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Pharmacology · Endocrine drugs
Sample itemWhich drug class can cause euglycaemic diabetic ketoacidosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. SGLT2 inhibitors
SGLT2 inhibitors increase urinary glucose loss and can rarely predispose to ketoacidosis with relatively normal glucose, especially during fasting or illness.
Option by option
A. SGLT2 inhibitors (correct)
Correct: SGLT2 blockade is linked to euglycaemic ketoacidosis.
B. DPP-4 inhibitors only
DPP-4 drugs do not have this characteristic association.
C. Thyroid hormone replacement
Thyroid replacement has different risks.
D. Bisphosphonates
Bisphosphonates act on bone resorption.
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.