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 Best of Five 3.64

 

   

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BOF: 3.64

A 47-year-old female presents with a history of recurrent episodes of blurring of vision, confusion and drowsiness. These episodes come on when the patient has been without food for several hours and they are accompanied by feelings of anxiety hunger, sweating and palpitations.

She has started eating more frequently to try and prevent these episodes occurring and she has gained a lot of weight.

In this patient which one of the following tests would you arrange?

a)      72 hour fast with measurement of glucose, insulin and C- peptide levels

b)      Magnetic resonance imaging of the pancreas

c)     Computerised tomogram of the pancreas

d)      Endoscopic ultrasound of the pancreas

e)      5 h oral glucose tolerance test

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