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A 15-Year-Old Girl Is Brought to the Emergency Department After

Question 334

Multiple Choice

A 15-year-old girl is brought to the emergency department after she lost her consciousness. on examination she is confused and lethargic but follows simple commands. Family members report that for the last 2 weeks she has experienced polyuria, polydipsia, and increased appetite. . The patient does not use tobacco, alcohol, or illicit drugs.  Family history is significant for hypothyroidism in her brother.  Temperature is 36.7 C (98 F) , blood pressure is 90/60 mm Hg, pulse is 97/min, and respirations are 22/min. Her breath has a fruity odor.  This patient is most likely deficient in a hormone that normally performs which of the following actions?


A) Activates hormone-sensitive lipase
B) Decreases glucagon secretion
C) Decreases muscle glycogen synthesis
D) Increases hepatic glucose production
E) Increases renal glucose reabsorption

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