exam 2 study guide #5 Flashcards

1
Q

Glycogeneis converts

A

glucose to glycogen

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2
Q

glycogenolysis converts

A

glycogen to glucose

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3
Q

gluconeogenesis converts

A

amino acids and glycerol to glucose

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4
Q

lipogenesis converts

A

glucose to lipids

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5
Q

lipogenesis is a _____ process that occurs primarily ____

A

synthetic, following a meal

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6
Q

Glycogenolysis is a _____ process that occurs primarily _____

A

degradative; during the fasted state

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7
Q

Glycogenesis is a ____ process that occurs primarily ____

A

synthetic; following a meal

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8
Q

Lipolysis is a ____ process that occurs primarily ____

A

degradative; during the fasted state

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9
Q

Gluconeogenesis is a ______ process that occurs primarily ______

A

synthetic; during the fasted state

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10
Q

______ reduces blood glucose levels.

A

-glycogenesis
-Lipogenesis

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11
Q

______ increases or returns blood glucose to the steady state level.

A

-Glycogenolysis
-Gluconeogenesis

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12
Q

Which cells require the presence of insulin before glucose can be transported across the cell membrane?

A

-Muscle cells
-Adipose tissue
-Most other cells of the body

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13
Q

What cells in the pancreas are responsible for detecting changes (both increases and decreases) in blood glucose levels?

A

Beta

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14
Q

Insulin

A

-Activates glucose transporter molecules
-Decreases blood glucose levels
-Release is stimulated by increased blood glucose levels
-is released from beta cells in the pancreas

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15
Q

Which of these metabolic processes are stimulated by or require the presence of insulin?

A

-glycogenesis
-lipogenesis

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16
Q

Glucagon

A

-Increase blood glucose levels
-Release is stimulated by decreased blood glucose levels
-Is released from alpha cells in the pancreas

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17
Q

Which of these metabolic processes are stimulated by glucagon in the liver?

A

-Glycogenolysis
-Gluconeogenesis

18
Q

Only glucagon is released during fasting and only insulin is released following a meal.

A

FALSE

19
Q

Blood glucose is elevated following a glucose load.

A

TRUE

20
Q

Blood glucose levels in the normal subject do not return to fasting levels until five hours following a glucose load.

A

FALSE

21
Q

By about three hours following a glucose load the blood glucose has returned to its fasting level in a normal subject.

A

TRUE

22
Q

It takes longer for a diabetic patient blood glucose to return to normal than it does for a normal subject.

A

TRUE

23
Q

Glucose can be found in the urine if blood glucose levels are greater than 180 mg%.

A

TRUE

24
Q

Normal fasting blood glucose can be as high as 125 mg%

A

FALSE

25
Q

The ability to release insulin when blood glucose levels rise will determine fasting and post-glucose load blood glucose values

A

true

26
Q

Epinephrine

A

-Increases blood glucose levels
-Release is stimulated by stress
-Released from the medullary cells of the adrenal gland
-Is a hormone

27
Q

Which metabolic processes are stimulated by epinephrine?

A

glycogenolysis

28
Q

Type 1 diabetes is characterized by:

A

decreased insulin production

29
Q

Type 2 diabetes is characterized by

A

decreased receptor number or function

30
Q

Type 1 diabetes is diagnosed by fasting blood glucoses:

A

greater than or equal to 126mg%

31
Q

Type 2 diabetes is diagnosed by fasting blood glucoses:

A

greater than or equal to 126mg%

32
Q

Type 1 diabetes is treated:

A

with insulin injections

33
Q

Type 2 diabetes is usually treated:

A

-with diet and exercise
-oral medications that enhance glucose transport or increase insulin production

34
Q

Diabetic coma is characterized by:

A

-too little insulin
-hyperglycemia (very high levels of glucose)

35
Q

Insulin shock is characterized by:

A

-too much insulin
-very low blood glucose levels (hypoglycemia)

36
Q

Diabetic coma can be treated with:

A

insulin injections

37
Q

Insulin shock can be treated with:

A

-glucose
-glucagon injections

38
Q

The results from glucose tolerance tests on subjects with diabetes would show:

A

-fasting glucose levels of 126 mg% or more
-two hour post glucose load glucose levels of 200 mg% or more
-return to fasting within 4-5 hours following glucose load
-presence of glucose in the urine

39
Q

The results from glucose tolerance tests on subjects with normal glucose control would show:

A

-fasting glucose levels of 60-110 mg%
-two hour post glucose levels of 140 mg% or less
-return to fasting within 2-3 hours following glucose load
-absence of glucose in the urine`

40
Q

A diabetic coma patient needs to be treated successfully with an insulin dose rate of 0.5 units/kg of body weight. She currently weighs 65 kilograms and the insulin you have available has a concentration of 60 units/milliliter. Calculate how much you need to inject to treat her. Your answer should be rounded to the nearest 1/100th.

A

–weight multiplied by units per kg (65x.5)
–take that number (32.5) divide by concentration (60 units/ milli)
-0.54

41
Q

When reporting blood glucose levels units may be

A

-mg%
-mg/dl
-mg/100 ml