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Medicine All India exam 84f7ab0f

A 40-years-old non-diabetic woman patient is bought to the emergency depament, by paramedics with hypoglycemia. The paramedics suspect a,& insulin overdose, you suspect Insulinoma. The lab result that would confirm your suspicion of Insulinoma is

A
Insulin level > C-peptide level
B
Insulin level < C peptide level
C
Insulin level = C-peptide level
D
Insulin antibody level = insulin level
High-Yield Explanation
InsulinomasWhipple's triadDiagnostic testsFasting hypoglycemia+Symptoms of hypoglycemia+Immediate recovery after IV glucose along with increased insulin & C peptide levels and absent insulin antibodiesSuppression of insulin secretion by fasting Measurement of proinsulin to insulin by RIA C peptide levels Glucagon test Tumour localization by CT, MRI &radio nuclear scan (Refer: Harrison's Principles of Internal Medicine, 18th edition, pg no: 3066-3067)

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