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General Medicine · Endocrinology
Sample itemWhich feature suggests diabetic ketoacidosis rather than uncomplicated hyperglycaemia?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Ketones with metabolic acidosis
Diabetic ketoacidosis is characterised by insulin deficiency leading to ketonaemia and metabolic acidosis, often with dehydration and abdominal symptoms.
Option by option
A. Bradycardia after exercise
Exercise bradycardia is unrelated to ketoacidosis.
B. A single elevated cholesterol result
Cholesterol does not diagnose this acute complication.
C. Ketones with metabolic acidosis (correct)
Correct: ketones plus acidosis define the emergency.
D. Normal anion gap without ketones
Absence of ketones does not describe DKA.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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