Maryville NURS 611 Exam 3 Review || Most Recent
Exam 2026/27 || Actual Complete Real Exam Questions
And Correct Detailed Answers (Verified Answers)
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What is the somogyi effect? when does it occur? -
ANSWER--Morning
hyperglycemia in diabetic
subjects effect
-The dawn
phenomenon
-poor glycemic
control
-3am
How does the somongyi effect occur? What does this cause?
- ANSWER-Too much intermediate-acting insulin (i.e., NPH
insulin) given at dinner time a. Rebound hyperglycemia
caused by normal early morning secretion of counter-
regulatory hormones (epinephrine, GH, corticosteroids),
which are stimulated by hypoglycemia and cause
gluconeogenesis
ii. Excessive carbohydrate intake may contribute to the rebound
hyperglycemia
,How is the somogyi effect treated? - ANSWER-Decreased
evening insulin level
What is making the somogyi effect less common? - ANSWER-the
increased use
of long-acting
insulin
What is the dawn phenomenon? How is it managed? -
ANSWER-An early morning rise in blood glucose concentration
caused by Nocturnal elevations of
GH
-Managed by an increased dose of evening insulin
What does GH do? - ANSWER-Decreases metabolism of
glucose by muscle
and
fat.
What is diabetic microvascular disease? - ANSWER-
complications/disease in
capillaries
Diabetic microvascular disease is the leading cause of what 3
conditions? - ANSWER-1. Blindness
2. end-stage renal failure
3. various neuropathies
,How does microvascular disease cause other conditions? -
ANSWER-Through
the thickening of the capillary basement
membrane endothelial cell hyperplasia
thrombosis, results in decreased oxygen perfusion
The frequency and severity of lesions appear to be
proportional to what? -
ANSWER--The duration of the disease (more
than 10 years)
-The status of glycemic
control
What do many individuals with type 2 DM present with diabetic
microvascular
disease? why? - ANSWER-. Microvascular complications
because of the long
duration of asymptomatic hyperglycemia that generally
precedes diagnosis
What are macrovascular diseases? - ANSWER-Lesions in
large and medium
sized
arteries
What does macrovascular disease increase risk for? -
ANSWER-Morbidity Mortality
Accelerated atherosclerosis
Myocardial infarction
, Stroke
PVD
Why do individuals with diabetes mellitus have a higher
mortality during the acute phase of myocardial infarctions than
do nondiabetic individuals? - ANSWER-They are often
asymtomatic as a result of sensory and autonomic neuropathy
What do the higher instances of M?I in pts with diabetes
justify? – ANSWER-Diabetes screening and monitoring the
patient's glycosylated hemoglobin (Hb A1C) which determines
glucose control over 3 to 4 months
What is addison's disease characterized by? -
ANSWER-Inadequate corticosteroid mineralocorticoid
synthesis
elevated serum ACTH levels
What are the symptoms of addison's disease primarily a result
of? - ANSWER-
hypocortisolism and
hypoaldosteronism
What occurs in addisonian crisis? - ANSWER-severe
hypotension and vascular
collapse
Exam 2026/27 || Actual Complete Real Exam Questions
And Correct Detailed Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! Newest
Exam | Just Released!! | Instant Download
What is the somogyi effect? when does it occur? -
ANSWER--Morning
hyperglycemia in diabetic
subjects effect
-The dawn
phenomenon
-poor glycemic
control
-3am
How does the somongyi effect occur? What does this cause?
- ANSWER-Too much intermediate-acting insulin (i.e., NPH
insulin) given at dinner time a. Rebound hyperglycemia
caused by normal early morning secretion of counter-
regulatory hormones (epinephrine, GH, corticosteroids),
which are stimulated by hypoglycemia and cause
gluconeogenesis
ii. Excessive carbohydrate intake may contribute to the rebound
hyperglycemia
,How is the somogyi effect treated? - ANSWER-Decreased
evening insulin level
What is making the somogyi effect less common? - ANSWER-the
increased use
of long-acting
insulin
What is the dawn phenomenon? How is it managed? -
ANSWER-An early morning rise in blood glucose concentration
caused by Nocturnal elevations of
GH
-Managed by an increased dose of evening insulin
What does GH do? - ANSWER-Decreases metabolism of
glucose by muscle
and
fat.
What is diabetic microvascular disease? - ANSWER-
complications/disease in
capillaries
Diabetic microvascular disease is the leading cause of what 3
conditions? - ANSWER-1. Blindness
2. end-stage renal failure
3. various neuropathies
,How does microvascular disease cause other conditions? -
ANSWER-Through
the thickening of the capillary basement
membrane endothelial cell hyperplasia
thrombosis, results in decreased oxygen perfusion
The frequency and severity of lesions appear to be
proportional to what? -
ANSWER--The duration of the disease (more
than 10 years)
-The status of glycemic
control
What do many individuals with type 2 DM present with diabetic
microvascular
disease? why? - ANSWER-. Microvascular complications
because of the long
duration of asymptomatic hyperglycemia that generally
precedes diagnosis
What are macrovascular diseases? - ANSWER-Lesions in
large and medium
sized
arteries
What does macrovascular disease increase risk for? -
ANSWER-Morbidity Mortality
Accelerated atherosclerosis
Myocardial infarction
, Stroke
PVD
Why do individuals with diabetes mellitus have a higher
mortality during the acute phase of myocardial infarctions than
do nondiabetic individuals? - ANSWER-They are often
asymtomatic as a result of sensory and autonomic neuropathy
What do the higher instances of M?I in pts with diabetes
justify? – ANSWER-Diabetes screening and monitoring the
patient's glycosylated hemoglobin (Hb A1C) which determines
glucose control over 3 to 4 months
What is addison's disease characterized by? -
ANSWER-Inadequate corticosteroid mineralocorticoid
synthesis
elevated serum ACTH levels
What are the symptoms of addison's disease primarily a result
of? - ANSWER-
hypocortisolism and
hypoaldosteronism
What occurs in addisonian crisis? - ANSWER-severe
hypotension and vascular
collapse
