Type 2 Diabetes in Young People – Board-Style Questions

What this deck covers

type 2 diabetes in young people in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Who to test
2. One result is not enough
3. Ketones at diagnosis
4. The first treatment
5. Higher at the start
6. The stomach and the tablet
7. Vomiting on the tablets
8. Not enough on one drug
9. Look now, not later
10. Protein in the urine
11. The cholesterol that stayed high
12. More than the glucose
13. Planning a family
14. The rest of the household
15. Beyond the medicines
16. Very high sugar, few ketones
17. Why the C-peptide is high
18. The long view

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Test her HbA1c, as she meets the screening criteria, Start metformin and arrange diabetes education today, Metformin alone, as her features suggest type 2 diabetes, Basal insulin, titrated to his fasting glucose, Metformin alone, increasing the dose each week, Stop the metformin and change him over to insulin, Pause it until she is eating and drinking again, A GLP-1 receptor agonist, which also helps weight, At puberty, in the same way as type 1, Recheck it in a year before making any change, A statin, alongside the dietary measures, Increase her metformin to the maximum dose, No change is needed until she is pregnant, Nothing, as type 2 diabetes is not inherited.

Clinical pearls from this deck

• Obesity plus a parent with type 2 diabetes: test, do not wait for thirst.
• No symptoms, one high result: confirm it before you name it.
• Ketones at diagnosis: insulin first, name the type later.
• Type 2, no ketones, moderate HbA1c: metformin plus lifestyle.
• HbA1c 69 or more at diagnosis: basal insulin plus metformin.
• Metformin: start low, with food, and build slowly.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Endocrinology Board Questions case decks · pediatric reference values.