says that he has recently lost his job. His fasting glucose is 2.1 mmol/l.

A

Alcohol misuse

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2
Q

Choose the most appropriate answer from the list

  • Glycogen storage disease
  • Anorexia Nervosa
  • Alcohol misuse
  • Glucose-6-phosphatase deficiency
  • Cushing’s Syndrome
  • Congenital hyperinsulinism
  • Insulinoma
  • Insulin Overdose
  • Type I Diabetes
  • Excessive exercise
  • Type II Diabetes
  • Postprandial hypoglycaemia
  • Nocturnal hypoglycaemia

A 35 year old teacher complains of recurrent headaches and double vision. On further questioning, the GP finds that she is slightly confused and irritable. She has also put on 2 stones within the last 3 months. Blood tests reveal hypoglycaemia.

A

Insulinoma

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3
Q

Choose the most appropriate answer from the list

  • Glycogen storage disease
  • Anorexia Nervosa
  • Alcohol misuse
  • Glucose-6-phosphatase deficiency
  • Cushing’s Syndrome
  • Congenital hyperinsulinism
  • Insulinoma
  • Insulin Overdose
  • Type I Diabetes
  • Excessive exercise
  • Type II Diabetes
  • Postprandial hypoglycaemia
  • Nocturnal hypoglycaemia

A 21 year old female medical student with type 1 diabetes mellitus returns to clinic complaining of sleep disturbance, night sweats and nightmares. There have been no recent significant changes to her medications, but she admits to working a lot and so sometimes forgetting to eat.

A

Nocturnal hypoglycaemia

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4
Q

Choose the most appropriate answer from the list

  • Glycogen storage disease
  • Anorexia Nervosa
  • Alcohol misuse
  • Glucose-6-phosphatase deficiency
  • Cushing’s Syndrome
  • Congenital hyperinsulinism
  • Insulinoma
  • Insulin Overdose
  • Type I Diabetes
  • Excessive exercise
  • Type II Diabetes
  • Postprandial hypoglycaemia
  • Nocturnal hypoglycaemia

A 15-year-old boy is brought to A&E having collapsed at school. His plasma glucose is 1.7mmol/l. On examination he is thin and has fine downy hair on his face, arms and trunk.

A

Anorexia Nervosa

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5
Q

Choose the most appropriate answer from the list

  • Glycogen storage disease
  • Anorexia Nervosa
  • Alcohol misuse
  • Glucose-6-phosphatase deficiency
  • Cushing’s Syndrome
  • Congenital hyperinsulinism
  • Insulinoma
  • Insulin Overdose
  • Type I Diabetes
  • Excessive exercise
  • Type II Diabetes
  • Postprandial hypoglycaemia
  • Nocturnal hypoglycaemia

A 4-month old infant presents to A&E with a seizure. She has a history of recurrent infections and failure to thrive. On examination is found to have an enlarged liver

A

Glucose-6-phosphatase deficiency

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6
Q

Choose the most appropriate answer from the list

  • T1DM
  • Doege-Potter syndrome
  • T2DM
  • Reye’s syndrome
  • Insulinoma
  • Alcohol overdose
  • Cushing’s disease
  • Sepsis
  • Cushing’s syndrome
  • Quinine therapy
  • Addison’s disease
  • Conn’s syndrome
  • Gastric dumping syndrome

A 19-year-old student presents to the GP complaining of tiredness, polydipsia and polyuria.

A

T1DM

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7
Q

Choose the most appropriate answer from the list

  • T1DM
  • Doege-Potter syndrome
  • T2DM
  • Reye’s syndrome
  • Insulinoma
  • Alcohol overdose
  • Cushing’s disease
  • Sepsis
  • Cushing’s syndrome
  • Quinine therapy
  • Addison’s disease
  • Conn’s syndrome
  • Gastric dumping syndrome

A 23-year-old female presents with tiredness, weight loss and hyperpigmentation. She is taking thyroxine.

A

Addison’s disease

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8
Q

Choose the most appropriate answer from the list

  • T1DM
  • Doege-Potter syndrome
  • T2DM
  • Reye’s syndrome
  • Insulinoma
  • Alcohol overdose
  • Cushing’s disease
  • Sepsis
  • Cushing’s syndrome
  • Quinine therapy
  • Addison’s disease
  • Conn’s syndrome
  • Gastric dumping syndrome

A 37-year-old man with no significant previous medical history complains of dizziness, double vision and headaches following his gym sessions.

A

Insulinoma

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9
Q

Choose the most appropriate answer from the list

  • T1DM
  • Doege-Potter syndrome
  • T2DM
  • Reye’s syndrome
  • Insulinoma
  • Alcohol overdose
  • Cushing’s disease
  • Sepsis
  • Cushing’s syndrome
  • Quinine therapy
  • Addison’s disease
  • Conn’s syndrome
  • Gastric dumping syndrome

A 52-year-old man who has recently been diagnosed with lung cancer is brought into A&E unconscious. His blood glucose level is 1.4mmol/L and he has high levels of IGF 2.

A

Doege-Potter syndrome

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10
Q

Choose the most appropriate answer from the list

  • T1DM
  • Doege-Potter syndrome
  • T2DM
  • Reye’s syndrome
  • Insulinoma
  • Alcohol overdose
  • Cushing’s disease
  • Sepsis
  • Cushing’s syndrome
  • Quinine therapy
  • Addison’s disease
  • Conn’s syndrome
  • Gastric dumping syndrome

An 18-year-old man presents with a blood glucose level of 3.2mmol/L. He has a past medical history of malaria.

A

Quinine therapy

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