Question 45 (part 2) · LEK · Other

A patient developed symptoms of hypoglycaemia. Low blood glucose levels were observed in a test performed while the symptoms were present. The symptoms resolved once hypoglycaemia had been corrected. The concentrations of insulin and C-peptide in the blood were increased. What caused the above?

1) hypopituitarism;
2) insulinoma;
3) primary hypopituitarism;
4) sulfonylurea derivatives;
5) exogenous insulin.
The correct answer is:
  1. A. 1,3,5.
  2. B. 1,3.
  3. C. 2,4.
  4. D. only 3.
  5. E. only 5.
Hint

C-peptide is co-secreted with endogenous insulin but is absent from pharmaceutical insulin – which causes raise both?

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