KROK 1 2019 – Question 117 · KROK (Medicine) · Pathophysiology
A patient was hospitalized in a comatose state. The patient has a 5-year-long history of diabetes mellitus type 2. Objectively respiration is noisy, deep, with acetone breath odor. Blood glucose is 15.2 mmol/L, ketone bodies - 100 micromol/L. These signs are characteristic of the following diabetes complication:
- A. Hepatic coma
- B. Hyperglycemic coma
- C. Hypoglycemic coma
- D. Ketoacidotic coma
- E. Hyperosmolar coma
Hint
Ask which metabolic derangement produces deep, noisy breathing and an acetone breath odor, and what the blood test results add to that.
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