BOF 36

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BOF: 36

A 23 year old male who is known to have insulin dependent diabetes mellitus is brought into casualty with a hypoglycaemic episode. He is treated with intravenous dextrose and glucagons and makes a satisfactory recovery.

He admits to having several such episodes over the preceding months.

Which of the following is most likely to enable you to determine the cause of the hypoglycaemic episodes?

a)   Detailed family history

b)   Careful auscultation of the heart

c)    Careful examination of the skin

d)   Detailed neurological examination

e)   Examination of the thyroid gland

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