Quiz
Diabetes Powerpoints
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Questions in this quiz (48)
1[blank_start]Diabetes Mellitus (DM)[blank_end] is actually a group of metabolic disorders characterized by hyperglycemia which results from defect in secretion of insulin, action of insulin, or both
- ADiabetes
2What counterregulatory hormones are responsible for the decrease in insulin release when blood glucose levels drop? (select all that apply)
- AGlucagon
- Bgrowth hormone
- Cglucocorticoids
- Depinephrine
- Ethyroid hormone
3[blank_start]DDP-IV[blank_end] enzymes are responsible for the break down of gut incretins GLP-1 and GIP.
- ADPP-IV
4Insulin is secreted from ___________.
- Aalpha cells
- Bbeta cells
- Cgamma cells
- Ddelta cells
5What would you check to see if a person is in fact making insulin?
- Apreproinsulin
- Bproinsulin
- CC peptide
6Fill in the blanks
- AGLUT
- Bpotassium
- Cdepolarization
7Meal ingestion causes the rapid release of insulin and [blank_start]amylin[blank_end] from the pancreas.
- Aamylin
- Bproinsulin
- Cc peptide
8Type 1 DM is the abosulte deficiecny of amylin and insuilin.
- ATrue
- BFalse
9Which of the following is NOT an effect of amylin?
- Aincreases rate of gastric emptying
- Binhibits glucagon
- Creduces gastric emptying
- Dinduces post-prandial satiety
10In glucose homeostasis, 40% of gluconeogeneiss occurs in the [blank_start]kidneys[blank_end] and reabsoprtion of glucose occurs in the [blank_start]proximal tubule[blank_end].
- Akidneys
- Bproximal tubule
11Fill in the blanks with appropriate values used to diagnose a patient with PRE-DIABETES according to ADA guidelines?
FPG/IFG: [blank_start]100-125mg/dL[blank_end]
2-hr OGTT/IGT: [blank_start]140-199mg/dL[blank_end]
A1c: [blank_start]5.7% - 6.4%[blank_end]- A50-100mg/dL
- B100-125mg/dL
- C150-200mg/dL
- D200-225mg/dL
- E100-125mg/dL
- F140-199mg/dL
- G220=250mg/dL
- H5.7% - 6.4%
- I7% -7.5%
- J8% - 8.5%
12β-cell destruction usually leading to absolute insulin and amylin deficiency.
- AType 1 DM
- BType 2 DM
13“Progressive insulin secretory defect (β-cell dysfunction) on the background of insulin resistance.
- AType 1 DM
- BType 2 DM
- CGestational DM
14Diabetes diagnosed during pregnancy that IS NOT clearly overt diabetes
- AType 1 DM
- BType 2 DM
- CGestational Diabetes
15Fill in the table below
- A< 30 years
- B> 30 years
- Cabrupt
- Dgradual
- Elean
- Fobese or history of obesity
- Gpresent
- Habsent
- Irarely present
- Joften present
- Koften asymptomatic
- Lsymptomatic
- Mabsent
- Npresent
- Oimmediate
- Pyears after diagnosis
- QHHS
- RDKA
- SYes
- TNo
- URare
- VCommon
- W< 30 years
- X> 30 years
- Yabrupt
- Zgradual
- AAobese or history of obesity
- ABlean
- ACabsent
- ADpresent
- AEoften present
- AFrarely present
- AGsymptomatic
- AHoften asymptomatic
- AIpresent
- AJabsent
- AKimmediate
- ALyears after diagnosis
- AMDKA
- ANHHS
- AONO
- APCommon
- AQrare
- ARcommon
16Which of the following below are symptoms of HYPERglycemia? (select all that apply)
- Apolydipsia
- Bpolyuria
- Cpolyphagia
- Ddry skin
- Eblurry vision
- Fdrowsy
- Gslow healing wounds
17During pregnanacy, the placenta can produce hormones that contribute to insulin resistance.
- ATrue
- BFalse
18Criteria for the diagnosis of diabetes;
(1) A1C > [blank_start]6.5[blank_end]%
(2) FPG > [blank_start]126[blank_end] mg/dL
(3) 2-hr PG > [blank_start]200[blank_end] mg/dL after a 75 gram oral glucose tolerance test (OGTT)- A126
- B200
- C6.5
19Acanthosis Nigricans is associated with ....
- AType 1 DM
- BType 2 DM
20Children with BMI precentile of [blank_start]85[blank_end] or greater should be considered for screening for T2DM
- A85
21When should pregnant women without overt DM should be screeened for gestational diabetes mellitus?
- A15-20 weeeks
- B20-22 weeks
- C24-28 weeks
- D30-33 weeks
22Gestational diabetes mellitus should be tested for a second time 2-3 weeks post partum.
- ATrue
- BFalse
23Which of the following are complications of DM in pregnancy (select all that apply)
- Agestational HTN
- BPreecalmpsia
- CGestational HYPOtension
- Dinfections
- Eketoacidosis
- Fpolyhrdramnios
- Gpreterm labor
- Hseizures
24Fill in the appropriate values for the ACOG: Carpenter and Coustan 100mg OGTT 3hr (mg/dL) which is used in the diagnosis of GDM.
Fasting: [blank_start]95[blank_end]
1 hour: [blank_start]180[blank_end]
2 hours: [blank_start]155[blank_end]
3 hours: [blank_start]140[blank_end]- A95
- B180
- C155
- D140
25What are the glycemic goal for patients with GDM and preexisting DM?
(1) Fasting less than or equal to [blank_start]95[blank_end] mg/dL
(2) 1-hr PP less than or equal to [blank_start]140[blank_end] mg/dL
(3) 2-hr PP less than or equal to [blank_start]120[blank_end] mg/dL- A95
- B140
- C120
26During pregnancy an A1C of [blank_start]6-6.5[blank_end] % is the reccomeneded target in the second and third trimester but < [blank_start]6[blank_end] % may be optimal.
- A6-6.5
- B6
27During pregnancy insulin resistance decreases as pregnancy progresses
- ATrue
- BFalse
28Hypoglycemia is usually defined as < 70 mg/dl but in pregnancy BG is often allowed to be than [blank_start]60[blank_end] mg/dL
- A60
29Indicate which insulins and oral medications are utilized in the treatment of diabetes during pregnancy?
- AMetformin
- BLantus
- CGlargine
- DNPH
- ERegular insulin
- FGlyburide
- GApidra
30[blank_start]Insulin[blank_end] is the first-line agent recommended for treatment of GDM in the U.S
- AInsulin
31[blank_start]Glyburide[blank_end] may be inferior to metformin and insulin due to increased risk of neonatal hypoglycemia and macrosomia
- AGlyburide
32[blank_start]Aspart[blank_end] and [blank_start]Lispro[blank_end] are the only rapid-acting insulins approved during pregnancy
- AAspart
- BLispro
33[blank_start]Detemir[blank_end] is the only long-acting basal insulin utilized to treat diabetes in pregnancy
- ADetemir
34What are the glucose levels for insulin initiation in GDM
Fasting PG less than or equal to [blank_start]105[blank_end] mg/dL
1-hours postprandial plasma glucose less than or equal to [blank_start]155[blank_end] mg/dL
2-hour postprandial plasma glucose less than or equal to [blank_start]130[blank_end] mg/dL- A105
- B155
- C130
35T1DM will require insulin during labor while most do not require insulin during labor and delivery with GDM
- ATrue
- BFalse
36What immunizations are reccomended for diabetic patients?
- Ainflunenza
- Bpneumococal
- Chepatitis B
37Hypoglycemia is indicated with a BG of less than [blank_start]70[blank_end] mg/dL
- A70
381) If blood glucose (BG) is less than 70 mg/dL, you should give [blank_start]15[blank_end] grams of carbs and recheck the blood glucose after 15 minutes.
2) If blood glucose is less than 50 mg/dL , you should give [blank_start]30[blank_end] grams of carbs and recheck the blood glucose after 15 minutes- A15
- B30
3915g is equal to:
[blank_start]1[blank_end] tablespoon of sugar, [blank_start]3-4[blank_end] hard candies, [blank_start]4[blank_end] oz regular fruit juice, [blank_start]6[blank_end] oz regular soda, 3-4 glucose tablets, 6 lifesvavers save a life- A1
- B3-4
- C4
- D6
- E3-4
- F1
- G4
- H6
- I4
- J1
- K3-4
- L6
- M6
- N4
- O1
- P3-4
40Which of the following should be part of the sick day management plan?
- ACheck BG more frequently
- BTry to keep BG < 200 mg
- CContiune basal insulin
- DStay hydrated
- Euse liquid carbohydrates to keep BG stable if unable to keep food down or having frequent or severe drops in BG
- FMay need to hold prandial insulin or some oral medications if unable to keep down any carbohydrates.
41What are the possible causes of DKA?
- AExacerbated by an increase in counterregulatory hormones – hyperglycemic crisis
- BInsulin deficiency promotes lipolysis and metabolism of FFA to β-hydroxybutyrate, acetoacetic acid, and acetone in the liver
- CExcess glucagon enhance gluconeogenesis and impairs peripheral ketone utilization
- DReduction in the effective circulating insulin with a concomitant elevation of counter-regulatory hormones
42What are the causes of HHS?
- AExcess glucagon enhance gluconeogenesis and impairs peripheral ketone utilization
- BReduction in the effective circulating insulin with a concomitant elevation of counter-regulatory hormones
- CConsistently elevated blood glucose concentration (sometimes weeks) in the face of reduce fluid intake
- DMost commonly preceded by infection or other serious illness
43Complete the algorithhm
- A0.9% NaCl
- B0.45% NaCl
- C0.9% NaCl
- D200
- E300
- F0.1
- G0.14
- H0.14
44Complete the algortithm
- A3.3
- B5.2
45In hospital care, treat if the blood glucose is above [blank_start]180[blank_end] mg/dL with a goal between [blank_start]140-180[blank_end] mg/dL.
- A180
- B140-180
46In what conditions should you consider lowering the dose of basal insulin by 20%?
- Arenal insufficiency or failure exisit
- BHeart failure
- Ctapering off coticosteriod medications
- Dno history of diabetes
47Turn off insulin infusion [blank_start]2[blank_end] hours after administration of SubQ basal insulin
- A2
48Fill in the Tabel below
- AType 1
- BType 2
- CHours to days
- DDays to weeks
- E> 250
- F>600
- G< 7.35
- H7.35-7.45
- IPresent
- JAbsent or very little
- K< 320
- L> 320
- MType 2
- NType 1
- OHours to days
- PDays to weeks
- Q> 250
- R> 600
- S< 7.35
- T7.35 - 7.45
- UPresent
- VAbsent or very little
- W< 320
- X> 320
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- Description
- Endo Module
- Author
- Mark W.
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- English
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