A 58-year-old man with type 2 diabetes presents with anxiety, diaphoresis, and intense hunger 2 hours after taking glyburide. Vital signs show BP 118/76, HR 108, RR 16, temp 37.2°C, SpO2 98%. He consumes a glucose-containing health food bar. Laboratory testing reveals serum glucose of 42 mg/dL with normal C-peptide levels. He denies recent alcohol use. Which of the following is most likely required to initiate energy production from the ingested glucose?
- A)Phosphofructokinase
- B)HexokinaseGABARITO
- C)Pyruvate kinase
- D)Phosphoglucose isomerase
- E)Aldolase
Explicação
The correct answer is B. Source: Kaplan USMLE Step 1 QBank — Biochemistry Test 1. Ver explicação completa e trilha adaptativa →