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WorksheetsUNIT 2_ᴀʙ (GDM)
Total questions: 93
Worksheet time: 47mins
Name
Class
Date
1.
This is a group of diseases in which a person has high blood sugar (glucose) due to either of the two primary mechanisms: ⑴ Insulin Insufficiency/Insulin Resistance, ⑵ Insulin Resistance, or ⑶ BOTH.
(a)
2.
This is a mechanism of DM wherein the beta cells of the pancreas can't produce or does not produce enough insulin due to the autoimmune destruction of the pancreas.
a)
INSULIN DEFICIENCY / INSULIN INSUFFICIENCY
b)
INSULIN RESITANCE
3.
This is a mechanism of DM wherein the cells of the body do not respond properly to the insulin that is produced.
a)
INSULIN DEFICIENCY / INSULIN INSUFFICIENCY
b)
INSULIN RESITANCE
4.
This is the ORGAN that produces insulin.
a)
Pancreas
b)
Liver
c)
Spleen
d)
Kidneys
5.
These are the TISSUES that produce insulin.
a)
Islet of Langerhans
b)
Islands of Lagerhans
c)
Acinar Tissue
d)
Duct Tissue
6.
These are the CELLS that produce insulin.
a)
Beta (β) Cells
b)
Alpha (α) Cells
c)
Delta (δ) Cells
7.
This is the ORGAN that produces insulin.
a)
Pancreas
b)
Islet of Langerhans (𝚊𝚔𝚊 Pancreatic Islets)
c)
Beta (β) Cells
8.
These are the TISSUES that produces insulin.
a)
Pancreas
b)
Islet of Langerhans (𝚊𝚔𝚊 Pancreatic Islets)
c)
Beta (β) Cells
9.
These are the CELLS that produces insulin.
a)
Pancreas
b)
Islet of Langerhans (𝚊𝚔𝚊 Pancreatic Islets)
c)
Beta (β) Cells
10.
Which CELLS produce glucagon?
a)
Alpha (α) Cells
b)
Beta (β) Cells
c)
Delta (δ) Cells
11.
Which CELLS produce insulin?
a)
Alpha (α) Cells
b)
Beta (β) Cells
c)
Delta (δ) Cells
12.
Which CELLS produce somatostatin?
a)
Alpha (α) Cells
b)
Beta (β) Cells
c)
Delta (δ) Cells
13.
What is the purpose of GLUCAGON produced by the Alpha (α) Cells?
a)
↑ blood glucose level
b)
↓ blood glucose level
14.
What is the purpose of INSULIN produced by the Beta (β) Cells?
a)
↑ blood glucose level
b)
↓ blood glucose level
15.
Which one are the BUILDING BLOCKS of Carbohydrates?
a)
Monosaccharides
b)
Fatty Acids & Glycerol
c)
Amino Acids
16.
Which one are the BUILDING BLOCKS of Fats (𝚊𝚔𝚊 Lipids)?
a)
Monosaccharides
b)
Fatty Acids & Glycerol
c)
Amino Acids
17.
Which one are the BUILDING BLOCKS of Proteins?
a)
Monosaccharides
b)
Fatty Acids & Glycerol
c)
Amino Acids
18.
Which macronutrients are the FIRST ENERGY SOURCE of the body?
a)
Carbohydrates
b)
Fats (𝚊𝚔𝚊 Lipids)
c)
Proteins
19.
Which macronutrients are the SECOND ENERGY of the body?
a)
Carbohydrates
b)
Fats (𝚊𝚔𝚊 Lipids)
c)
Proteins
20.
Which macronutrients are the LAST ENERGY SOURCE of the body?
a)
Carbohydrates
b)
Fats (𝚊𝚔𝚊 Lipids)
c)
Proteins
21.
The first energy source of the body.
a)
Monosaccharides
b)
Fatty Acids & Glycerol
c)
Amino Acids
22.
The second energy source of the body.
a)
Monosaccharides
b)
Fatty Acids & Glycerol
c)
Amino Acids
23.
The last energy source of the body.
a)
Monosaccharides
b)
Fatty Acids & Glycerol
c)
Amino Acids
24.
Which of these THREE ⑶ MAIN MONOSACCHARIDES are the "universal energy currency" of the body?
a)
Glucose
b)
Fructose
c)
Galactose
25.
Which of these THREE ⑶ MAIN MONOSACCHARIDES are found naturally in fruits and honey?
a)
Glucose
b)
Fructose
c)
Galactose
26.
Which of these THREE ⑶ MAIN MONOSACCHARIDES are found in milk?
a)
Glucose
b)
Fructose
c)
Galactose
27.
This is the hormone (the key 🔑) needed so that glucose can enter into cells for energy production.
a)
Insulin
b)
Glucose Transporter Type 4 (GLUT4)
c)
Adenosine Triphosphate (ATP)
28.
This is the glucose channel (the door 🚪) at the cell membrane that allows glucose to enter the cell.
a)
Insulin
b)
Glucose Transporter Type 4 (GLUT4)
c)
Adenosine Triphosphate (ATP)
29.
This is the energy derived from the breakdown of glucose; often referred to as the "energy currency" of the cell.
a)
Insulin
b)
Glucose Transporter Type 4 (GLUT4)
c)
Adenosine Triphosphate (ATP)
30.
This is the hormone (the key 🔑) needed so that glucose can enter into cells for energy production.
(a)
31.
This is the glucose channel (the door 🚪) at the cell membrane that allows glucose to enter the cell.
(a)
32.
This is the energy derived from the breakdown of glucose; often referred to as the "energy currency" of the cell.
(a)
33.
Type 1 DM is 𝚊𝚔𝚊...?
a)
Insulin-Dependent DM (IDDM)
b)
Non-Insulin-Dependent DM (NIDDM)
34.
Type 2 DM is 𝚊𝚔𝚊...?
a)
Insulin-Dependent DM (IDDM)
b)
Non-Insulin-Dependent DM (NIDDM)
35.
Type 1 DM is 𝚊𝚔𝚊...?
a)
Juvenile-Onset DM
b)
Adult-Onset DM
36.
Type 2 DM is 𝚊𝚔𝚊...?
a)
Juvenile-Onset DM
b)
Adult-Onset DM
37.
Type 1 DM is 𝚊𝚔𝚊...? [𝚂𝙰𝚃𝙰]
a)
Insulin-Dependent DM (IDDM)
b)
Non-Insulin-Dependent DM (NIDDM)
c)
Juvenile-Onset DM
d)
Adult-Onset DM
38.
Type 2 DM is 𝚊𝚔𝚊...? [𝚂𝙰𝚃𝙰]
a)
Insulin-Dependent DM (IDDM)
b)
Non-Insulin-Dependent DM (NIDDM)
c)
Juvenile-Onset DM
d)
Adult-Onset DM
39.
What is the mechanism of Type 1 DM?
a)
Insulin Deficiency/Insufficiency 𝚘𝚗𝚕𝚢
b)
Insulin Resistance 𝚘𝚗𝚕𝚢
c)
Insulin Deficiency/Insufficiency 𝚖𝚊𝚒𝚗𝚕𝚢 (+Insulin Resistance)
d)
Insulin Resistance 𝚖𝚊𝚒𝚗𝚕𝚢 (+Insulin Deficiency/Insufficiency)
40.
What is the mechanism of Type 2 DM?
a)
Insulin Deficiency/Insufficiency 𝚘𝚗𝚕𝚢
b)
Insulin Resistance 𝚘𝚗𝚕𝚢
c)
Insulin Deficiency/Insufficiency 𝚖𝚊𝚒𝚗𝚕𝚢 (+Insulin Resistance)
d)
Insulin Resistance 𝚖𝚊𝚒𝚗𝚕𝚢 (+Insulin Deficiency/Insufficiency)
41.
What is the mechanism of Type 2 DM?
a)
Insulin Deficiency/Insufficiency 𝚘𝚗𝚕𝚢
b)
Insulin Resistance 𝚘𝚗𝚕𝚢
c)
Insulin Deficiency/Insufficiency 𝚖𝚊𝚒𝚗𝚕𝚢 (+Insulin Resistance)
d)
Insulin Resistance 𝚖𝚊𝚒𝚗𝚕𝚢 (+Insulin Deficiency/Insufficiency)
42.
In GDM, what PRIMARY causes Insulin Resistance (+Insulin Deficiency/Insufficiency)?
a)
Human Placental Lactogen (hPL)
b)
Estrogen, Progesterone, 𝚊𝚗𝚍 Cortisol
c)
Human Chorionic Gonadotropin (hCg)
43.
In GDM, all of these hormones causes Insulin Resistance (+Insulin Deficiency/Insufficiency) except...?
a)
Human Chorionic Gonadotropin (hCg)
b)
Human Placental Lactogen (hPL)
c)
Estrogen
d)
Progesterone
e)
Cortisol
44.
Which DM is autoimmune?
a)
Type 1 DM
b)
Type 2 DM
c)
GDM
45.
Which of the "3Ps of DM" refers to EXCESSIVE URINATION?
a)
Polyuria
b)
Polydipsia
c)
Polyphagia
46.
Which of the "3Ps of DM" refers to EXCESSIVE THIRST?
a)
Polyuria
b)
Polydipsia
c)
Polyphagia
47.
Which of the "3Ps of DM" refers to EXCESSIVE HUNGER?
a)
Polyuria
b)
Polydipsia
c)
Polyphagia
48.
GDM can cause fetal macrosomnia.
a)
True
b)
False
49.
GDM can cause polyhydramnious.
a)
True
b)
False
50.
GDM cannot cause fetal macrosomnia.
a)
True
b)
False
51.
GDM cannot cause polyhydramnious.
a)
True
b)
False
52.
When is GDM screening done?
a)
24-28 weeks AOG
b)
18-20 weeks AOG
c)
20-24 weeks AOG
d)
28-40 weeks AOG
53.
What is the screening test of GDM?
a)
Oral Glucose Tolerance Test (OGTT)
b)
Hemoglobin A1c (HbA1c) Test
c)
Blood Glucose Level Monitoring (FBS 𝚊𝚗𝚍 RBS)
54.
If the result of the 1-hr OGTT is ≤ is 139 mg/dL, the patient has/is...?
a)
NO GDM
b)
Advised to come back for 3-hr OGTT.
55.
If the result of the 1-hr OGTT is ≥ is 140 mg/dL, the patient has/is...?
a)
NO GDM
b)
Advised to come back for 3-hr OGTT; with fasting.
c)
Advised to come back for 3-hr OGTT; without fasting.
56.
In the 3-hr OGTT, how many ABNORMAL RESULTS among the 4 blood samples does it require for the diagnosis of GDM?
a)
2 or more
b)
at least 1
57.
If there is only 1 ABNORMAL RESULT among the 4 blood samples in the 3-hr OGTT, the patient has/is diagnosed...?
a)
𝙽𝙾 GDM
b)
𝚆𝙸𝚃𝙷 GDM
58.
If there 2 ABNORMAL RESULTS among the 4 blood samples in the 3-hr OGTT, the patient has/is diagnosed...?
a)
𝙽𝙾 GDM
b)
𝚆𝙸𝚃𝙷 GDM
59.
If there 2 or more ABNORMAL RESULTS among the 4 blood samples in the 3-hr OGTT, the patient has/is diagnosed...?
a)
𝙽𝙾 GDM
b)
𝚆𝙸𝚃𝙷 GDM
60.
This measures the average blood glucose for the past 2-3 months.
a)
Hemoglobin A1c (HbA1c) Test
b)
Oral Glucose Tolerance Test (OGTT)
c)
Blood Glucose Level Monitoring (FBS 𝚊𝚗𝚍 RBS)
61.
A non-DM patient has a Hemoglobin A1c (HbA1c) level of...?
a)
≤ 5.6
b)
5.7-6.4
c)
≥ 6.5
62.
A non-DM patient has a Hemoglobin A1c (HbA1c) level of...?
a)
≤ 5.6
b)
5.7-6.4
c)
≥ 6.5
63.
A diabetic patient has a Hemoglobin A1c (HbA1c) level of...?
a)
≤ 5.6
b)
5.7-6.4
c)
≥ 6.5
64.
Fasting is REQUIRED when having Hemoglobin A1c (HbA1c) Test.
a)
No
b)
Yes
65.
ACCORDING TO METHOD OF COLLECTION, this is a type of blood glucose level monitoring that is measured from a blood sample drawn from a vein.
a)
Venous Blood Glucose
b)
Capillary Blood Glucose (CBG)
66.
ACCORDING TO METHOD OF COLLECTION, this is a type of blood glucose level monitoring that is measured from a blood sample from a finger prick.
a)
Venous Blood Glucose
b)
Capillary Blood Glucose (CBG)
67.
ACCORDING TO TIMING OF COLLECTION, this is a type of blood glucose level monitoring that is measured after an overnight of no food intake which is typically 8-10 hours.
a)
Fasting Blood Sugar (FBS)
b)
Random Blood Sugar (RBS)
68.
ACCORDING TO TIMING OF COLLECTION, this is a type of blood glucose level monitoring that is measured any time of the day.
a)
Fasting Blood Sugar (FBS)
b)
Random Blood Sugar (RBS)
69.
Fasting Blood Sugar (FBS) requires NO WATER INTAKE (pure water) for 8-10 hours?
a)
No
b)
Yes
70.
The first-line pharmacological treatment of GDM is...?
a)
Insulin
b)
Oral Hypoglycemic Agent (OHA)
71.
Humalog 𝚊𝚗𝚍 Novolog are which types of insulin...?
a)
Rapid-acting
b)
Short-acting
c)
Intermediate-acting
d)
Long-acting
72.
Regular Insulin is which type...?
a)
Rapid-acting
b)
Short-acting
c)
Intermediate-acting
d)
Long-acting
73.
Humulin R 𝚊𝚗𝚍 Novolin R are which types of insulin...?
a)
Rapid-acting
b)
Short-acting
c)
Intermediate-acting
d)
Long-acting
74.
Neutral Protamine Hagedorn (NPH) are which types of insulin...?
a)
Rapid-acting
b)
Short-acting
c)
Intermediate-acting
d)
Long-acting
75.
Humulin N 𝚊𝚗𝚍 Novolin N are which types of insulin...?
a)
Rapid-acting
b)
Short-acting
c)
Intermediate-acting
d)
Long-acting
76.
Glargine (Lantus) 𝚊𝚗𝚍 Detemir (Levemir) are which types of insulin...?
a)
Rapid-acting
b)
Short-acting
c)
Intermediate-acting
d)
Long-acting
77.
The "onset" of RAPID-ACTING insulin is...?
a)
5-30 mins
b)
30 mins - 1 hr
c)
1 - 2 hrs
d)
2 hrs +
78.
The "onset" of SHORT-ACTING insulin is...?
a)
5-30 mins
b)
30 mins - 1 hr
c)
1 - 2 hrs
d)
2 hrs +
79.
The "onset" of INTERMEDIATE-ACTING insulin is...?
a)
5-30 mins
b)
30 mins - 1 hr
c)
1 - 2 hrs
d)
2 hrs +
80.
The "onset" of LONG-ACTING insulin is...?
a)
5-30 mins
b)
30 mins - 1 hr
c)
1 - 2 hrs
d)
2 hrs +
81.
The "peak" of RAPID-ACTING insulin is...?
a)
30 mins - 2 hrs
b)
2-4 hrs
c)
4-12 hrs
d)
NO PEAK
82.
The "peak" of SHORT-ACTING insulin is...?
a)
30 mins - 2 hrs
b)
2-4 hrs
c)
4-12 hrs
d)
NO PEAK
83.
The "peak" of INTERMEDIATE-ACTING insulin is...?
a)
30 mins - 2 hrs
b)
2-4 hrs
c)
4-12 hrs
d)
NO PEAK
84.
The "peak" of LONG-ACTING insulin is...?
a)
30 mins - 2 hrs
b)
2-4 hrs
c)
4-12 hrs
d)
NO PEAK
85.
The "duration" of RAPID-ACTING insulin is...?
a)
3-5 hrs
b)
5-8 hrs
c)
18-24 hrs
d)
24 hrs +
86.
The "duration" of SHORT-ACTING insulin is...?
a)
3-5 hrs
b)
5-8 hrs
c)
18-24 hrs
d)
24 hrs +
87.
The "duration" of INTERMEDIATE-ACTING insulin is...?
a)
3-5 hrs
b)
5-8 hrs
c)
18-24 hrs
d)
24 hrs +
88.
The "duration" of LONG-ACTING insulin is...?
a)
3-5 hrs
b)
5-8 hrs
c)
18-24 hrs
d)
24 hrs +
89.
What is the correct technique when mixing insulin?
a)
From CLEAR to CLOUDY
b)
From CLOUDY to CLEAR
90.
Which route are insulins generally given?
a)
SC/SQ
b)
ID
c)
IM
d)
IV
91.
Which is the "ONLY" insulin that can be given IV?
a)
Short-acting (𝚊𝚔𝚊 Regular Insulin)
b)
Rapid-acting
c)
Intermediate-acting
d)
Long-acting
92.
After giving insulin via SC/SQ, massaging is NOT RECOMMENDED to prevent...?
a)
Erratic 𝚘𝚛 too fast absorption
b)
Lipodystrophy
c)
Leakage and staining
93.
Rotating insulin injection sites is RECOMMENDED to prevent...?
a)
Erratic 𝚘𝚛 too fast absorption
b)
Lipodystrophy
c)
Leakage and staining
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