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Worksheets529 Diabetes 2 Quiz
Total questions: 20
Worksheet time: 10mins
A 68-year-old man with type 2 diabetes presents to A&E with confusion, dehydration, and a capillary glucose of 32 mmol/L. Blood ketones are 1.2 mmol/L. What is the most likely diagnosis?
Diabetic ketoacidosis (DKA)
Hyperosmolar hyperglycaemic state (HHS)
Severe hypoglycaemia
Diabetic nephropathy
Lactic acidosis
In managing DKA, what is the appropriate fixed-rate intravenous insulin infusion (FRIII) dose?
0.05 units/kg/hour
0.1 units/kg/hour
0.2 units/kg/hour
0.5 units/kg/hour
1 unit/kg/hour
A patient with DKA has a serum potassium level of 2.8 mmol/L. What is the most appropriate management?
Start insulin immediately
Delay insulin and give 20-40 mmol/L KCl until K+ >3.5 mmol/L
Give bicarbonate first
Start fluid resuscitation only
Senior advice for 30-40 mmol in 1L fluid
According to Diabetes UK's "make four the floor" policy, what blood glucose level requires immediate treatment?
3.0 mmol/L
3.5 mmol/L
4.0 mmol/L
4.5 mmol/L
5.0 mmol/L
A conscious patient with Level 2 hypoglycaemia (2.5 mmol/L) should receive which immediate treatment?
Intramuscular glucagon 1mg
15g rapid-acting carbohydrate
50ml of 50% dextrose IV
Subcutaneous insulin
Oral complex carbohydrates
What percentage of UK road traffic accidents per month are attributed to hypoglycaemia?
10 serious RTAs
20 serious RTAs
30 serious RTAs
40 serious RTAs
50 serious RTAs
For painful diabetic neuropathy, which combination represents the NICE-recommended first-line pharmacotherapy?
Morphine and paracetamol
Pregabalin, gabapentin, and/or duloxetine
Carbamazepine and valproic acid
Tricyclic antidepressants only
Capsaicin cream and TENS
A patient with diabetic gastroparesis fails to respond to lifestyle modifications. What is the primary pharmacological treatment?
Metoclopramide
Domperidone
Erythromycin
Botulinum toxin type A
Octreotide
For diabetic foot infections with moderate to severe presentation, what is the first-line antibiotic according to BNF guidance?
A. Oral flucloxacillin only
B. IV flucloxacillin + gentamicin ± metronidazole
C. Oral clarithromycin
D. IV vancomycin
E. Oral doxycycline
According to NICE recommendations, what is the most effective offloading method for plantar neuropathic diabetic foot ulcers?
Removable cast-walkers
Modified footwear
Non-removable casting
Standard shoes with insoles
Bed rest only
In diabetic nephropathy management, SGLT2 inhibitors should be considered when the ACR is above which threshold?
3 mg/mmol
30 mg/mmol
300 mg/mmol
30 mg/24h
300 mg/24h
Which two statins do NOT require dose adjustment in chronic kidney disease?
Simvastatin and pravastatin
Atorvastatin and fluvastatin
Rosuvastatin and pitavastatin
Lovastatin and simvastatin
Pravastatin and rosuvastatin
According to NICE guidelines, when should diabetic retinopathy screening commence?
5 years after diagnosis
At diagnosis and annually thereafter
Every 2 years from diagnosis
Only when symptoms develop
At age 40 regardless of duration
For high-intensity statin therapy in diabetes, what percentage reduction in LDL cholesterol is expected?
30-40%
40-49%
≥50%
20-30%
60-70%
The D.A.F.N.E. (Dose Adjustment for Normal Eating) programme is specifically designed for which patient group?
Type 2 diabetes patients
Type 1 diabetes patients
Gestational diabetes
Prediabetes
All diabetes types
In sick day rules for diabetes, patients should check blood glucose every:
1-2 hours
3-4 hours
6 hours
8 hours
12 hours
For primary prevention of cardiovascular disease in diabetes patients aged 40-75, what LDL cholesterol target is recommended?
<2.5 mmol/L
<2.0 mmol/L
<1.8 mmol/L
<1.4 mmol/L
<1.0 mmol/L
Which UK-specific cardiovascular risk assessment tool is recommended for diabetes patients?
Framingham Risk Score
QRISK
SCORE system
Reynolds Risk Score
ASSIGN score
In diabetic diarrhoea management, what is the first-line antibiotic therapy duration?
7 days
14 days
21 days
28 days
6 weeks
Approximately what percentage of patients with T2DM develop retinopathy within 20 years of diagnosis?
40%
50%
60%
70%
80%
