Toni is 18 YO, 5’ 5”, 170 lb college freshman. She is an applied math/computer s
ID: 3515507 • Letter: T
Question
Toni is 18 YO, 5’ 5”, 170 lb college freshman. She is an applied math/computer science major getting good grades. She tends to avoid exercise because her knees hurt. Toni is a straight arrow and does not drink or smoke. She feels good and was having fun at TSU until February. At a friend’s party in February, Toni gets confused, then woozy and then passes out on the couch. Hours later when her friends try to wake her to go home, they are unable to do so and have to call 911. Toni appears to be gasping for air, smells like she drank finger nail polish and apparently peed on herself while asleep.
1. Toni most likely:
A. Is drunk.
B. Has been drugged.
C. Has had a heart attack.
D. Is in a diabetic coma.
E. Has had a stroke.
2. Blood work on Toni will show:
A. Elevated alcohol.
B. Very high insulin.
C. Elevated creatinine.
D. Elevated ketones.
E. Severe anemia.
3. Toni will be diagnosed with:
A. Type I diabetes
B. Type II Diabetes.
C. Gestational Diabetes.
D. Polycystic Ovarian Disease.
E. Acute renal failure.
4. What measurement will be used to confirm the diagnosis:
A. Blood glucose.
B. Blood Insulin.
C. Creatinine clearance.
D. Blood testosterone.
E. Urinary hCG.
Explanation / Answer
1.d -diabetic coma
2.d elevated ketones
3.a.type 1 DM
4.A.blood glucose
Diagnosis is type 1 insulin dependent diabetes mellitus.
Signs and symptoms of -diabetic coma:
Shakiness and tiredness
Nausea
Increased urination
Feeling of Fainting
Feeling of Starvation