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Pediatrics · Endocrinology: type 1 diabetes
Sample itemA child has polyuria, polydipsia, weight loss, and high glucose with positive pancreatic autoantibodies. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Type 1 diabetes mellitus
Type 1 diabetes is autoimmune beta-cell destruction causing insulin deficiency, hyperglycemia, and ketosis risk. Education on insulin, glucose monitoring, and sick-day management is essential.
Option by option
A. Type 1 diabetes mellitus (correct)
Correct. Autoimmune insulin deficiency causes this classic presentation.
B. Type 2 diabetes only
Type 2 diabetes involves insulin resistance and has different typical context.
C. Primary adrenal insufficiency
Adrenal insufficiency causes hypotension and electrolyte disturbances.
D. Diabetes insipidus
Diabetes insipidus causes dilute polyuria without hyperglycemia.
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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