diabetes

Question 1 of 29

1

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epidemiology:
( 80, 70, 60, 90 )% of diabetes patients are type 2. ( 2-3, 1-2, 3-4, 4-5 ) million people in the UK know they have diabetes. diabetes affects ( 2, 1, 3, 4 )% of the British population with prevalence increasing.

Explanation

Question 2 of 29

1

which of the following is not a symptom of diabetes?

Select one of the following:

polyuria
polydipsia
nocturia
weight loss
lethargy
increased frequency of infections
wounds that won't heal
polyphagia
diarrhoea

Explanation

Question 3 of 29

1

Fill the blank spaces to complete the text.

what are the diagnostic results that would indicate diabetes?
random glucose >
fasting glucose >
HbAc1 >

Explanation

Question 4 of 29

1

which of the following tests is gold standard for diabetes insipidus?

Select one of the following:

fasting glucose
random glucose
OGTT
HbA1c
water deprivation test

Explanation

Question 5 of 29

1

which of the following would not cause an inaccurate HbA1c result?

Select one of the following:

pregnancy
HIV positive
end stage CKD
patients <18
symptoms for <2 months
T1DM
people on steroids
liver cirrhosis

Explanation

Question 6 of 29

1

Fill the blank spaces to complete the text.

symptomatic patients need or more positive results out of RBG, FBG and HbA1c. asymptomatic patients need or more.

Explanation

Question 7 of 29

1

diet education for management of diabetes:
T2 = ❌
T1 = ❌

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DESMOND

DAPHNE

Explanation

Question 8 of 29

1

match the insulin to the correct box

Drag an answer into the correct orange point.

actrapid

humulin S

insulatard

humulin I

insuman basal

humulin M3

novorapid and insulin aspart

humalog and insulin lispro

apidra and insulin glulisine

novoMIX 30

humalog MIX25 and humalog MIX50

insuman comb (15.25,50)

levemir and insulin detemir

lantus and insulin glargine

Explanation

Question 9 of 29

1

match the type 2 diabetes medication to its action:
❌ - reduces hepatic glucose output and increases insulin sensitivity
❌ - stimulate insulin secretion but can cause weight gain and hypoglycaemia
❌ - inhibits breakdown of CHO and prevents glucose absorption by slowing carbohydrate digestion and increasing length of satiety
❌ - stimulate insulin production, enhances beta cells proliferation, reduces appetite, suppresses glucagon secretion, reduces hepatic glucose output, slows gastric emptying, and causes weight reduction
❌ - block reabsorption of glucose at the proximal tubules of the kidney to increase glucose excretion in urine

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metformin

sulphonylureas

acarbose

GLP1

SGLT2 inhibitors

Explanation

Question 10 of 29

1

match the type of T2DM to the example
GLP1 - ❌
SGLT2 - ❌
sulphonylureas - ❌

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liraglutide

canagliflozin

gliclazide

Explanation

Question 11 of 29

1

which of the following is not a diagnostic test for type 1 diabetes?

Select one of the following:

islet cell autoantibodies
anti-GAD
C-peptide
anti-VEGF

Explanation

Question 12 of 29

1

Fill the blank space to complete the text.

in diabetic pre-pregnancy planning the patient must have tight glycaemic control for a minimum of months preconception.

Explanation

Question 13 of 29

1

which of the following is not a common complication of pregnancy with diabetes?

Select one of the following:

hypermesis
miscarriage
congenital heart disease
increased risk of placental insufficiency
increased risk of pre-eclampsia
macrosomia
still births
DKA
spina bifida

Explanation

Question 14 of 29

1

which of the following is not a risk factor for gestational diabetes?

Select one of the following:

BMI >30
family history
South-East Asian/African origin
previous macrosomia >4.5kg
previous gestational diabetes
age

Explanation

Question 15 of 29

1

all high risk women are screened for diabetes at 16 weeks

Select one of the following:

True
False

Explanation

Question 16 of 29

1

Select from the dropdown lists to complete the text.

DKA definition:
glucose is above ( 15, 10, 12, 17 )mmol/L and ketones are above ( ++, +, +++ ), venous bicarb is below ( 15, 20, 25, 10 ) or pH is below ( 7.3, 7.4, 7.35, 7.25 )

Explanation

Question 17 of 29

1

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( increased, decreased ) plasma glucose --> ( positive, negative ) feedback on beta cells of the pancreas --> ( decreased, increased ) insulin production --> ( positive, negative ) feedback on the liver, muscle and adipose tissue --> ( negative, positive ) feedback on glycolysis, glycogenesis, lipogenesis and glucose transport --> ( decreased, increased ) plasma glucose --> ( negative, positive ) feedback on beta cells of the pancreas

Explanation

Question 18 of 29

1

which of the following does not counteract the action of insulin?

Select one of the following:

glucagon
catecholamine
growth hormone
cortisol
oestrogen

Explanation

Question 19 of 29

1

insulin deficiency --> lipolysis --> increased free fatty acids --> ketone body production --> metabolic acidosis

Select one of the following:

True
False

Explanation

Question 20 of 29

1

which of the following is not a trigger for a DKA?

Select one of the following:

infection
MI
stroke
trauma
pregnancy
SGLT2 inhibitors
lithium
clozaline
cocaine
beta blockers

Explanation

Question 21 of 29

1

which of the following is not a symptom of DKA?

Select one of the following:

confusion
abdominal pain
pear drop breath
vomiting
polyuria
polydipsia
lethargy
obtundation
rapid weight loss
diarrhoea

Explanation

Question 22 of 29

1

which of the following is not a part of management for DKA?

Select one of the following:

IV fluids
IV insulin
VTE prophylaxis
potassium supplement
magnesium supplement

Explanation

Question 23 of 29

1

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hypoglycaemia is blood glucose <mmol/L

Explanation

Question 24 of 29

1

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( 30, 10, 20, 5 )% of diabetics experience a hypoglycaemic coma once during their lives. ( 10, 5, 15, 20 )% of type 1 diabetics suffer 1 episode of severe hypoglycaemia per year. ( 50, 30, 40, 60 )% of type 1 patients have a blood glucose <3.5 on any one night.

Explanation

Question 25 of 29

1

which of the following is not a symptom of hypoglycaemia?

Select one of the following:

tremor
sweating
tachycardia
lethargy
slurred speech
agression
falls
TIA
irritability
palpitations

Explanation

Question 26 of 29

1

if glucose is <4mmol/L give 100ml of 20% glucose

Select one of the following:

True
False

Explanation

Question 27 of 29

1

which of the following is not a nerve palsy associated with diabetes

Select one of the following:

peripheral neuropathy
double vision
foot drop
erectile dysfunction
loss of sensation in the tongue

Explanation

Question 28 of 29

1

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up to ( 50, 30, 40, 20 )% of people with a diabetic foot ulcer will die within ( 5, 1, 2, 3, 4 ) years of their index ulcer.

Explanation

Question 29 of 29

1

charcots foot occurs due to small ❌ in the foot leading to altered ❌. this leads to foot and ankle ❌ which could potentially need to be ❌. treat by ❌ the foot and giving ❌ and specialised footwear.

Drag and drop to complete the text.

fractures

pressure

deformation

amputated

immobilising

pamidronate

	Created by Rebecca Finn about 6 years ago

Quiz on diabetes , created by Rebecca Finn on 29/03/2018.

Question 1 of 29

Select from the dropdown lists to complete the text.

epidemiology: 80 70 60 90( 80, 70, 60, 90 )% of diabetes patients are type 2. 2-3 1-2 3-4 4-5( 2-3, 1-2, 3-4, 4-5 ) million people in the UK know they have diabetes. diabetes affects 2 1 3 4( 2, 1, 3, 4 )% of the British population with prevalence increasing.

Explanation

Question 2 of 29

which of the following is not a symptom of diabetes?

Select one of the following:

Explanation

Question 3 of 29

Fill the blank spaces to complete the text.

what are the diagnostic results that would indicate diabetes? random glucose > fasting glucose > HbAc1 >

Explanation

Question 4 of 29

which of the following tests is gold standard for diabetes insipidus?

Select one of the following:

Explanation

Question 5 of 29

which of the following would not cause an inaccurate HbA1c result?

Select one of the following:

Explanation

Question 6 of 29

Fill the blank spaces to complete the text.

symptomatic patients need or more positive results out of RBG, FBG and HbA1c. asymptomatic patients need or more.

Explanation

Question 7 of 29

diet education for management of diabetes: T2 = ❌ T1 = ❌

Drag and drop to complete the text.

Explanation

Question 8 of 29

match the insulin to the correct box

Drag an answer into the correct orange point.

Explanation

Question 9 of 29

Drag and drop to complete the text.

Explanation

Question 10 of 29

match the type of T2DM to the example GLP1 - ❌ SGLT2 - ❌ sulphonylureas - ❌

Drag and drop to complete the text.

Explanation

Question 11 of 29

which of the following is not a diagnostic test for type 1 diabetes?

Select one of the following:

Explanation

Question 12 of 29

Fill the blank space to complete the text.

in diabetic pre-pregnancy planning the patient must have tight glycaemic control for a minimum of months preconception.

Explanation

Question 13 of 29

which of the following is not a common complication of pregnancy with diabetes?

Select one of the following:

Explanation

Question 14 of 29

which of the following is not a risk factor for gestational diabetes?

Select one of the following:

Explanation

Question 15 of 29

all high risk women are screened for diabetes at 16 weeks

Select one of the following:

Explanation

Question 16 of 29

Select from the dropdown lists to complete the text.

DKA definition: glucose is above 15 10 12 17( 15, 10, 12, 17 )mmol/L and ketones are above ++ + +++( ++, +, +++ ), venous bicarb is below 15 20 25 10( 15, 20, 25, 10 ) or pH is below 7.3 7.4 7.35 7.25( 7.3, 7.4, 7.35, 7.25 )

Explanation

Question 17 of 29

Select from the dropdown lists to complete the text.

Explanation

Question 18 of 29

which of the following does not counteract the action of insulin?

Select one of the following:

Explanation

Question 19 of 29

insulin deficiency --> lipolysis --> increased free fatty acids --> ketone body production --> metabolic acidosis

Select one of the following:

Explanation

Question 20 of 29

which of the following is not a trigger for a DKA?

Select one of the following:

Explanation

epidemiology:
( 80, 70, 60, 90 )% of diabetes patients are type 2. ( 2-3, 1-2, 3-4, 4-5 ) million people in the UK know they have diabetes. diabetes affects ( 2, 1, 3, 4 )% of the British population with prevalence increasing.

what are the diagnostic results that would indicate diabetes?
random glucose >
fasting glucose >
HbAc1 >

diet education for management of diabetes:
T2 = ❌
T1 = ❌

match the type of T2DM to the example
GLP1 - ❌
SGLT2 - ❌
sulphonylureas - ❌

DKA definition:
glucose is above ( 15, 10, 12, 17 )mmol/L and ketones are above ( ++, +, +++ ), venous bicarb is below ( 15, 20, 25, 10 ) or pH is below ( 7.3, 7.4, 7.35, 7.25 )

( 30, 10, 20, 5 )% of diabetics experience a hypoglycaemic coma once during their lives. ( 10, 5, 15, 20 )% of type 1 diabetics suffer 1 episode of severe hypoglycaemia per year. ( 50, 30, 40, 60 )% of type 1 patients have a blood glucose <3.5 on any one night.

up to ( 50, 30, 40, 20 )% of people with a diabetic foot ulcer will die within ( 5, 1, 2, 3, 4 ) years of their index ulcer.