Diabetology Flashcards
Insulin resistance is most common in:
a) DM 2
b) DM 1 in family history
c) DM 1
d) Pancreatitis
A
Sugar and acetone in urine indicate: a) Hypoglycemia
b) The examination is not used any more
c) Starvation
d) Developing ketoacidosis
B
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
B
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
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
B
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
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
D
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
B
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
D
Physiologic effect of insulin:
a) Inhibition of glycogenolysis
b) Increase gluconeogenesis
c) Increase ketogenesis
d) Increased lipolysis
A
Insulinresistanceismostcommonin:
a) DM 2
b) DM 1 in family history
c) DM 1
d) Pancreatitis
A
DM1 associated with: (each option has 2 of the below)
a) Thyropathy
b) Anorexia
c) Bulimia
d) Lactate intolerance
e) Celiac disease
A,e
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
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
B
Higher intake of alcohol may induce:
a. Cholecystitis
b. Decreased triglyceride level
c. Hypoglycemia
d. Hyperglycemia
C
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
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
B
Whatistheeffectofglucocorticoidsonbloodglucose: a. They increase it b. They reduce it c. They do not affect it d. They increase it only if administered intravenously
A
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
C
Physical activity in a diabetic patient may cause:
a. Hyperglycemia
b. Heart arrhythmia
c. Hypoglycemia
d. Ketoacidosis
C
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
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
C
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. ?
Both a. And b.?
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
C.
