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Insulin Launch Quiz

Total questions: 18

Worksheet time: 28mins

Name
Class
Date
1.

Enter your Employee Code. (Please recheck before submitting)

4 lines
2.

Please mention Region Name (For RM) Zone NAme (For Zonal Manager)

4 lines
3.

Designation 


4 lines
4.

Insulins Degludec and glargine administered once daily in combination with OADs provided ________long-term glycemic control in insulin-naive patients with type 2 Diabetes. (BEGIN study)

a)

Lowest

b)

Better

c)

Similar

5.

Select the correct Conclusion statement for DEVOTE Study 

a)

Among patients with type 2 diabetes at high risk for cardiovascular events, Degludec was noninferior to glargine with respect to the incidence of major cardiovascular events.

b)

Degludec was noninferior to NPH with respect to the incidence of major cardiovascular events.

c)

Aspart was noninferior to Degludec with respect to the incidence of major cardiovascular events.

d)

Aspart was superior Over Short acting Insulin

6.

INSTRIDE 1 And 2 talks about which 3 comparative parameters between Reference and Biosimilar Insulin Glargine

a)

HbA1c Reduction

b)

Anytime Hypoglycemia

c)

Weight Gain

d)

Amount of Dose needed for similar physiological response

7.

As per EDITION 3: Gla-300 is as effective as Gla-100 in reducing HbA1c in insulin-naïve people with type 2 diabetes.

a)

True

b)

False

8.

Full Form of "MAGE"

a)

Major Adverse Glycemic Event

b)

Mean Amplitude of Glycemic Excursions

c)

Mean Amplitude for Glycemic Elimination

d)

Major Amplitude of Glycemic Elimination

9.

Selects missing Steps of Insulin Release

1. Glucose enter the Beta cell via GLUT 2

2. Glucose (Glucose-6-Kinase) converts to ATP - Glycolysis

3. ATP Sensitive K+ Channel closed

4. Membrane Depolarisation

5. ________________________

6. Insulin released from Insulin vesicles (Exocytosis).

a)

ATP opens ATP sensitive potassium channel 

b)

Voltage Gated Ca++ Channel will Open, Ca++ enters

c)

Voltage gated Ca++ channel will close

d)

Glucagon will reach to Blood

10.

Composition of "Humalog Mix 25"

a)

Lispro 25 + Regular Human protamine Insulin (NPH) 75

b)

Lispro 25 + Lispro Protamine suspension 75

c)

Lispro 25 + Degludec

d)

Lispro 25 + Glargine

11.

rDNA Insulin in Nobeglar obtained from which Micro-organism

a)

saccharomyces cerevisiae

b)

Pischia Pastoris

c)

Saccharomyces pastorianus

d)

E. Coli

12.

Select Right Option: Basal supported oral therapy (BOT)

a)

Addition of one or two bolus insulin to basal insulin ± OADs

b)

Addition of basal insulin to existing OADs

c)

Once daily / twice daily premixed insulin therapy

d)

Addition of bolus insulin before each meal to basal insulin ± OADs

13.

What is the difference between Biosimilar Insulin Glargine and Reference Insulin Glargine?

a)

Biosimilar Insulin Glargine is less effective

b)

Biosimilar Insulin Glargine has a different chemical composition

c)

Biosimilar Insulin Glargine is as Quality, Efficacy and Safety as Reference Insulin Glargine

d)

None of the above

14.

Is Biosimilar Insulin Glargine interchangeable with Reference Insulin Glargine?

a)

Yes, it is interchangeable

b)

No, it is not interchangeable

c)

It depends on the individual patient

15.

Which of the following statements about biosimilar Insulin Glargine is true? (more than 1 correct answer)

a)

Biosimilar Insulin Glargine has a similar mechanism of action as the reference product, Lantus.

b)

The clinical efficacy and safety of biosimilar Insulin Glargine have been demonstrated in clinical trials.

c)

Biosimilar Insulin Glargine is manufactured using the same process and quality standards as the reference product.

16.

What is the recommended starting dose of biosimilar Insulin Glargine for patients with type 2 diabetes?

a)

0.2 units/kg/day

b)

0.5 units/kg/day

c)

1 units/kg/day

d)

1.5 units/kg/day

17.

Biosimilar Insulin Glargine has been shown to be clinically equivalent to its reference product in which of the following areas? (INSTRIDE 3)

a)

Glycemic control

b)

Hypoglycemic Incidence 

c)

Immunogenicity

d)

All of the above

18.

What are the Reason for Unexplained Hypoglycemia

a)

Lipodystrophy 

b)

Insulin Storing Condition

c)

Insulin Cold chain not managed

d)

Wrong Insulin injection technique 

e)

All of the above