Multiple Choice Questions (MCQ)

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Category: Critical Care Medicine-Endocrine Disorders--->Diabetes Mellitus
Page: 2

Question 6#Print Question

An 85-year-old male is admitted to the ICU with urosepsis. His blood sugar is 720 mg/dL.

Which of the following is TRUE about hyperglycemic hyperosmolar state (HHS)?

A. Positive urine ketones means that this cannot be a HHS
B. Mortality in HHS is similar to mortality in DKA
C. His free water deficit is likely higher than a patient with DKA
D. Acidemia rules out a diagnosis of HHS

Question 7#Print Question

You calculate the Δ anion gap/Δ bicarbonate ratio in your patient with DKA and find that it is greater than 1. Explanations include all of the following EXCEPT:

A. Impaired renal function
B. A coexisting nonanion gap metabolic acidosis
C. A coexisting metabolic alkalosis
D. It may be normal for your patient

Question 8#Print Question

A 68-year-old female with a history of type 2 diabetes mellitus is admitted to the ICU with pancreatitis. Her ICU course is notable for vasodilatory shock requiring vasopressors, respiratory failure requiring mechanical ventilation, renal failure requiring renal replacement therapy, and multiple episodes of hypoglycemia (blood glucose <80 mg/dL). TRUE statements include: 

A. Hypoglycemia is a cause of mortality in critically ill patients
B. ICU length of stay is not associated with the incidence of hypoglycemia
C. Patients with hypoglycemia have an increased risk for death from vasodilatory shock
D. A history of well-controlled diabetes (preadmission Hgb A1c level <6.5) is associated with increased risk of hypoglycemia

Category: Critical Care Medicine-Endocrine Disorders--->Diabetes Mellitus
Page: 2 of 2