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General Medicine General aeb02133

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?

A
Serum insulin Serum pro-insulin C-peptide levels Normal Normal Normal
B
Serum insulin Serum pro-insulin C-peptide levels Increased Increased Increased
C
Serum insulin Serum pro-insulin C-peptide levels Increased Normal Decreased
D
Serum insulin Serum pro-insulin C-peptide levels Decreased Increased Increased

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