#august2020mccqe1
A 60-year-old man presents to his primary care physician for routine medical care. He has no complaints, takes no medications, and has a family history of DM. Examination is unremarkable. A screening laboratory test reveals a fasting blood glucose level of 152 mg/dL. One week later the test is repeated and a value of 144 mg/dL is obtained. Which of the following is the most likely cause of these findings?
(A) Autoimmune destruction of pancreatic islet cells
(B) Pancreatitis
(C) Patient’s findings represent normal laboratory values
(D) Peripheral insulin resistance
(E) Surreptitious insulin injection
A 60-year-old man presents to his primary care physician for routine medical care. He has no complaints, takes no medications, and has a family history of DM. Examination is unremarkable. A screening laboratory test reveals a fasting blood glucose level of 152 mg/dL. One week later the test is repeated and a value of 144 mg/dL is obtained. Which of the following is the most likely cause of these findings?
(A) Autoimmune destruction of pancreatic islet cells
(B) Pancreatitis
(C) Patient’s findings represent normal laboratory values
(D) Peripheral insulin resistance
(E) Surreptitious insulin injection
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