Ok, the question is stupid, and wouldnt be asked. It draws typical presentation for disease against epidemiology of disease against how a question is asked.
So everyone knows the "basketball player that drops dead suddenly" in hypertrophic cardiomyopathy and so a rhythm disorder would be the likely choice from "acute episode of basketball." But the question doesn't say he was playing, it just says that he IS a basketball player. Likewise, there is no
Given the epidemiology of disease, a basketball player on insulin has two effects lowering his blood glucose: insulin and exercise. Since diaebtes is far more common that hypertrophic cardiomyopathy, it is likely a drug reaction to insulin. Hypoglycemia is one of the most common incidents for "found down" and thus would be the right choice here, given so little information. The fact that he is a diabetic and was exercises only fuels the fire.
Given the way the question is asked, the patient could be in DKA because he's a type 1 diabetic. There is no mention of insulin being used, so the presumption must be that no insulin is being used. Maybe he is a new onset type 1 diabetic, maybe he was recently exercise controlled and he stopped exercising. This makes this answer more likely.
Scary Stem: Arrythmia, but no sudden LOC
Epidemiology: Hypoglycemia in a known Type 1 + Exercise
Question: DKA, because no insulin is mentioned.
Please don't post obnoxious questions that are one-liners in the Step 2 forum. This is for step 2, and these questions just dont get asked. You're only confusing people who dont already know, and make people who do know angry.
