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	<owl:Ontology rdf:about="https://www.wikidoc.org/index.php/Special:ExportRDF/WBR1144">
		<swivt:creationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2026-07-31T10:07:38+00:00</swivt:creationDate>
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		<rdfs:label>WBR1144</rdfs:label>
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		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Diabetes mellitus</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Correct!  An increased frequency of urination, and thirst, weakness, fatigue are common manifestations of diabetes mellitus.  The patient also has increased BMI, which puts him at the risk of developing diabetes mellitus.
The American Endocrine Society recommends, HbA1C 6.5% or higher as the primary criterion for the diagnosis of diabetes mellitus.  Therefore, the most likely diagnosis is diabetes mellitus.</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Diabetes insipidus</property:AnswerB>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Impaired glucose tolerance</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Incorrect!  Although glucose tolerance test is suggestive of impaired glucose tolerance, HbA1C is 7.1, the American Endocrine Society recommends, HbA1C 6.5% or higher as the primary criterion for the diagnosis of diabetes mellitus.</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Insulinoma</property:AnswerD>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Growth hormone excess</property:AnswerE>
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		<property:ExamType rdf:resource="&wiki;USMLE_Step_2_CK"/>
		<property:Explanation rdf:datatype="http://www.w3.org/2001/XMLSchema#string">The American Endocrine Society recommends, HbA1C 6.5% or higher as the primary criterion for the diagnosis of diabetes mellitus.&lt;br/&gt;
'''Educational Objective:''' &lt;br/&gt;
'''References:''' https://www.aace.com/files/position-statements/a1cpositionstatement.pdf</property:Explanation>
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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A 43 year old man, is complaining of increased frequency of urination, increased thirst, weakness and fatigue.  He is exercising regularly and trying  to reduce weight.   He denies difficulties in the vision, and tingling and numbness in hands and feet.  His BMI is 27.2, however his appearance is otherwise normal. The fasting blood glucose was 121mg/dl and Hb A1c: 7.1
Glucose tolerance test results are,  
1 hr blood glucose level is 186mg/dl and 2 hr blood glucose is 154mg/dl.  What is the most likely diagnosis?</property:Prompt>
		<property:RightAnswer rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A</property:RightAnswer>
		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Endocrine</property:SubCategory>
		<property:WBRKeyword rdf:resource="&wiki;Diabetes_mellitus"/>
		<property:WBRKeyword rdf:resource="&wiki;Diabetes_mellitus_type_2"/>
		<swivt:wikiPageModificationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2020-10-28T02:45:08Z</swivt:wikiPageModificationDate>
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