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ped 2 - fellow
#1
An 11-year-old has been an insulin-dependent diabetic since she was eight years old. She develops an acute viral syndrome complicated by nausea and vomiting. Her mother telephones you asking, "What do we do now?" You medically advise which of the following
A
Tell her mother to stop her insulin to protect her from insulin-induced-hypoglycemic-shock (crashing to a low blood sugar), since she cannot eat now
B
Tell her mother to bring her to your office
C
Tell her mother to bring her to your hospital emergency room

Tell her mother to check her blood sugar
E
Tell her mother to call 911
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#2
before doing everuthing you have to know what you dealing with
D is the answer
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#3
Tell her mother to bring her to your hospital emergency room
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#4
D...then decide if ur gonna call to the ER
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#5
DDDD
what do you think
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#6
I agree, D. Before to make a decision
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#7
D-answer key

I THINK it does affect the management. If it is just 24 hour bug problem, patient can come to the office next day morning, but if glucose level is high, then DKA is a big deal.
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#8
Tell her mother to check her blood sugar
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