Endocrine Pharmacology USMLE Step 1 Practice Question
A 67-year-old man with type 2 diabetes mellitus presents with facial flushing, nausea, and palpitations 15 minutes after consuming wine at dinner. Vital signs show BP 145/92 mmHg, HR 108 bpm, RR 18, temp 37.2°C. He recently initiated an older sulfonylurea agent that stimulates pancreatic beta-cell insulin secretion. Fasting glucose was 118 mg/dL this morning. He denies recent hypoglycemic episodes. Which medication most likely caused this reaction?
Answer choices
- AAcarbose
- BGlyburide
- CChlorpropamideCorrect answer
- DRepaglinide
- EMetformin
- FTolbutamide
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