PLAB 2 (Professional And Linguistic Assessments Board Part 2) [plab-2-gmc]

Access More Questions

A patient with type 1 diabetes presents with vomiting, abdominal pain, Kussmaul breathing, and a blood glucose of 28 mmol/L. Blood gases show pH 7.1, bicarbonate 10 mmol/L, and ketones 5.5 mmol/L. What is the diagnosis and first priority of management?

Hyperglycaemic hyperosmolar state — give oral fluids Diabetic ketoacidosis — IV 0.9% sodium chloride fluid resuscitation is the first priority, followed by fixed-rate IV insulin infusion (0.1 units/kg/hour) Hypoglycaemia — give IV dextrose Lactic acidosis — give IV sodium bicarbonate

Correct Answer:

Diabetic ketoacidosis — IV 0.9% sodium chloride fluid resuscitation is the first priority, followed by fixed-rate IV insulin infusion (0.1 units/kg/hour)

Access more questions from this quiz

Continue to PLAB 2 (Professional and Linguistic Assessments Board Part 2) [plab-2-gmc] for more practice questions and the full quiz experience.

Access More Questions