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Internal Medicine > Diabetology > Flashcards

Diabetology Flashcards

1
Q

Insulin resistance is most common in:

a) DM 2
b) DM 1 in family history
c) DM 1
d) Pancreatitis

A

A

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2
Q

Sugar and acetone in urine indicate: a) Hypoglycemia

b) The examination is not used any more
c) Starvation
d) Developing ketoacidosis

A

B

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3
Q

Intensified insulin regime is used for:
a) It is not used for treatment in diabetes
mellitus type 2
b) Treatment of diabetes mellitus type 1 and well as type 2
c) Only for diabetes mellitus type 1 treatment
d) Treatment of both types of diabetes after
development of diabetic complications

A

B

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4
Q

Insulintreatment:
a) Can cause salt and water retention in the short term
b) Leads to weight loss
c) Increases the risk of a cerebral vascular
accident
d) Increases triglyceride levels in an uncontrolled
diabetic patient

A

A

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5
Q

Which of the following are associated with diabetes type 1

a) Thyropathy and bulimia
b) Thyropathy and celiac disease
c) Thyropathy and anorexia
d) Celiac disease and lactate intolerance

A

B

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6
Q

Microalbuminuriainpatientswithtype2diabetes reflects most commonly:
a) Isolated ongoing diabetic nephropathy
b) It is a common finding in hyperglycemia
c) Underlying cardiovascular disease rather than
diabetic nephropathy
d) Malignant tumor of a kidney

A

A

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7
Q

DM 2:

a) Cured by pancreatic beta cell transplantation
b) There is no cure
c) Cured by early insulin therapy
d) May be Cured by bariatric surgery

A

D

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8
Q

Which of the following are associated with diabetes type 1

a) Thyropathy and bulimia
b) Thyropathy and celiac disease
c) Thyropathy and anorexia
d) Celiac disease and lactate intolerance

A

B

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9
Q

Diabetic retinopathy:
a) Is always present together with a diabetic
nephropathy
b) Manifests by eye pain
c) Always manifests by sight deterioration
d) May be asymptomatic for a long time

A

D

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10
Q

Physiologic effect of insulin:

a) Inhibition of glycogenolysis
b) Increase gluconeogenesis
c) Increase ketogenesis
d) Increased lipolysis

A

A

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11
Q

Insulinresistanceismostcommonin:

a) DM 2
b) DM 1 in family history
c) DM 1
d) Pancreatitis

A

A

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12
Q

DM1 associated with: (each option has 2 of the below)

a) Thyropathy
b) Anorexia
c) Bulimia
d) Lactate intolerance
e) Celiac disease

A

A,e

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13
Q

Facticioushypoglycemiais:
a) Caused by ingestion (usually surreptitious) of
hypoglycemic (e.g. sulfonylureas or insulin) by the
patient, often a non-diabetic patient
b) Hypoglycemia in patients with insulinoma
c) Hypoglycemia in patients with renal insufficiency
d) Hypoglycemia in patients with tumors in abdominal
cavity

A

A

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14
Q

Glucagon levels in diabetic ketoacidosis are:

a. Reduced
b. Elevated
c. Glucagon does nto play a role in the pathophysiology of diabtetic ketoacidosis
d. Glucagon levels are indirectly proportional to severity of the acidosis

A

B

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15
Q

Higher intake of alcohol may induce:

a. Cholecystitis
b. Decreased triglyceride level
c. Hypoglycemia
d. Hyperglycemia

A

C

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16
Q

Which of the following are associated with diabetes type 1:

a. Thyropathy and celiac disease
b. Thyropathy and anorexia
c. Thyropathy and bulimia
d. Celiac disease and lactate intolerance

A

A

17
Q 
Diabetes mellitus type 2:
a. Cannot be cured
b. May be cured by bariatric surgery
c. Can be cured by early insulin therapy
d. Can be cured by pancreatic beta cell
transplantation
A

B

18
Q 
Whatistheeffectofglucocorticoidsonbloodglucose:
a. They increase it
b. They reduce it
c. They do not affect it
d. They increase it only if administered
intravenously
A

A

19
Q 
The cause of diabetic foot dynsrome:
a. Is due to a minor injury to a foot of a diabetic
patient
b. Is chronic venous insufficiency
c. Is neuropathy and ischemia
d. Is ischemia
A

C

20
Q

Physical activity in a diabetic patient may cause:

a. Hyperglycemia
b. Heart arrhythmia
c. Hypoglycemia
d. Ketoacidosis

A

C

21
Q

Why does the secondary hyperparathyroidism develop in renal insufficiency?

a. Accumulation of phosphorus and reduced level of active vitamin D
b. relative deficiency oh T-Hormones
c. Late start of dialysis
d. Insufficient substitution of Ca in serum

A

a

22
Q

What are Gliptins?

a. A group of drugs used in nephrology - they delay dialysis
b. Artificial sweeteners
c. A new group of antidiabetics - they block a GLP-1 degrading enzyme and increase GLP-1 concentration in diabetics
d. New drug for diabetic foot syndrome - they are prostaglandins and cause vasodilatation

A

C

23
Q

Profuse sweating and tachycardia in a treated diabetic patient

a. Are signs of hyperglycemia
b. Are signs of hypoglycemia
c. Are signs of insulin administration omission in a diabetic patient
d. ?

A

Both a. And b.?

24
Q

DM Type 1

a. Manifests before 25 years of age; later manifestations are DM Type 2
b. Manifests always with diabetic ketoacidosis
c. „May Manifest Even After 60 years of age“
d. Manifests always with metabolic ketoacidosis

A

C.

Internal Medicine (3 decks)

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