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WorksheetsUnderstanding diabetes mellitus
Total questions: 15
Worksheet time: 8mins
Which of the following is true regarding insulin resistance?
High HOMA-IR indicates a person is developing insulin resistance that causes B cell depletion
High HOMA-B indicates that high amount of insulin is needed for balanced blood sugars level
HOMA-IR is an estimate of tissue insulin resistance
HOMA-B is an estimate of tissue insulin resistance
A low dose of ______________ with insulin are usually used to treat a patient with hepatocyte nuclear factor 1- β (HNF-1β) gene mutation.
Corticosteroids
Sulphonylureas
Phaeochromocytoma
Biguanides
A person with normal levels of ketones in the bloodstream but having severe hyperglycaemia and osmolality of 340 mOsm/kg is likely to have _______________________________
Diabetic ketoacidosis (DKA)
Hyperosmolar hyperglycaemic syndrome (HHS)
Hyperketonaemia
Acute hypoglycaemia
New researches on bariatric surgery highlighted about these intestinal hormones secretion that play important roles in type 2 diabetes treatment. All of the following is true EXCEPT:
GLP-1 hormone secretion that signals hunger increases
Ghrelin hormone secretion that signals hunger is increased post-bypass
GLP-1 hormone secretion that signals satiety increases
Ghrelin hormone secretion that signals hunger is reduced post-bypass
A reduced flexibility in muscle, skin, tendons and ligaments are examples of musculoskeletal problems caused by damage on ______________________.
Retinal
Connective tissue proteins
Peripheral vessels
Kidney - nephropathy
A 40 year old obese adult went to hospital for medical check-up as she suspected herself having diabetes. She was diagnosed of getting diabetes type II after went through some tests. What are the following test results confirm that she is a diabetes type II patient?
Her fasting glucose level is 5.5 mmol/L.
Oral glucose tolerance test (OGTT) shows her plasma glucose is more than 11mmol/L after two hours.
HbA1c is more than 6.5%.
Her random plasma glucose is less than 7.8 mmol/L.
Recently, Lala felt uncomfortable due to some symptoms and she figure out that those symptoms indicate she is at high risk of getting Type I diabetes. What are Lala’s symptoms?
Uncontrolled thirst
Acanthosis nigrican
Frequent urination
Fruity smell of breath
Type II diabetes patient can control their plasma glucose level through management of diet and exercise. However in what condition, insulin therapy is needed?
Have diabetic ketoacidosis
Allergic to sulfonylurea Agent
Weight loss after taking oral agent
Renal problem
Which is the following statement regarding insulin therapy incorrect?
Insulin that is administered through subcutaneous way usually involve rapidly-acting insulin.
The insulin pump mimics the function of pancreas by delivering insulin into portal circulation.
“Twice-daily-fixed-dose insulin regimen” is injected before breakfast and before evening meal for those with fixed routine.
The insulin types can be given alone or in combination according to lifestyle, including mealtime routine.
Type I and Type II diabetes are polygenic , but diabetes may arise from a less common monogenic form. Which is the following statement regarding monogenic form diabetes incorrect?
MODY can cause early –age diabetes that is associated with kidney problem.
Specific medical treatments such as insulin therapy is not needed in some patients.
MODY 1 is caused by dysregulated functions of GLUT 2 glucose transport and lipid metabolism.
Monogenic form diabetes is usually occur before the age of 1 year.
Which of the following are the common symptoms of diabetic ketoacidosis (DKA) ?
High blood sugar ,extreme thirst and frequent urination
Dry cough and abdominal pain
Diarrhea ,fever and tiredness
Nausea and loss of taste and smell
Excessive thirst and volume of very dilute urine may be the symptoms of
Urinary tract infection
Viral gastroenteritis
Diabetic insipidus
Hypoglycemia
Which of the following factors have risk of the development of diabetic mellitus?
Age over 45 years
Overweight with waist/hip ratio >1
Having a consistent HDL level above 40mg/dL
Maintaining a sedentary lifestyle
Diabetes is defined best as
a metabolic disease characterized by low blood sugar
a metabolic disease characterized by high blood sugar
a family of blood infection
none of the above
The nurse is caring for 54yrs old patient hospalized with diabetes mellitus would look for which of the following laboratory test result to obtain as information on the patient past glucose control?
prealbamin level
urine ketone level
fasting glucose level
glycosylated hemoglobin level
