Quiz: DKA + Hypoglycemia

The best fluid replacement in treatment of DKA with hypernatremia is :

A A . Hypertonic fluid B B . Isotonic fluid C C . Hypotonic fluid D D . None of the above

complications of the use of the sodium bicarbonate in treatment of DKA may include :

A A . Paradoxical CSF acidosis B B . Large sodium bolus and hypokalemia C C . Cerebral edema D D . All of the above

Severe DKA suggested by the following except:

A A . blood ketones > 6 mmol/L B B . bicarbonate level < 5 mmol/L C C . PH >7.4 D D . Potassium<3.5 mmol/L

Causes of death in adults with DKA include:

A A . Profound hypokalemia B B . Myocardial infarction C C . Pneumonia D D . All of the above

The most common cause of death in children with DKA is :

A A . Myocardial infarction B B . Cerebral edema C C . Renal failure D D . Sepsis

Causes of metabolic acidosis include all of the following except:

A A . Diabetic ketoacidosis B B . Conn's syndrome C C . Chronic renal failure D D . Aspirin toxicity

Diabetic ketoacidosis presented by all of the following except:

A A . Kussmaul respiration B B . Abdominal pain C C . Polyuria D D . Hypervolemia

Diabetic ketoacidosis diagnosed by:

A A . Acidosis B B . Ketonemia C C . Hyperglycaemia D D . All of the above

Diabetic ketoacidosis occurs mainly in:

A A . Type 1 DM B B . Type 2 DM C C . Addison disease D D . None of the above

Warning signs of hypoglycemic coma include:

A A . Tachycardia B B . Sweating C C . Hunger pain D D . All of the above

Regarding to insulinoma all of the following are true except:

A A . High insulin level B B . Low glucose level C C . Low C-peptide level D D . It's characterized clinically by Whipple's triad .

Hypoglycemia may result from all except:

A A . Insulinoma B B . Cushing syndrome C C. Addison disease D D . Panhypopituitarism

Hypoglycaemia may result from all except :

A A. Pentamidine B B. Octreotide C C. Diazoxide D D. Quinine

Commonest cause of coma in a diabetic is :

A A. Diabetic ketoacidosis B B. Lactic acidosis C C. Hyperosmolar non-ketotic coma D D. Hypoglycaemia