EMQs in Clinical Medicine.pdf - Peshawar Medical College

202 Metabolic and endocrine disturbances
84 Treatment of diabetes
A
B
C
D
E
F
warfarin
0.9 per cent saline, intravenous
insulin, metformin
0.9 per cent saline, intravenous
insulin, potassium
intravenous 5 per cent glucose
0.9 per cent saline, insulin,
heparin
rosiglitazone
G
H
I
J
K
L
M
metformin
lifestyle change
0.9 per cent saline, intravenous
insulin and calcium gluconate
tolbutamide
intravenous 50 per cent glucose
gliclazide
oral glucose preparation
Choose, from the options above, the diabetic medication that is described/
indicated in the questions below. Each option may be used only once.
1 A 45-year-old man with type 2 diabetes presents with hyperglycaemic, hyperosmolar,
non-ketotic coma. Blood glucose 40 mmol/l.
2 First-line treatment for a 19 year old with diabetes and metabolic ketoacidosis.
3 A 25-year-old athlete with type I diabetes is brought to A&E. He is unconscious
with a blood glucose level of 1.0 mmol/l.
4 A 21-year-old man with type 1 diabetes presents with dizziness. On examination
he is alert and no abnormalities are detected. Blood glucose 2 mmol/l.
5 A 50-year-old man presents with symptoms of tiredness. Fasting glucose
6.8 mmol/l which rises to 10.7 mmol/l after oral glucose tolerance test.
Answers: see page 209.