diabetes

Rebecca Finn
Quiz by Rebecca Finn, updated more than 1 year ago
Rebecca Finn
Created by Rebecca Finn about 3 years ago
10
1

Description

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

Resource summary

Question 1

Question
epidemiology: [blank_start]80[blank_end]% of diabetes patients are type 2. [blank_start]2-3[blank_end] million people in the UK know they have diabetes. diabetes affects [blank_start]2[blank_end]% of the British population with prevalence increasing.
Answer
  • 80
  • 70
  • 60
  • 90
  • 2-3
  • 1-2
  • 3-4
  • 4-5
  • 2
  • 1
  • 3
  • 4

Question 2

Question
which of the following is not a symptom of diabetes?
Answer
  • polyuria
  • polydipsia
  • nocturia
  • weight loss
  • lethargy
  • increased frequency of infections
  • wounds that won't heal
  • polyphagia
  • diarrhoea

Question 3

Question
what are the diagnostic results that would indicate diabetes? random glucose >[blank_start]11[blank_end] fasting glucose >[blank_start]7[blank_end] HbAc1 >[blank_start]46[blank_end]
Answer
  • 11
  • 7
  • 46

Question 4

Question
which of the following tests is gold standard for diabetes insipidus?
Answer
  • fasting glucose
  • random glucose
  • OGTT
  • HbA1c
  • water deprivation test

Question 5

Question
which of the following would not cause an inaccurate HbA1c result?
Answer
  • pregnancy
  • HIV positive
  • end stage CKD
  • patients <18
  • symptoms for <2 months
  • T1DM
  • people on steroids
  • liver cirrhosis

Question 6

Question
symptomatic patients need [blank_start]1[blank_end] or more positive results out of RBG, FBG and HbA1c. asymptomatic patients need [blank_start]2[blank_end] or more.
Answer
  • 1
  • 2

Question 7

Question
diet education for management of diabetes: T2 = [blank_start]DESMOND[blank_end] T1 = [blank_start]DAPHNE[blank_end]
Answer
  • DESMOND
  • DAPHNE

Question 8

Question
match the insulin to the correct box
Answer
  • 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

Question 9

Question
match the type 2 diabetes medication to its action: [blank_start]metformin[blank_end] - reduces hepatic glucose output and increases insulin sensitivity [blank_start]sulphonylureas[blank_end] - stimulate insulin secretion but can cause weight gain and hypoglycaemia [blank_start]acarbose[blank_end] - inhibits breakdown of CHO and prevents glucose absorption by slowing carbohydrate digestion and increasing length of satiety [blank_start]GLP1[blank_end] - stimulate insulin production, enhances beta cells proliferation, reduces appetite, suppresses glucagon secretion, reduces hepatic glucose output, slows gastric emptying, and causes weight reduction [blank_start]SGLT2 inhibitors[blank_end] - block reabsorption of glucose at the proximal tubules of the kidney to increase glucose excretion in urine
Answer
  • metformin
  • sulphonylureas
  • acarbose
  • GLP1
  • SGLT2 inhibitors

Question 10

Question
match the type of T2DM to the example GLP1 - [blank_start]liraglutide[blank_end] SGLT2 - [blank_start]canagliflozin[blank_end] sulphonylureas - [blank_start]gliclazide[blank_end]
Answer
  • liraglutide
  • canagliflozin
  • gliclazide

Question 11

Question
which of the following is not a diagnostic test for type 1 diabetes?
Answer
  • islet cell autoantibodies
  • anti-GAD
  • C-peptide
  • anti-VEGF

Question 12

Question
in diabetic pre-pregnancy planning the patient must have tight glycaemic control for a minimum of [blank_start]3[blank_end] months preconception.
Answer
  • 3

Question 13

Question
which of the following is not a common complication of pregnancy with diabetes?
Answer
  • hypermesis
  • miscarriage
  • congenital heart disease
  • increased risk of placental insufficiency
  • increased risk of pre-eclampsia
  • macrosomia
  • still births
  • DKA
  • spina bifida

Question 14

Question
which of the following is not a risk factor for gestational diabetes?
Answer
  • BMI >30
  • family history
  • South-East Asian/African origin
  • previous macrosomia >4.5kg
  • previous gestational diabetes
  • age

Question 15

Question
all high risk women are screened for diabetes at 16 weeks
Answer
  • True
  • False

Question 16

Question
DKA definition: glucose is above [blank_start]15[blank_end]mmol/L and ketones are above [blank_start]++[blank_end], venous bicarb is below [blank_start]15[blank_end] or pH is below [blank_start]7.3[blank_end]
Answer
  • 15
  • 10
  • 12
  • 17
  • ++
  • +
  • +++
  • 15
  • 20
  • 25
  • 10
  • 7.3
  • 7.4
  • 7.35
  • 7.25

Question 17

Question
[blank_start]increased[blank_end] plasma glucose --> [blank_start]positive[blank_end] feedback on beta cells of the pancreas --> [blank_start]increased[blank_end] insulin production --> [blank_start]positive[blank_end] feedback on the liver, muscle and adipose tissue --> [blank_start]positive[blank_end] feedback on glycolysis, glycogenesis, lipogenesis and glucose transport --> [blank_start]decreased[blank_end] plasma glucose --> [blank_start]negative[blank_end] feedback on beta cells of the pancreas
Answer
  • increased
  • decreased
  • positive
  • negative
  • decreased
  • increased
  • positive
  • negative
  • negative
  • positive
  • decreased
  • increased
  • negative
  • positive

Question 18

Question
which of the following does not counteract the action of insulin?
Answer
  • glucagon
  • catecholamine
  • growth hormone
  • cortisol
  • oestrogen

Question 19

Question
insulin deficiency --> lipolysis --> increased free fatty acids --> ketone body production --> metabolic acidosis
Answer
  • True
  • False

Question 20

Question
which of the following is not a trigger for a DKA?
Answer
  • infection
  • MI
  • stroke
  • trauma
  • pregnancy
  • SGLT2 inhibitors
  • lithium
  • clozaline
  • cocaine
  • beta blockers

Question 21

Question
which of the following is not a symptom of DKA?
Answer
  • confusion
  • abdominal pain
  • pear drop breath
  • vomiting
  • polyuria
  • polydipsia
  • lethargy
  • obtundation
  • rapid weight loss
  • diarrhoea

Question 22

Question
which of the following is not a part of management for DKA?
Answer
  • IV fluids
  • IV insulin
  • VTE prophylaxis
  • potassium supplement
  • magnesium supplement

Question 23

Question
hypoglycaemia is blood glucose <[blank_start]4[blank_end]mmol/L
Answer
  • 4

Question 24

Question
[blank_start]30[blank_end]% of diabetics experience a hypoglycaemic coma once during their lives. [blank_start]10[blank_end]% of type 1 diabetics suffer 1 episode of severe hypoglycaemia per year. [blank_start]50[blank_end]% of type 1 patients have a blood glucose <3.5 on any one night.
Answer
  • 30
  • 10
  • 20
  • 5
  • 10
  • 5
  • 15
  • 20
  • 50
  • 30
  • 40
  • 60

Question 25

Question
which of the following is not a symptom of hypoglycaemia?
Answer
  • tremor
  • sweating
  • tachycardia
  • lethargy
  • slurred speech
  • agression
  • falls
  • TIA
  • irritability
  • palpitations

Question 26

Question
if glucose is <4mmol/L give 100ml of 20% glucose
Answer
  • True
  • False

Question 27

Question
which of the following is not a nerve palsy associated with diabetes
Answer
  • peripheral neuropathy
  • double vision
  • foot drop
  • erectile dysfunction
  • loss of sensation in the tongue

Question 28

Question
up to [blank_start]50[blank_end]% of people with a diabetic foot ulcer will die within [blank_start]5[blank_end] years of their index ulcer.
Answer
  • 50
  • 30
  • 40
  • 20
  • 5
  • 1
  • 2
  • 3
  • 4

Question 29

Question
charcots foot occurs due to small [blank_start]fractures[blank_end] in the foot leading to altered [blank_start]pressure[blank_end]. this leads to foot and ankle [blank_start]deformation[blank_end] which could potentially need to be [blank_start]amputated[blank_end]. treat by [blank_start]immobilising[blank_end] the foot and giving [blank_start]pamidronate[blank_end] and specialised footwear.
Answer
  • fractures
  • pressure
  • deformation
  • amputated
  • immobilising
  • pamidronate
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