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1626 Unknown

A 35-year-old male presents with symptoms of palpitations, tremors, nervousness and headache. His father has a history of type 2 DM and mother has a history of some psychiatric illness. He has no chronic medical conditions and takes no medications. He appears anxious, sweaty and shaky. His fingerstick glucose is 45 mg/dl. The patient as administered a bolus of 50% glucose which rapidly improves his symptoms. CECT abdomen shows a mass as follows. Which of the following is likely to be seen after overnight fasting?

ASerum insulin Serum pro-insulin C-peptide levels Normal Normal Normal
BSerum insulin Serum pro-insulin C-peptide levels Increased Increased Increased
CSerum insulin Serum pro-insulin C-peptide levels Increased Normal Decreased
DSerum insulin Serum pro-insulin C-peptide levels Decreased Increased Increased
Unknown
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1629 Unknown

A 50-year-old male presented to the ER with history of road side accident. He was operated under spinal anesthesia. Post-op 1 day after the operation, the patient repoed labored breathing, nausea and vomiting. Patient had last passed stool 3 days ago. On examination, Distended abdomen Tympanic note Scattered bowel sounds Water soluble enema failed to relieve the symptoms. X ray abdomen and CT were ordered. Which of the following drugs have been approved to be given in the above condition: –

ADantrolene
BNeostigmine
CPralidoxime
DAtropine
Unknown
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