Diabetic complications

Question 1

Which complication presents in 50% of diabetic men?

Answer 1

Erectile dysfunction

Question 2

Other non-diabetic causes of ED

Answer 2

Antihypertensives

CNS drugs

Question 3

Management of ED as a complication of diabetes

Answer 3

Decrease alcohol intake
Remove causative drugs
Improve glycaemic control
Viagra

Question 4

What are the psychiatric complications of diabetes?

Answer 4

Depression
Eating disorders
Bi-polar disorder
Schizophrenia

Question 5

Pathogenesis of diabetic vascular disease

Answer 5

Dyslipidaemia
Endothelial dysfunction
Platelet aggregation
Inflammation

Question 6

What is the metabolic syndrome?

Answer 6

Central obesity 
Increased BP 
Increased triglycerides 
Decreased HDL cholesterol 
Insulin resistance

Question 7

Treatment of diabetic vascular disease?

Answer 7

Glycemic control
Lifestyle
Aspirin

Question 8

How is diabetic nephropathy screened for?

Answer 8

Urinary albumin:creatinine ratio

Male

Question 9

Management of diabetic nephropaty

Answer 9

ACE inhibitors

Question 10

What are the 4 kinds of diabetic neuropathy?

Answer 10

Autonomic
Peripheral
Focal
Proximal

Question 11

Example of proximal diabetic neuropathy

Answer 11

Pain in thighs & bum

Question 12

What is focal diabetic neuropathy?

Answer 12

Sudden injury to one nerve

Question 13

Example of focal diabetic neuropathy

Answer 13

Carpal tunnel
Foot drop
Bells palsy

Question 14

Example of autonomic diabetic neuropathy

Answer 14

Changes in bladder, increased HR, sweating

Gastroparesis

Question 15

Symptoms of diabetic autonomic neuropathy

Answer 15

Nausea
Bloating
Loss of appetite

Question 16

Management of autonomic diabetic neuropathy

Answer 16

Metaclopramide
Erthyromycin
Domperidone

Question 17

Symtptoms of peripheral neuropathy

Answer 17

Numbness4Tingling

Cramp

Question 18

Complications of diabetic peripheral neuropathy

Answer 18

Infection
Ulcers
Charcot’s foot
Deformities

Question 19

Complication of autonomic neuropathy

Answer 19

Gastroparesis

Question 20

Management of diabetic peripheral neuropathy

Answer 20

Analgesia (gabapentin)

Question 21

Finds of mild diabetic retinopathy on fundoscopy

Answer 21

Dot & blot haemorrhages
Cotton wool spots
Hard exudates

Question 22

Findings of moderate diabetic retinopathy on fundoscopy

Answer 22

Findings of mild +
Venous beading
IRMA

Question 23

Findings of severe diabetic retinopathy on fundoscopy

Answer 23

Active new vessel formation

Vitreous haemorrhage

Question 24

Management of diabetic retinopathy

Answer 24

Laser
Vitrectomy
Anti-VEF

Question 25

What eye conditions are diabetics more lkely to develop?

Answer 25

Retinopathy
Secondary glaucoma
Retinal detachment