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NEW QUESTION: 1

A. Option B
B. Option E
C. Option D
D. Option C
E. Option A
Answer: D

NEW QUESTION: 2

A. Option D
B. Option C
C. Option B
D. Option A
Answer: C

NEW QUESTION: 3
A 62-year-old man with newly diagnosed type 2 diabetes mellitus presented with weight loss and anaemia.
On examination, the only abnormalities were evidence of recent weight loss and a red-brown rash on his lower limbs. Urinalysis showed glucose 3+.
Investigations:
serum total bilirubin19 umol/L (1-22) serum aspartate aminotransferase26 U/L (1-31) serum alkaline phosphatase98 U/L (45-105) serum gamma glutamyl transferase26 U/L (<50)
plasma gastrin21 pmol/L (<55)
plasma glucagon246 pmol/L (<50)
plasma pancreatic polypeptide158 pmol/L (<300)
plasma vasoactive intestinal polypeptide12 pmol/L (<30)
chromogranin A214 U/L (<40)
serum thyroid-stimulating hormone4.9 mU/L (0.4-5.0)
serum free T49.1 pmol/L (10.0-22.0)
CT scan of abdomen2-cm mass in the tail of the pancreas
What is the most likely explanation for the rash?
A. necrobiosis lipoidica diabeticorum
B. acrodermatitis enteropathica
C. pellagra
D. necrolytic migratory erythema
E. cutaneous metastasis
Answer: D