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A 25 year old male nurse presented to the ER with confusion and disturbed consciousness. This the second time he comes to the ER. Blood glucose measure at 25 mg/dL. Systemic examination was normal.
Which of the following is the appropriate step after given dextrose to this patient?
A- Measurement of C peptide
B- Measurement of serum ACTH level
C- Starting prednisone therapy
D- CT scan pancreas
E- 24 hr urinary cortisol measurement
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