MISCELLANEA
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page 705
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Theme: Diabetes and endocrinology
Which of the following statements regarding diabetic ketoacidosis (DKA) are true?
- A negative urine dip stick test for ketones makes a diagnosis unlikely.
- Venous blood is sufficient for the measurement of blood pH and bicarbonate.
- A neutrophil leucocytosis is likely to indicate an infective cause.
- Cerebral oedema is a more common complication in young patients given rapid resuscitation fluids.
Which of the following statements regarding acute adrenal cortical insufficiency are true?
- The diagnosis is unlikely in the absence of hyperkalaemia.
- Hypotension is generally refractory to intravenous fluid therapy.
- An adrenocorticotrophic hormone (ACTH) stimulation test should be used to identify patients with septic shock who would benefit from corticosteroids.
- Empirical therapy with intravenous dexamethasone is preferable to intravenous hydrocortisone.
Which of the following statements regarding blood glucose control are true?
- Patients may continue to drive providing they have awareness of the symptoms of hypoglycaemia.
- Metformin should be
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