question from nbme6 - please explain - papanicolaou

[ArchivalUser]

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?

[ArchivalUser]

I would D
my logic
he is obese got type 2 dm, insulin resistance, pancreas produces more

[ArchivalUser]

i meant that there was weight loss in the question. not weight gain. sorry

[ArchivalUser]

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

[ArchivalUser]

thanks! that makes logical sense. maybe, i was reading into it too much.