Diabetes Mellitus

~ Exam ~

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Chapter I Questions

1. The incidence of diabetes is high. There are more than ________ new cases diagnosed each year.

  a. 70,000

  b. 700,000

  c. 16,000

  d. 160,000

2. Insulin is a hormone produced by the pancreas. In diabetes, the pancreas either produces:

  a. No insulin.

  b. Too little insulin.

  c. The body does not respond to insulin.

  d. All of the above.

3. Insulin is produced in which islet cells?

  a. Beta cells

  b. Alpha cells

  c. PP cells

4. Factors that increase the risk of diabetes include:

  a. Obesity.

  b. Faulty immune system.

  c. Age.

  d. All of the above.

Chapter II Questions

5. In Type I diabetes:

  a. The body does not produce insulin.

  b. Not enough insulin is produced.

6. In Type I diabetes, the onset can be described as:

  a. Sudden

  b. Insidious

7. Type I diabetes symptoms are caused by:

  a. Hyperglycemia.

  b. Breakdown of body fats.

  c. Absence of insulin.

  d. All of the above.

8. Factors that increase the risk of DKA include:

  a. Failure to take insulin.

  b. Infection.

  c. Resistance to endogenous insulin.

  d. All of the above.

9. In Type 2 diabetes:

  a. Insulin is not produced.

  b. Not enough insulin is produced to transport glucose.

10. Warning signs of Type 2 diabetes include:

  a. Sudden onset.

  b. Weight loss.

  c. Polydipsia.

  d. All of the above.

  e. None of the above.

11. Patients with __________ will have blood sugars greater than 900 mg/100ml.

  a. HHNC

  b. DKA

12. Patients in ________ have sufficient circulating insulin to retard the release of fatty acids.

  a. HHNC

  b. DKA

13. Symptom of hypoglycemia include:

  a. Kussmaul respirations.

  b. Onset hrs. to days.

  c. Negative for glucose.

14. The prevalence of Type 2 diabetes is:

  a. 85-90%

  b. ½ of all cases

  c. 10-20%

Chapter III Questions

15. The normal range for fasting blood glucose is:

  a. Less than 140 mg/dl

  b. 70-110mg/dl

  c. 60-90 mg/dl

16. In a normal individual, after ingestion of glucose, the plasma glucose level returns to baseline within:

  a. 2 hours

  b. 4 hours

  c. 6 hours

17. The oral GTT begins with the patient in a fasting state for:

  a. 24 hours.

  b. Between 10-16 hours.

  c. A fasting state is not necessary.

18. The most sensitive test of carbohydrate tolerance is:

  a. OGTT.

  b. FPG.

  c. Cortisone GTT.

19. The test that measures average blood levels over the past 2 to 3 months is called:

  a. SMBG.

  b. Hemoglobin Alc.

20. __________ measures precisely the effects of changes in diet, exercise, and insulin dosage as they relate to blood glucose levels.

  a. SMBG

  b. Hemoglobin A1c

  c. RBS

21. Testing for ketones in the urine is appropriate for ____________ diabetes.

  a. Type I

  b. Type II

Chapter IV Questions

22. Premixed insulin is a combination of specific proportions of:

  a. Short acting and intermediate insulin.

  b. Short acting and long acting insulin.

23. __________ should be clear and colorless.

  a. Semi-Lente insulin.

  b. Regular insulin.

  c. NPH insulin.

24. _____ is used to lower blood sugar quickly when immediate action is needed.

  a. Regular insulin.

  b. NPH insulin.

  c. Lispro.

25. When mixing two different insulins in one syringe, __________ is drawn into the syringe first.

  a. NPH.

  b. Regular.

  c. Lente.

  d. Lispro.

26. Insulin absorption can be affected by:

  a. Environmental temperatures.

  b. Depth of injection.

  c. Exercise.

  d. All of the above.

27. An insulin reaction is the body’s response to:

  a. Low blood sugar.

  b. High blood sugar.

28. Oran Antidiabetic agents are used in the treatment of:

  a. Type I diabetes.

  b. Type II diabetes.

29. __________ help put more insulin into the blood stream.

  a. Sulfonylureas.

  b. Alpha-glucosidase.

  c. Biguanides.

30. Treatment with ________ can only be effective in patients with reserve beta cell function.

  a. Sulfonylureas.

  b. Alpha=glucosidase.

  c. Biguanides.

31. The average weight gain for patients on sulfonylureas is:

  a. 2-3 pounds.

  b. No weight gain.

  c. 10 – 15 pounds.

32. Prandin is most effective when taken:

  a. 30 minutes before meals.

  b. 30 minutes after meals.

  c. During meals.

33. Lactic acidosis is a side effect of which drug:

  a. Prandin.

  b. Metformin.

  c. Precose.

34. Symptoms of lactic acidosis include all except:

  a. Malaise.

  b. Nausea.

  c. Shortness of breath.

  d. Weakness.