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Values-Only Review Set: Diabetes Diagnostic Cutoffs and Targets

Total questions: 80

Worksheet time: 40mins

Name
Class
Date
1.

A1C threshold to diagnose diabetes is:

a)

≥ 6.0%

b)

≥ 6.5%

c)

≥ 7.0%

d)

≥ 7.5%

2.

Fasting plasma glucose (FPG) to diagnose diabetes is:

a)

≥ 100 mg/dL

b)

≥ 110 mg/dL

c)

≥ 126 mg/dL

d)

≥ 140 mg/dL

3.

2-hour OGTT value to diagnose diabetes is:

a)

≥ 140 mg/dL

b)

≥ 160 mg/dL

c)

≥ 180 mg/dL

d)

≥ 200 mg/dL

4.

Random plasma glucose diagnostic for diabetes when symptomatic:

a)

≥ 150 mg/dL

b)

≥ 180 mg/dL

c)

≥ 200 mg/dL

d)

≥ 250 mg/dL

5.

A1C goal for patients with diabetes (general):

a)

< 6.0%

b)

< 6.5%

c)

< 7.0%

d)

< 7.5%

6.

Hypoglycemia is defined as blood glucose:

a)

< 80 mg/dL

b)

< 75 mg/dL

c)

< 70 mg/dL

d)

< 60 mg/dL

7.

First step of the “Rule of 15”: give how many grams of fast-acting carbs?

a)

10 g

b)

15 g

8.

After treating hypoglycemia by the Rule of 15, recheck glucose in:

a)

5 minutes

b)

10 minutes

c)

15 minutes

d)

30 minutes

9.

DKA usually presents with blood glucose:

a)

≥ 180 mg/dL

b)

≥ 200 mg/dL

c)

≥ 250 mg/dL

d)

≥ 300 mg/dL

10.

Expected arterial pH in DKA:

a)

< 7.30

b)

7.30–7.35

c)

7.35–7.45

d)

> 7.45

11.

Expected bicarbonate (HCO₃⁻) in DKA:

a)

< 10 mEq/L

b)

< 16 mEq/L

c)

< 20 mEq/L

d)

< 24 mEq/L

12.

Rapid-acting insulin (lispro/aspart) onset:

a)

1–2 hours

b)

30–60 minutes

c)

10–30 minutes

d)

5–10 minutes

13.

Rapid-acting insulin peak occurs approximately:

a)

0.5–3 hours

b)

3–5 hours

c)

4–12 hours

d)

No defined peak

14.

Regular insulin onset:

a)

10–30 minutes

b)

30–60 minutes

c)

1–2 hours

d)

2–4 hours

15.

Regular insulin peak most commonly:

a)

30–60 minutes

b)

1–2 hours

c)

2–3 hours

d)

4–6 hours

16.

NPH insulin peak window:

a)

1–2 hours

b)

2–4 hours

c)

4–12 hours

d)

12–18 hours

17.

Long-acting insulin (glargine/detemir) peak:

a)

1–2 hours

b)

4–12 hours

c)

12–18 hours

d)

No defined peak

18.

Long-acting insulin (glargine/detemir) duration is about:

a)

6–12 hours

b)

12–16 hours

c)

16–24 hours

d)

24–36 hours

19.

Hold metformin for iodinated IV contrast for about:

a)

24 hours before and after

b)

48 hours before and after

c)

72 hours before only

d)

72 hours after only

20.

Recommended exercise time per week for patients with diabetes:

a)

90 minutes

b)

120 minutes

c)

150 minutes

d)

180 minutes

21.

When giving lispro before a meal, the patient should begin eating within:

a)

5 minutes

b)

10 minutes

c)

15 minutes

d)

30 minutes

22.

Highest hypoglycemia risk window after NPH at 7:00 AM is:

a)

8–9 AM

b)

9–11 AM

23.

Insulin used IV for DKA management:

a)

Lispro

b)

NPH

c)

Regular

d)

Glargine

24.

Diagnostic prediabetes A1C range:

a)

5.0–5.6%

b)

5.7–6.4%

c)

6.5–6.9%

d)

6.0–6.4%

25.

Diagnostic prediabetes fasting glucose range (mg/dL):

a)

90–99

b)

100–110

c)

100–125

d)

110–129

26.

Diagnostic prediabetes 2-hr OGTT range (mg/dL):

a)

120–139

b)

140–199

c)

160–219

d)

180–249

27.

Treating hypoglycemia inpatient if unable to take PO:

a)

25–50 mL of 50% dextrose IV

b)

10 units regular insulin IV

c)

1 L NS bolus only

d)

5 units lispro SQ

28.

Daily foot checks at home are recommended:

a)

Weekly

b)

Every other day

c)

Daily

d)

Only if symptomatic

29.

Dilated retinal eye exam frequency for diabetes (minimum):

a)

Every 3 months

b)

Every 6 months

c)

Annually

d)

Every 2 years

30.

Urine albumin/kidney screening frequency for diabetes (minimum):

a)

Every visit

b)

Monthly

c)

Annually

d)

Every 5 years

31.

Normal hemoglobin (Hgb) for adults is approximately:

a)

8–10 g/dL

b)

10–12 g/dL

c)

12–16 g/dL

d)

16–20 g/dL

32.

Normal hematocrit (Hct) range is roughly:

a)

25–35%

b)

36–50%

c)

50–60%

d)

20–30%

33.

Normal red blood cell (RBC) count:

a)

2–4 million/μL

b)

4–6 million/μL

c)

6–8 million/μL

d)

8–10 million/μL

34.

Normal white blood cell (WBC) count:

a)

2,000–4,000/μL

b)

4,000–11,000/μL

c)

11,000–20,000/μL

d)

20,000–30,000/μL

35.

Normal platelet count:

a)

50,000–100,000/μL

b)

100,000–200,000/μL

c)

150,000–400,000/μL

d)

400,000–600,000/μL

36.

Neutropenia is defined as a neutrophil count less than:

a)

2,000/μL

b)

1,500/μL

c)

1,000/μL

d)

500/μL

37.

Severe neutropenia (high infection risk) occurs when neutrophils are below:

a)

1,000/μL

b)

800/μL

c)

500/μL

d)

1,500/μL

38.

Thrombocytopenia is defined as platelet count less than:

a)

200,000/μL

b)

150,000/μL

c)

100,000/μL

d)

150,000/μL

39.

Critical platelet value for spontaneous bleeding risk:

a)

< 100,000

b)

< 50,000

c)

< 20,000

d)

< 10,000

40.

Anemia is typically diagnosed when Hgb is below:

a)

14 g/dL

b)

12 g/dL

c)

10 g/dL

d)

8 g/dL

41.

Normal fasting glucose:

a)

60–99 mg/dL

b)

100–125 mg/dL

c)

126–140 mg/dL

d)

150–200 mg/dL

42.

Diagnostic fasting glucose for diabetes:

a)

≥ 110 mg/dL

b)

≥ 120 mg/dL

c)

≥ 126 mg/dL

d)

≥ 140 mg/dL

43.

Random glucose diagnostic for diabetes:

a)

≥ 160 mg/dL

b)

≥ 180 mg/dL

c)

≥ 200 mg/dL

d)

≥ 250 mg/dL

44.

Hypoglycemia is defined as glucose:

a)

< 80 mg/dL

b)

< 70 mg/dL

c)

< 60 mg/dL

d)

< 50 mg/dL

45.

DKA glucose level typically exceeds:

a)

180 mg/dL

b)

200 mg/dL

c)

250 mg/dL

d)

300 mg/dL

46.

A1C diagnostic for diabetes:

a)

≥ 5.7%

b)

≥ 6.0%

c)

≥ 6.5%

d)

≥ 7.0%

47.

A1C goal for diabetic management:

a)

< 6.0%

b)

< 6.5%

c)

< 7.0%

d)

< 7.5%

48.

In hypothyroidism (Hashimoto’s):

a)

TSH ↓, T3/T4 ↓

b)

TSH ↑, T3/T4 ↓

c)

TSH ↓, T3/T4 ↑

d)

TSH ↑, T3/T4 ↑

49.

In hyperthyroidism (Graves’ disease):

a)

TSH ↓, T3/T4 ↑

b)

TSH ↑, T3/T4 ↓

c)

TSH ↓, T3/T4 ↓

d)

TSH ↑, T3/T4 ↑

50.

In SIADH, sodium is:

a)

High

b)

Low

c)

Normal

d)

Variable

51.

In SIADH, urine is:

a)

Dilute

b)

Concentrated

c)

Clear

d)

Alkaline

52.

In Diabetes Insipidus, sodium is:

a)

Low

b)

High

c)

Normal

d)

Unchanged

53.

In Diabetes Insipidus, urine is:

a)

Concentrated

b)

Dilute

c)

Amber

d)

Acidic

54.

Normal sodium:

a)

130–140

b)

135–145

c)

140–150

d)

145–155

55.

Normal potassium:

a)

3.0–4.0

b)

3.5–5.0

c)

4.5–6.0

d)

5.0–6.5

56.

Normal calcium:

a)

6–8

b)

8.5–10.5

c)

10–12

d)

12–14

57.

In Hyperparathyroidism, calcium is:

a)

Low

b)

High

c)

Normal

d)

Variable

58.

In Hypoparathyroidism, calcium is:

a)

High

b)

Low

c)

Normal

d)

Unchanged

59.

In Hyperparathyroidism, phosphate is:

a)

High

b)

Low

c)

Normal

d)

Variable

60.

In Hypoparathyroidism, phosphate is:

a)

Low

b)

High

c)

Normal

d)

Variable

61.

Normal liver enzyme (AST/ALT) values are roughly:

a)

10–40 units/L

b)

40–80 units/L

c)

80–120 units/L

d)

120–160 units/L

62.

Normal bilirubin level:

a)

0.0–0.8 mg/dL

b)

0.1–1.2 mg/dL

c)

1.2–2.5 mg/dL

d)

2.5–3.5 mg/dL

63.

Albumin normal range:

a)

2–3 g/dL

b)

3.5–5.0 g/dL

c)

5–6 g/dL

d)

6–7 g/dL

64.

Elevated bilirubin causes which clinical finding?

a)

Edema

b)

Jaundice

c)

Hypertension

d)

Petechiae

65.

In anemia, which values drop?

a)

Hgb and Hct

b)

WBC and Platelets

c)

Platelets and Calcium

d)

Sodium and Chloride

66.

In neutropenia, which lab is low?

a)

RBC

b)

WBC (neutrophils)

c)

Platelets

d)

Hgb

67.

In thrombocytopenia, which lab is low?

a)

WBC

b)

RBC

c)

Platelets

d)

Neutrophils

68.

A platelet count below ______ increases spontaneous bleeding risk:

a)

50,000

b)

20,000

c)

10,000

d)

100,000

69.

Normal WBC count:

a)

1,000–3,000

b)

3,000–8,000

c)

5,000–10,000

d)

10,000–15,000

70.

In leukemia, WBCs are usually:

a)

Low and nonfunctional

b)

Normal

c)

Elevated and healthy

d)

Variable but mature

71.

Normal urine specific gravity:

a)

1.000–1.005

b)

1.005–1.030

c)

1.020–1.040

d)

1.030–1.060

72.

SIADH urine gravity pattern:

a)

High (concentrated)

b)

Low (dilute)

c)

Normal

d)

None

73.

DI urine gravity pattern:

a)

High

b)

Low

c)

Normal

d)

Variable

74.

In liver failure, which lab usually decreases first?

a)

Albumin

b)

Bilirubin

c)

AST

d)

ALT

75.

In liver failure, what happens to bilirubin?

a)

Increases

b)

Decreases

c)

Stays normal

d)

Variable

76.

In SIADH, serum sodium trend is:

a)

Down

b)

Up

c)

Normal

d)

Unchanged

77.

In DI, serum sodium trend is:

a)

Down

b)

Up

c)

Normal

d)

Variable

78.

In Cushing’s syndrome, cortisol level is:

a)

Low

b)

High

c)

Normal

d)

Variable

79.

In Addison’s disease, cortisol level is:

a)

High

b)

Low

c)

Normal

d)

Unchanged

80.

In Addison’s disease, sodium and potassium levels typically show:

a)

Na↑, K↓

b)

Na↓, K↑

c)

Na↑, K↑

d)

Na↓, K↓