KROK 1 2021 – Question 74 · 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, his 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:

  1. A. Hepatic coma
  2. B. Ketoacidotic coma
  3. C. Hypoglycemic coma
  4. D. Hyperglycemic coma
  5. E. Hyperosmolar coma
Hint

Combine the deep noisy breathing, the acetone breath and the ketone bodies in the blood: which acute metabolic complication of diabetes with acidosis do they point to?

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