#february2020mccqe1
A 35-year-old man is brought to the emergency department after he faints and cannot be revived. Stat chemistries are notable for a plasma glucose of 23 mg/dL. The patient is promptly given IV glucose and recovers consciousness. Careful questioning reveals that he has a family history of endocrine abnormalities. Follow-up studies performed on the remainder of the blood drawn for the screening studies demonstrate insulin levels of 120 mU/mL (reference range 5-25 mU/mL). A CT scan of the abdomen demonstrates a 2-cm mass in the tail of the pancreas. Which additional finding will most likely be seen this patient?
(A) Marfanoid habitus
(B) Medullary carcinoma of the thyroid
(C) Mucosal neuromas
(D) Parathyroid adenoma
(E) Pheochromocytoma
A 35-year-old man is brought to the emergency department after he faints and cannot be revived. Stat chemistries are notable for a plasma glucose of 23 mg/dL. The patient is promptly given IV glucose and recovers consciousness. Careful questioning reveals that he has a family history of endocrine abnormalities. Follow-up studies performed on the remainder of the blood drawn for the screening studies demonstrate insulin levels of 120 mU/mL (reference range 5-25 mU/mL). A CT scan of the abdomen demonstrates a 2-cm mass in the tail of the pancreas. Which additional finding will most likely be seen this patient?
(A) Marfanoid habitus
(B) Medullary carcinoma of the thyroid
(C) Mucosal neuromas
(D) Parathyroid adenoma
(E) Pheochromocytoma
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