Metabolism USMLE Step 1 Practice Question
A 21-year-old female presents to the emergency department with complaints of breathing difficulty, nausea, and vomiting for the past 4 hours. History reveals that the patient has type 1 diabetes and has not self-injected any insulin for the past 24 hours due to her weakness and nausea. On physical examination, pulse rate is 100/min and respiratory rate is 30/min, with deep respirations. Physical examination indicates laryngitis and dehydration. Laboratory studies find hyperglycemia and metabolic acidosis. Which of the following best describes the current activity of the metabolic pathways of hepatocytes in the liver of this patient (glycolysis, glycogen synthesis, gluconeogenesis, fatty acid oxidation)?
Answer choices
- ALow, High, High, High
- BLow, Low, High, HighCorrect answer
- CHigh, High, Low, High
- DLow, Low, Low, Low
- ELow, High, High, Low
- FHigh, Low, High, High
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