Hondros 212 Exam 3 questions with
100% correct answers rated A+
Health risk associated with obesity - correct answer ✔✔Depression, T2DM, metabolic
syndrome, polycystic ovary disease, sleep apnea, asthma, pulmonary HTN, menstrual
irregularities, infertility, gestational diabetes, hyperlipidemia, sudden cardiac death, a fib, HTN,
CAD, DVT, right sided HF, NASH, gallstones, GERD, kidney cancer, CKD, esophagus, pancreas,
thyroid, colorectal and gallbladder cancer, breast and ovarian cancer
Nutritional therapy for obesity - correct answer ✔✔Restricting dietary intake so that it is below
energy requirements- includes all food groups
Criteria guidelines for bariatric surgery - correct answer ✔✔BMI of 40 or more or a BMI of 35 or
more with other significant co-morbidities (HTN, T2DM, HF, sleep apnea)
Disadvantages of Roux-en-Y gastric bypass - correct answer ✔✔Leak at site of anastomosis,
anemia, calcium deficiency, dumping syndrome, irreversible
Dumping syndrome - correct answer ✔✔Gastric contents empty too rabidly into the small
intestine, overwhelming its ability to digest nutrients. Symptoms include n/v, weakness,
sweating, faintness and sometimes diarrhea. Pt is instructed to avoid sugary foods after surgery
Anastomosis leak - correct answer ✔✔tachycardia, fever, tachypnea, chest and abdominal pain
Post operative care for bariatric surgery - correct answer ✔✔assess for cardiopulmonary
complications, thrombus formation, anastomosis leaks and electrolyte imbalances, maintain the
head of the bed at a minimum of a 45 degree angle to reduce abdominal pressure and increase
lung expansion, pts should not consume fluids with meals
,Metabolic syndrome definition - correct answer ✔✔is a group of metabolic risk factors that
increase a person's change of developing CVD, stroke, diabetes. It is a cluster of heath problems,
including obesity, HTN, abnormal lipid levels, and high blood glucose
The main underlying risk factor for metabolic syndrome - correct answer ✔✔Insulin resistance
related to excess visceral fat
Criteria for metabolic syndrome - correct answer ✔✔Need any 3 of the 5- waist circumference-
>40in in men and >35 in women, Triglycerides- >150 or on drug treatment for high triglycerides,
HDL cholesterol- <40 in men <50 in women or drug treatment for high cholesterol, BP- >130 sys
>85 diastolic or on drug treatment for HTN, fasting blood glucose >100 or on drug treatment for
elevated blood glucose
Signs and symptoms of metabolic syndrome - correct answer ✔✔Impaired fasting blood
glucose, HTN, abnormal cholesterol levels and obesity
counterregulatory hormones- increase blood glucose levels - correct answer ✔✔glucagon,
epinephrine, GH, cortisol
C peptide in serum and urine - correct answer ✔✔useful clinical indicator of pancreatic b cell
function and insulin levels
Signs and symptoms of type 1 diabetes - correct answer ✔✔polyuria, polydipsia, polyphagia,
weight loss may occur, weakness and fatigue
signs and symptoms of type 2 diabetes - correct answer ✔✔poor wound healing, recurrent
infections, dry skin, 3 Ps, drowsiness, hunger
Diagnosis of diabetes - correct answer ✔✔A1C of 6.5 or higher, fasting plasma glucose level of
126 or greater, a 2 hour plasma glucose level of 200 or greater during an OGTT using a glucose
, load of 75g, in a pt with classic symptoms of hyperglycemia (polyuria, polydipsia, unexplained
weight loss) or hyperglycemic crisis, a random blood glucose level of 200 or more
A1C (glycosylated hemoglobin) - correct answer ✔✔provides a measurement of blood glucose
levels over the previous 2 to 3 months
Diseases affecting RBCs (anemia) can influence the AIC
Goal A1C for pts with diabetes - correct answer ✔✔less than 7.0
Fructosamine - correct answer ✔✔Is another way to assess glucose levels,, reflects glycemia in
the previous 1 to 3 weeks
Islet cell antoantibody - correct answer ✔✔testing is primarily done to help distinguish between
autoimmune type 1 diabetes and diabetes from other causes
Rapid acting insulin (lispro, aspart) - correct answer ✔✔Onset 10-30 min
Peak- 30 min- 3hr
Duration- 3 - 5 hour
Short acting (regular Humulin R, Novolin R) - correct answer ✔✔Onset 30min- 1hr
Peak- 2-5hr
Duration- 5-8hr
ONLY INSULIN THAT CAN BE GIVEN IV!!
Intermediate acting insulin (NPH) - correct answer ✔✔Onset- 1.5-4hr
Peak- 4-12hr
Duration- 12- 18hr
100% correct answers rated A+
Health risk associated with obesity - correct answer ✔✔Depression, T2DM, metabolic
syndrome, polycystic ovary disease, sleep apnea, asthma, pulmonary HTN, menstrual
irregularities, infertility, gestational diabetes, hyperlipidemia, sudden cardiac death, a fib, HTN,
CAD, DVT, right sided HF, NASH, gallstones, GERD, kidney cancer, CKD, esophagus, pancreas,
thyroid, colorectal and gallbladder cancer, breast and ovarian cancer
Nutritional therapy for obesity - correct answer ✔✔Restricting dietary intake so that it is below
energy requirements- includes all food groups
Criteria guidelines for bariatric surgery - correct answer ✔✔BMI of 40 or more or a BMI of 35 or
more with other significant co-morbidities (HTN, T2DM, HF, sleep apnea)
Disadvantages of Roux-en-Y gastric bypass - correct answer ✔✔Leak at site of anastomosis,
anemia, calcium deficiency, dumping syndrome, irreversible
Dumping syndrome - correct answer ✔✔Gastric contents empty too rabidly into the small
intestine, overwhelming its ability to digest nutrients. Symptoms include n/v, weakness,
sweating, faintness and sometimes diarrhea. Pt is instructed to avoid sugary foods after surgery
Anastomosis leak - correct answer ✔✔tachycardia, fever, tachypnea, chest and abdominal pain
Post operative care for bariatric surgery - correct answer ✔✔assess for cardiopulmonary
complications, thrombus formation, anastomosis leaks and electrolyte imbalances, maintain the
head of the bed at a minimum of a 45 degree angle to reduce abdominal pressure and increase
lung expansion, pts should not consume fluids with meals
,Metabolic syndrome definition - correct answer ✔✔is a group of metabolic risk factors that
increase a person's change of developing CVD, stroke, diabetes. It is a cluster of heath problems,
including obesity, HTN, abnormal lipid levels, and high blood glucose
The main underlying risk factor for metabolic syndrome - correct answer ✔✔Insulin resistance
related to excess visceral fat
Criteria for metabolic syndrome - correct answer ✔✔Need any 3 of the 5- waist circumference-
>40in in men and >35 in women, Triglycerides- >150 or on drug treatment for high triglycerides,
HDL cholesterol- <40 in men <50 in women or drug treatment for high cholesterol, BP- >130 sys
>85 diastolic or on drug treatment for HTN, fasting blood glucose >100 or on drug treatment for
elevated blood glucose
Signs and symptoms of metabolic syndrome - correct answer ✔✔Impaired fasting blood
glucose, HTN, abnormal cholesterol levels and obesity
counterregulatory hormones- increase blood glucose levels - correct answer ✔✔glucagon,
epinephrine, GH, cortisol
C peptide in serum and urine - correct answer ✔✔useful clinical indicator of pancreatic b cell
function and insulin levels
Signs and symptoms of type 1 diabetes - correct answer ✔✔polyuria, polydipsia, polyphagia,
weight loss may occur, weakness and fatigue
signs and symptoms of type 2 diabetes - correct answer ✔✔poor wound healing, recurrent
infections, dry skin, 3 Ps, drowsiness, hunger
Diagnosis of diabetes - correct answer ✔✔A1C of 6.5 or higher, fasting plasma glucose level of
126 or greater, a 2 hour plasma glucose level of 200 or greater during an OGTT using a glucose
, load of 75g, in a pt with classic symptoms of hyperglycemia (polyuria, polydipsia, unexplained
weight loss) or hyperglycemic crisis, a random blood glucose level of 200 or more
A1C (glycosylated hemoglobin) - correct answer ✔✔provides a measurement of blood glucose
levels over the previous 2 to 3 months
Diseases affecting RBCs (anemia) can influence the AIC
Goal A1C for pts with diabetes - correct answer ✔✔less than 7.0
Fructosamine - correct answer ✔✔Is another way to assess glucose levels,, reflects glycemia in
the previous 1 to 3 weeks
Islet cell antoantibody - correct answer ✔✔testing is primarily done to help distinguish between
autoimmune type 1 diabetes and diabetes from other causes
Rapid acting insulin (lispro, aspart) - correct answer ✔✔Onset 10-30 min
Peak- 30 min- 3hr
Duration- 3 - 5 hour
Short acting (regular Humulin R, Novolin R) - correct answer ✔✔Onset 30min- 1hr
Peak- 2-5hr
Duration- 5-8hr
ONLY INSULIN THAT CAN BE GIVEN IV!!
Intermediate acting insulin (NPH) - correct answer ✔✔Onset- 1.5-4hr
Peak- 4-12hr
Duration- 12- 18hr
