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MRCSPart 2 Question of the Day

Test your knowledge and try the Question of the Day based on themes similar to recent exams.

Theme:Diabetes

AIV insulin with 5% dextrose
BNo action required
CSC insulin alone
DStop diabetes medication 48 hours before procedure
EStop diabetes medication on morning of procedure

In the following cases select the most appropriate treatment:

A 25-year-old male with diabetes presents on your intake with a perianal abscess. He takes short acting insulin 8 units with meals and long acting insulin 10 units at night. His current blood glucose is 6 mmol/l. You plan to drain this abscess under GA in the morning.


A 75-year-old man with diabetes is admitted for investigations of claudication. He takes metformin 850 mg BD. In general his capillary blood glucoses range between 7-11 mmol/l at home. Your plan is to perform an angiogram before a femoral-popliteal bypass.


A 55-year-old female with diabetes is admitted for wide local excision of a breast lump. She takes gliclazide 80 mg OD. Her blood glucose shows a level of 6.1 mmol/l.


A 55-year-old male who has had diabetes mellitus since the age of eight is being admitted for an anterior resection of the colon in the morning. He takes Mixtard 30 10 units BD. His current capillary blood glucose is 13.7 mmol/l.



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