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NO.1 A 19-year-old man was seen in the diabetes clinic. He had lost 2 kg in weight since the diagnosis
of diabetes mellitus 18 months previously. At presentation, his body mass index was 33 kg/m2 (18-
25), his random plasma glucose was 18.0 mmol/L and his haemoglobin A1c was 56 mmol/mol (20-
42). He was taking gliclazide, and metformin had been added later. His father and grandfather had
developed diabetes mellitus during their twenties.
Investigations:
haemoglobin A1c56 mmol/mol (20-42)
serum C-peptide301 pmol/L (180-360)
anti-glutamic acid decarboxylase (GAD)
antibodiesnegative
What is the most likely diagnosis?
A. type 2 diabetes mellitus
B. chronic pancreatitis
C. maturity-onset diabetes of the young
D. latent-onset diabetes of autoimmunity
E. type 1 diabetes mellitus
Answer: C
NO.2 A 28-year-old woman presented to the emergency department with a 3-day history of
abdominal pain. Her past medical history included intermenstrual bleeding, and she was undergoing
6-monthly renal ultrasound surveillance for a cystic lesion.
Investigations:
serum creatinine84 umol/L (60-110)
serum corrected calcium3.20 mmol/L (2.20-2.60)
serum phosphate0.7 mmol/L (0.8-1.4)
plasma parathyroid hormone19.5 pmol/L (0.9-5.4)
What is the most likely condition underlying the clinical presentation?
A. multiple endocrine neoplasia type 1
B. von Hippel-Lindau syndrome
C. multiple endocrine neoplasia type 2B
D. Cowden's syndrome
E. hyperparathyroidism-jaw tumour syndrome
Answer: E
SEND Questions and answers
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Exam Code: SENDExam Name: Endocrinology and Diabetes (Specialty Certificate Examination)
One year free update, No help, Full refund!
SEND PDF VCE Total Q&A: 200 Questions and Answers
Last Update: 2016-07-03
SEND Training online Detail: SEND PDF VCE
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