Consolidation EXAM Durham college
Type 1 diabetes is characterized by which of the following:
a) Adult Onset, Obesity
b) Juvenile Onset, Lean Build
c) Autoimmune beta cell destruction
d) Peripheral insulin resistance ANS: b) Juvenile Onset, Lean Build
AND
c) Autoimmune beta cell destruction
The most common cause of Hypoglycemia is what:
a) not eating enough
b) injecting to much insulin
c) unusual amounts of exercise
d) taking glyburide ANS: b) injecting too much insulin
The following drug is classified as a sulphonylurea:
a) glyburide
b) metformin
c) insulin
d) none of the above ANS:
The following are side-effects to treatment of DKA with fluid:
a) adult respiratory distress syndrome
b) cerebro vascular accident
,c) myocardial infarction
d) cerebral edema ANS: d) cerebral edema
A diabetic patient is suddenly feeling sweaty, anxious and jittery. The most likely explanation is:
a) too much food without enough insulin
b) too much insulin with not enough food
c) low blood sugar
d) high blood sugar ANS: a) too much insulin with not enough food
AND
c) low blood sugar
Why should diabetic patients that take long-acting sulphonylureas should never be "signed off"? ANS:
Rebound hypoglycemia
Which of the following signs and symptoms are common to both HHS (hyperglycemic hyperosmolaric
state) and DKA (diabetic ketoacidosis):
a) kussmauls breathing
b) acetone breath
c) abdominal pain
d) nausea/vomiting ANS: c) abdominal pain
AND
d) nausea/vomiting
How does metformin work to lower blood sugar? ANS: Reduces glucose formation in liver and increases
glucose uptake in cells
During periods of high blood sugar, the cells are:
,a) overworked, trying to deal with all the sugar
b) starved
c) fluid overloaded
d) hypoxic ANS: b) starved
The longterm effects of diabetes are most often caused by:
a) brain damage from repeated seizures
b) vessel damage from sugar molecules
c) vessel damage from beta cell fragments
d) skin damage from repeated insulin injections ANS: b) vessel damage from sugar molecules
Deep rapid respirations are seen in which diabetic complication:
a) diabetic ketoacidosis
b) hyperglycemic hyperosmolar state
c) hypoglycemia
d) retinopathy ANS: a) diabetic ketoacidosis
Which of the following medications is LEAST likely to cause hypoglycemia:
a) insulin
b) glyburide
c) glimepiride
d) metformin ANS: d) metformin
Why is it that elderly patients often do not get the typical warning signs that their blood sugar is getting
low? ANS: Autonomic system not as responsive with age
, What is the most common precipitating factor to DKA (diabetic ketoacidosis) or HHS (hyperglycemic
hyperosmolaric state):
a) myocardial infarction
b) cerebral vascular accident
c) pancreatitis
d) infection ANS: d) infection
Hyperglycemic hyperosmolar states usually develop over which period of time:
a) 4-5hours
b) 6-8hours
c) a day
d) days to weeks ANS: d) days to weeks
Polyphagia is defined as:
a) excessive thirst
b) excessive urine output
c) sleep deprivation
d) excessive hunger ANS: d) excessive hunger
Glucagon works by:
a) releasing stored glucose (glycogen)
b) enhancing cell permeability to glucose
c) enhancing glucose absorption through the GI tract
d) storing glucose in the form of glycogen ANS: a) releasing stored glucose (glycogen)
What is the mneumonic for Anticholinergic toxidromes? ANS: - Hot as a hare
Type 1 diabetes is characterized by which of the following:
a) Adult Onset, Obesity
b) Juvenile Onset, Lean Build
c) Autoimmune beta cell destruction
d) Peripheral insulin resistance ANS: b) Juvenile Onset, Lean Build
AND
c) Autoimmune beta cell destruction
The most common cause of Hypoglycemia is what:
a) not eating enough
b) injecting to much insulin
c) unusual amounts of exercise
d) taking glyburide ANS: b) injecting too much insulin
The following drug is classified as a sulphonylurea:
a) glyburide
b) metformin
c) insulin
d) none of the above ANS:
The following are side-effects to treatment of DKA with fluid:
a) adult respiratory distress syndrome
b) cerebro vascular accident
,c) myocardial infarction
d) cerebral edema ANS: d) cerebral edema
A diabetic patient is suddenly feeling sweaty, anxious and jittery. The most likely explanation is:
a) too much food without enough insulin
b) too much insulin with not enough food
c) low blood sugar
d) high blood sugar ANS: a) too much insulin with not enough food
AND
c) low blood sugar
Why should diabetic patients that take long-acting sulphonylureas should never be "signed off"? ANS:
Rebound hypoglycemia
Which of the following signs and symptoms are common to both HHS (hyperglycemic hyperosmolaric
state) and DKA (diabetic ketoacidosis):
a) kussmauls breathing
b) acetone breath
c) abdominal pain
d) nausea/vomiting ANS: c) abdominal pain
AND
d) nausea/vomiting
How does metformin work to lower blood sugar? ANS: Reduces glucose formation in liver and increases
glucose uptake in cells
During periods of high blood sugar, the cells are:
,a) overworked, trying to deal with all the sugar
b) starved
c) fluid overloaded
d) hypoxic ANS: b) starved
The longterm effects of diabetes are most often caused by:
a) brain damage from repeated seizures
b) vessel damage from sugar molecules
c) vessel damage from beta cell fragments
d) skin damage from repeated insulin injections ANS: b) vessel damage from sugar molecules
Deep rapid respirations are seen in which diabetic complication:
a) diabetic ketoacidosis
b) hyperglycemic hyperosmolar state
c) hypoglycemia
d) retinopathy ANS: a) diabetic ketoacidosis
Which of the following medications is LEAST likely to cause hypoglycemia:
a) insulin
b) glyburide
c) glimepiride
d) metformin ANS: d) metformin
Why is it that elderly patients often do not get the typical warning signs that their blood sugar is getting
low? ANS: Autonomic system not as responsive with age
, What is the most common precipitating factor to DKA (diabetic ketoacidosis) or HHS (hyperglycemic
hyperosmolaric state):
a) myocardial infarction
b) cerebral vascular accident
c) pancreatitis
d) infection ANS: d) infection
Hyperglycemic hyperosmolar states usually develop over which period of time:
a) 4-5hours
b) 6-8hours
c) a day
d) days to weeks ANS: d) days to weeks
Polyphagia is defined as:
a) excessive thirst
b) excessive urine output
c) sleep deprivation
d) excessive hunger ANS: d) excessive hunger
Glucagon works by:
a) releasing stored glucose (glycogen)
b) enhancing cell permeability to glucose
c) enhancing glucose absorption through the GI tract
d) storing glucose in the form of glycogen ANS: a) releasing stored glucose (glycogen)
What is the mneumonic for Anticholinergic toxidromes? ANS: - Hot as a hare
