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Biphasic Aspart Quiz

Total questions: 31

Worksheet time: 13mins

Name
Class
Date
1.

As per IDF date 2019, among top 10 countries with diabetics (20-79 years), Pakistan is at position _________.

a)

10th

b)

6th

c)

8th

d)

4th

2.

What is the number of diabetics in Pakistan (20-79 years), as per IDF data - 2019?

a)

18 Million

b)

19.4 Million

c)

10 Million

d)

15.4 Million

3.

Novomix® 30 got US approval in _________.

a)

2001

b)

1999

c)

2000

4.

When Novomix® 30 is launched in Pakistan?

a)

2002

b)

2004

c)

2006

d)

2008

5.

When Novomix® 50 is launched in Pakistan?

a)

2012

b)

2013

c)

2014

d)

2015

6.

Insulin aspart differs from human insulin by the single amino-acid substitution of a ____________ by an aspartic acid residue at _______.

a)

Glycine, B26

b)

Proline, B28

c)

Asparginine, B26

d)

Lysine, B28

7.

The B28 position is implicated in the formation of ____________ but not implicated in pharmacological activity of insulin.

a)

Monomers

b)

Dimers

c)

Hexamers

8.

When NovoMix® 30 is injected subcutaneously, the onset of action will occur within __________ minutes of injection.

a)

10 - 15

b)

10 - 20

c)

15

d)

5 - 10

9.

1ml of NovoMix® 30 contains ____ units of insulin aspart/protaminated aspart in 70/30 ratio that is equivalent to ____mg.

a)

200, 3.5

b)

300, 3.0

c)

100, 3.5

d)

100, 3.0

10.

When using BIAsp 30 once daily switch to twice daily, when reaching _____ units, split the dose into equal breakfast and dinner doses.

a)

20

b)

30

c)

40

d)

50

11.

If twice daily dosing results in recurrent daytime hypoglycemic episodes, breakfast dose can be split into breakfast & lunch?

a)

True

b)

False

12.

NovoMix® 30 can be used in children aged below 10 years?

a)

True

b)

False

13.

There are restrictions on treatment with NovoMix® during lactation.

a)

True

b)

False

14.

Switching from basal-plus/basal-bolus to

premix insulin

a)

Reduce the total insulin dose (basal + mealtime insulin) by 10% to 20%

b)

No dose adjustment needed

c)

Increase the total insulin dose (basal + mealtime insulin) by 10%

d)

Reduce the total insulin dose (basal + mealtime insulin) by 20% to 30%

15.

Switching from basal-plus/basal-bolus to

premix insulin - Split the resulting dose into;

a)

BID – for patients switching from BASAL-PLUS

TID – for patients switching from BASAL-BOLUS

b)

OD – for patients switching from BASAL-PLUS

TID – for patients switching from BASAL-BOLUS

c)

BID – for patients switching from BASAL-PLUS

BID – for patients switching from BASAL-BOLUS

d)

OD – for patients switching from BASAL-PLUS

BID – for patients switching from BASAL-BOLUS

16.

Intensifying from BIAsp BID to TID

a)

Add 20% of total daily BIAsp 30 dose

before lunch

b)

Add 15% of total daily BIAsp 30 dose

before lunch

c)

Add 10% of total daily BIAsp 30 dose

before lunch

d)

Add 5% of total daily BIAsp 30 dose

before lunch

17.

Insulin intensification guidelines for switch from BIAsp 30 to BIAsp 50 is 1:1 dose transfer.

a)

True

b)

False

18.

Improve was Multinational, open-label, 6-month observational study involving 46,000 pts from 13 countries including Pakistan.

a)

True

b)

False

19.

A1chieve was Multinational, open-label, 6-month observational study involving greater than 66,000 pts from 28 countries including Pakistan.

a)

True

b)

False

20.

In patients with type 2 diabetes, a dose reduction of _________ is recommended for patients with an HbA1c less than 8% when a GLP-1 receptor agonist is added to NovoMix® 30, to minimise the risk of hypoglycaemia.

a)

10%

b)

20%

c)

25%

d)

15%

21.

The maximum serum insulin concentration is, on average, _________ higher with NovoMix® 30 than with biphasic human insulin 30.

a)

30%

b)

20%

c)

40%

d)

50%

22.

The priming for the new pen of NovoMix 30® should not be done more than _______, if a drop of insulin doesn't appear, pen is defective and should be discarded.

a)

2 time

b)

3 times

c)

7 times

d)

6 times

23.

The other name of Strojek et al is ____________.

a)

1 2 3 Study

b)

OnceMix

c)

EasyMix

d)

Initiate

24.

In initiate Study, NovoMix 30® is administered ____________.

a)

Once Daily

b)

Twice Daily

c)

Thrice Daily

25.

The other name of Garber et al is ___________.

a)

Sit2Mix

b)

1 2 3 Study

c)

EasyMix

d)

OnceMix

26.

The other name of A1chive is ____________.

a)

Gupta et al

b)

Home at al

c)

El Naggar et al

d)

Lithem et al

27.

Improved Postprandial Glycemic Control With Biphasic Insulin Aspart Relative to Biphasic Insulin Lispro and Biphasic Human Insulin in Patients With Type 2 Diabetes. Which Study is this?

a)

Linjawi et al

b)

Hermanson et al

c)

Davidson et al

d)

Raskin et al

28.

Safety and efficacy of biphasic insulin aspart 70/30 (BIAsp 70/30, prebreakfast and presupper) were compared with once-daily insulin glargine in type 2 diabetic subjects inadequately controlled on oral antidiabetic drugs (OADs). Which study is this?

a)

Rys et al

b)

Davidson et al

c)

Raskin et al

d)

Garbar et al

29.

Efficacy and safety of once-daily biphasic insulin aspart 70/30 (BIAsp 30) with sitagliptin and twice-daily BIAsp 30 with or without sitagliptin in patients with

type 2 diabetes. Which study is this?

a)

Sit2Mix

b)

1 2 3 Study

c)

Initiate

d)

EasyMix

30.

Risk for Nocturnal Hypoglycemia With Biphasic Insulin

Aspart 30 Compared With Biphasic Human Insulin 30 in

Adults With Type 2 Diabetes Mellitus. Which study is this?

a)

Hermensan et al

b)

Jacobson et al

c)

Heise et al

d)

Davidson et al

31.

For Novomix®, always check there are at least _______ units of insulin left in the cartridge to allow re-suspension. If

there are less than the specified units left, use a new FlexPen®.

a)

10

b)

12

c)

15

d)

18