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Free MCQ Question of the Week

An unconscious 18-year-old male is brought to the emergency department via ambulance.

The report given by the paramedics was that his mother found him outdoors and unresponsive.

An examination of his fundus reveals .(Photograph courtesy of Yasha Modi M.D., Bascom Palmer Eye Institute.)

Which test should be performed immediately?

  1. Carotid Ultrasound
  2. HIV antibody Testing
  3. CT head
  4. Blood Glucose

Show Answer

Answer: Blood Glucose

Explanation:

DKA is an acute, major, life-threatening complication of diabetes, which leads to profound dehydration, acidosis, and electrolyte disturbances.

Prompt diagnosis and treatment is lifesaving. The clinician can perform a fingerstick glucose test while waiting for the serum chemistry panel.

It is typically characterized by hyperglycemia over 300 mg/dL. Approximately 8,000 eyes become blind yearly because of diabetes.

from: Galor A, Goldhardt R. Ophthalmology for the Internist in Baliga's Textbook of Internal Medicine: An Intensive Board Review Book with 1480 Multiple Choice Questions

https://doctors.umiamihealth.org/provider/Anat+Galor/525537 https://doctors.umiamihealth.org/provider/Raquel+Goldhardt/525680

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