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Therapy Refresher - Diabetes

Total questions: 24

Worksheet time: 12mins

Name
Class
Date
1.

After Digestion & Absorption of Glucose in Blood from Small Intestine ,glucose is utilized in -

a)

Body cell

b)

Blood

c)

Liver

d)

Adipose Tissues

2.

After Digestion & Absorption glucose is stored as glycogen in -

a)

Body Cell

b)

Blood

c)

Liver

d)

Adipose Tissuesl

3.

After Digestion & Absorption glucose is stored as fat in -

a)

Body Cell

b)

Blood

c)

Liver

d)

Adipose Tissues

4.

Diabetes is defined as -

a)

Metabolic disorder  characterized by hypoglycemia  due improper metabolism

b)

Acute metabolic disorder characterized by persistent hyperglycemia due to insulin deficiency only

c)

Acute metabolic disorder characterized by persistent hyperglycemia due to insulin resistance  only

d)

Chronic metabolic disorder characterized by persistent hyperglycemia due to insulin deficiency or insulin resistance or both

5.

Gluconeogenesis is the Process of -

a)

a. Formation of new  Glucose from the Non-Carbohydrate Source (fats & Proteins) in Liver

b)

b. Formation of new  Glucose from Glycogen in Liver

c)

Both a & b

d)

None

6.

INSULIN  is secreted -

a)

When glucose level is Higher than the Normal level in the blood

b)

When glucose level is Lower than the Normal level in the blood

c)

When glucose level is same as the Normal level in the blood

d)

None

7.

INSULIN is secreted from -

a)

Beta cells of Liver

b)

Beta cells of Pancreas

c)

Alpha cells of Liver

d)

Alpha cells of Pancreas

8.

The Function of INSULIN, is to regulate the Blood Glucose Level by -

a)

Digesting carbohydrate

b)

Informing the body cells to allow the entry of Glucose inside the cells

c)

Informing liver to convert Glycogen to Glucose & initiate Gluconeogenesis

d)

All of the above

9.

There are ______ of INSULIN Secretion.

a)

1 phase

b)

2 phases

c)

3 phases

d)

4 phases

10.

GLUCAGON  is secreted ________

a)

When glucose level is Higher than the Normal level in the blood

b)

When glucose level is Lower than the Normal level in the blood

c)

When glucose level is same as the Normal level in the blood

d)

Anytime

11.

The Function of GLUCAGON, is to regulate the Blood Glucose Level by ____

a)

Digesting carbohydrate

b)

Informing the body cells to allow the entry of Glucose inside the cells

c)

Informing liver to convert Glycogen to Glucose & initiate Gluconeogenesis

d)

All of the above

12.

Type 2 Diabetes Complications are ____

a)

a. Macro-vascular

b)

b. Micro-vascular

c)

Both a & b

d)

None

13.

Macro-vascular Complications are _____

a)

Retinopathy

b)

Nephropathy

c)

Coronary Artery Disease

d)

Neuropathy

14.

Micro-vascular Complications are _____

a)

Stroke

b)

Nephropathy

c)

Coronary Artery Disease

d)

Peripheral Vascular Disease

15.

The Mode Of Action of Gliclazide

a)

Increase Insulin Secretion from Beta cell of Pancreas by binding to SUR-2A receptors

b)

Increase Insulin Secretion from Liver cells by stimulating liver cells

c)

Increase the hepatic glucose output, by helping liver to become  insulin sensitive

d)

Increase Insulin Secretion from Beta cell of Pancreas by binding to SUR-1 receptors of beta cells in islets of Langerhans

16.

The Mode Of Action of  VILDAGLIPTIN

a)

Decrease the effect of Both GLP-1 & GIP Hormone by inhibiting DPP-4 enzyme

b)

Prolongs the effect Only GIP Hormone OR Only GLP-1 Hormone by inhibiting DPP-4 enzyme

c)

InhibitsDecrease the effect of Only GIP Hormone OR Only GLP-1 Hormone by inhibiting DPP-4 enzyme DPP-4 Enzyme

d)

Prolongs the effect of Both GLP-1 & GIP Hormone by inhibiting DPP-4 enzyme

17.

GIP  Hormone works on _____

a)

Alpha Decreases Hepatic Glucose Output

b)

Beta  cells hence increases the secretion of Insulin

c)

Alpha cells and decreases Glucagon  breakdown

d)

Beta cell and increases the Hepatic Glucose Output

18.

GLP-1  Hormone  works on ______

a)

Only Alpha to decrease the secretion of Glucagon

b)

Only Beta cells to Increase the secretion of Insulin

c)

Both Alpha and Beta cells to decrease the secretion of Insulin and increase the secretion of Glucagon

d)

Both Alpha and Beta cells to Increase the secretion of Insulin and decrease the secretion of Glucagon

19.

Gliclazide is Cardio Safe as It selectively binds only to _____

a)

SUR2A  receptor on Beta cells of Pancreas

b)

SUR-1 receptor on  Heart

c)

SUR-1 receptors  of Pancreas

d)

Both SUR-1 and  SUR2A receptors of Heart and  Beta cells of Pancreas

20.

Gliclazide is Kidney Safe as ____

a)

Active metabolites are formed & hence can be given to CKD stage 3,4 & Dialysis patients

b)

NO Active metabolites are formed & can be given to CKD stage 3,4 & Dialysis patients

c)

Moderately Nephro toxic

d)

Both of the above

21.

The MOA of Voglibose ____

a)

Delays Glucose absorption from the Small Intestine by Inhibiting Alpha-Glycosidase Enzyme

b)

Prolongs Glucose absorption from the Small Intestine by Inhibiting DPP-4 enzyme

c)

Decreases Glucose absorption from the Small Intestine by stimulating Beta cells of Pancreas

d)

Decreases Glucose absorption from the Small Intestine by Inhibiting Alpha-Glycosidase Enzyme

22.

The MOA of Pioglitazone ____

a)

Increase Insulin Resistance and Decrease Insulin Sensitivity and Decrease Glucose Uptake to the targeted cells of body

b)

Increase Insulin Resistance and Increase Insulin Sensitivity  and Decrease Glucose Uptake to the targeted cells of body

c)

Decrease Insulin Resistance and Increase Insulin Sensitivity thus Increase Glucose Uptake to the targeted cells of the body

d)

Decrease Insulin Resistance and Increase Insulin Sensitivity thus decreases the  Glucose Uptake to the targeted cells of body

23.

Pioglitazone acts  by working on _____

a)

PPAR-alpha of Liver/Pancreas

b)

PPAR-Gamma of Liver/Pancreas

c)

PPAR-alpha of Nucleus of the cells

d)

PPAR-Gamma of Nucleus of cells

24.

SGLT2 inhibitors also called gliflozins, are a class of medications which act by _____

a)

Increasing reabsorption of glucose in the kidney thus increase blood sugar by stimulating sodium-glucose transport protein 2

b)

Inhibiting reabsorption of glucose in the kidney but increase blood sugar by stimulating sodium-glucose transport protein 2

c)

Inhibiting reabsorption of sodium in the kidney thus increase blood pressure  by inhibiting sodium-glucose transport protein 2

d)

Inhibiting reabsorption of glucose in the kidney thus lower blood sugar by inhibiting sodium-glucose transport protein 2