![]() |
question from nbme6 - please explain - papanicolaou - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: question from nbme6 - please explain - papanicolaou (/showthread.php?tid=778394) |
question from nbme6 - please explain - papanicolaou - ArchivalUser - 05-19-2014 A previously healthy 52-year-old man comes to the physician because of a 3-month history of increased urinary volume and increased urinary frequency at night. He has had a 6.8-kg (15-lb) weight loss during this period despite no change in appetite. His father has hypertension, and his mother has hypertension and type 2 diabetes mellitus. He currently weighs 95 kg (210 lb) and is 178 cm (70 in) tall. His blood pressure is 160/85 mm Hg in both arms. Examination shows no other abnormalities. His nonfasting serum glucose level is 280 mg/dL. Which of the following serum levels is most likely to be increased in this patient? A) Bicarbonate B) Glucagon C) HDL-cholesterol D) Insulin E) Ketones I picked Glucagon and got it wrong. I was hesitant to pick D) insulin because there was weight GAIN. Can someone explain how weight gain goes with insulin? 0 - ArchivalUser - 05-19-2014 I would D my logic he is obese got type 2 dm, insulin resistance, pancreas produces more 0 - ArchivalUser - 05-19-2014 i meant that there was weight loss in the question. not weight gain. sorry 0 - ArchivalUser - 05-20-2014 I will take another shot if there is insulin resistance than glucose unable to get into the cells NO nutrition for cells they remain hungry. leading to weight loss 0 - ArchivalUser - 05-20-2014 thanks! that makes logical sense. maybe, i was reading into it too much. |