WorksheetsQuiz HI Team..!!
Total questions: 50
Worksheet time: 50mins
In which of the following groups do peaks in T1DM presentation occur?
Select all that apply:
3-4 years
5 -7 years
6-9 years
Pubertal age
which of the following is microvascular complication?
stroke
congestive heart failure
ulcer
Blindness
T1DM is considered to be precipitated by
A-insulin resistance
B-Autoimmune destruction of Beta cells
C-Autoimmune destruction of alpha cells
D-Both A and B
T1DM is more common among
Male
Female
Equally distributed among both gender
Which of the following is not true?
T1DM may be ideopathic
T1DM is largely attributed to environmental factors
T1DM is aggressive is children
None of these
In T1DM what percentage of beta cells destruction at the time of diagnosis?
50 percent
80 percent
85 percent
90 percent
ideopathic T1DM means?
caused by bacteria
caused by virus
unknown cause
late onset of T1DM
Whic one of the following is not directly link with T1DM
viral infections
dietary factors
toxic substances
obesity
A certain gland or organ does not work properly in T1DM.Which gland or organ it is?
pitutary gland
pancreas
adrenal gland
liver
A 14 years old girl comes to clinic reveals no C-peptide in her blood.She has lost a lot weight recently but eating a lot. The girl has?
A- cardiovascular disease
B-autoimmune disease
C-cerebrovascular disease
both A and B
All are common autoantibodies except
GADA
insulin autoantibodies
islet cell autoantibodies
Beta cell antibodies
T1DM is ?
polygenic
monogenic
have no genetic disturbance
Which of the following is directly linked with T1DM
cow's milk
younger mother
BMI greater than 35
hypercalcemia
All of the following statements are true about natural history of T1DM except? (choose all that apply)
The precipitating events may occure in utero
overall loss of alpha cell is linear but later shows relapsing pattern
Environment might influence entire natural history
Glucose excursion decrease as individual move from asymptomatic to symptomatic
which of the following describe best differnce between T1DM and T2DM?
T1DM develop chronic complication and T2DM develop acute complications
T1DM can increase in endogenous insulin secretion as we add oral agents
T1DM usually require decrease dose than in T2DM
autoimmune factors are involve in T1DM and not in T2DM
All of the following are true about T1DM except(choose all that apply)
more common in female than male
Decrease in occurance rate after 15 year of age
it is chronic disease of childhood
Onset is slow and gradual in subject
Auto immunity in T1DM mainly results loss of alpha cells and insulitis
True
False
which one of the following is most sensitive auto antibodies for diagnosis of T1DM
islet cell antibodies
insulin auto antibodies
islet antigen 2 antibodies
none of these
Almost 85% of cases of T1DM with no family history
True
False
The prevelance of T2DM is
50 - 60 %
5 - 15 %
85 - 95 %
95 - 98 %
Which one of the following is not a risk factor for Diabetes?
cardiovascular disease
delivery of infant weighing < 4kg
Anti psychotic therapy
GDM
post parandial glucose concentration is affected by
insulin secretion
glucagon suppression
Hepatic glucose suppression
All of above
In T2DM,the beta cells are markly compromised up to____at the time of diagnosis
50%
90%
60%
none of these
In T2DM,when insulin resistance increase ,the insulin secretions also increase
True
False
Most obese persons with only insulin resistance but normal beta cell numbers may not develop diabetes
True
False
which of the following can cause hyperglycemia?
decrease glucose reabsorption from kidney
Decrease Glycogenolysis
increase glucagon secretion
decrease lipolysis
T2DM is characterized by
insulin resistance
Beta cell dystruction
relative insulin deficiency
all of the above
which of the following require does not insulin for glucose entry in to the cells(choose all that apply)
Muscles
kidney
nerve tissue
splanchic tissue
adipose tissue
The risk factors for T2DM include all of the following except?
Advance age
obesity
smoking
physical inactivity
Prediabetes is considered to be reversible condition
True
False
when the body does not respond insulin it makes, this is called?
T1DM
T2DM
Neonatal Diabetes millitus
All of the above
If You have T2DM, you will have to take medications for lifetime to control blood glucose
False
True
which one of the following is the best predictor for T2DM?
Genetics
Below 40 years of age
Race
BMI greater than 40
prediabetes
insulin response is greater following oral route than any other route
False
True
which one of the following is not a major factor for beta cells destruction
Environmental factors
genetic factors
insulin toxicity
glucotoxicity
Gestational Diabetes is risk factor of which one of the following?
T1DM
T2DM
obesity
None of these
Women diagnose with diabetes in the_____semester of pregnancy would classified as having T2DM
First
second
Third
Both Second and third
The ADA and ACOG advocated universal screening for gestational diabetes at ______ gestation weeks?
24 - 28 weeks
16 weeks
36 weeks
12 - 14 weeks
According to ADA, the fasting glycemic target in pregnancy
≤ 90 mg ∕dl
≤ 92 mg ∕dl
≤ 95 mg ∕dl
≤ 95 -100 mg ∕dl
According t0 ADA, the 2h postprandial glycemic target in pregnancy?
≤130 mg ⁄ dl
≤120 mg ⁄ dl
≤110 mg ∕ dl
100 - 120 mg ⁄ dl
if insulin is used in the pregnancy, the typical starting dose will be
0.2 U ⁄ kg ⁄ day
0.2 -0.5 U ⁄ kg ⁄ day
0.5 - 0.7 U ⁄ kg ⁄ day
0.7 - 1 U ⁄ kg ⁄ day
Choose the perinatal complication associated with offspring of diabetic mother (select all that apply )
Macrosomnia
small for gestation age infant
Hyperbilirubenaemia in offspring
Neonatal hypoglycemia
gestational diabetes millitus effects between _______ of pregnant women
2 -15 %
15 - 25 %
1 - 2 %
None of these
Screening women with GDM for persistant diabetes at ______ weeks post partum is recommended
1 - 2 weeks
3 - 6 weeks
6 - 12 weeks
24 -28 weeks
optimal glycaemia is recommended 3 - 6 month before planning pregnancy i n women with pregestational diabetes.The recommended HbA1c target ________%
6
7
8
<6.5
According to ADA ,delivery during 28th week is recoomended and may delay may cause macrosomnia in offspring?
false
True
Exercise reduce the requirement of exogenous insulin?
False
True
Untreated diabetes may results in all of the following except?
Blindness
Cardiovascular disease
Kidney disease
Bronchitis
Why insulin is important for your body?
It helps Blood glucose to enter in cells
it lower the blood pressure
it raise your cholesterol level
It maintain blood sucrose level
which of the following hormone is released by pancreas just after eating meal?
insulin
Glucagon
Glycogen
pepsin
