Type 2 Diabetes and Dyslipidemia in Children - FITZ

Question 1

48. Which of the following are risk factors for hypertension in children and teens? (Choose all that apply.)
    A. obesity
    B. drinking whole milk
    C. being exposed to secondhand smoke
    D. 2 or more hours per day of screen time

Answer 1

A. obesity

C. being exposed to secondhand smoke

Question 2

49. Fruit juice intake is acceptable in children 6 months
    and older per which of the following recommendations? (Choose all that apply.)
    A. The juice is mixed in small amounts to flavor water.
    B. Only 100% juice is used.
    C. Juice replaces no more than one serving of milk.
    D. The juice is consumed in the morning with breakfast.
    E. No more than 6 oz (177 mL) per day is recommended
    for children 6 months to 5 years.

Answer 2

A. The juice is mixed in small amounts to flavor water.
B. Only 100% juice is used.
E. No more than 6 oz (177 mL) per day is recommended
for children 6 months to 5 years.

Question 3

50. In evaluating a 9-year-old child with a healthy BMI
    during a well visit, a comprehensive cardiovascular
    evaluation should be conducted by the following
    methods. (Choose all that apply.)
    A. Obtain fasting lipid profile.
    B. Screen for type 2 diabetes mellitus by measuring HbA1c.
    C. Assess for family history of thyroid disease.
    D. Assess diet and physical activity.

Answer 3

A. Obtain fasting lipid profile

D. Assess diet and physical activity.

Question 4

51. At what age is it appropriate to recommend dietary
    changes to parents if overweight or obesity is a concern?
    A. 12 months old
    B. 5 years old
    C. 10 years old
    D. 18 years old

Answer 4

A. 12 months old

Question 5

52. Which of the following is not a risk factor for type 2
    diabetes mellitus in children and teens?
    A. hyperinsulinemia.
    B. abnormal weight-to-height ratio.
    C. onset of nonorganic failure to thrive in the toddler years.
    D. Native American ancestry.

Answer 5

C. onset of nonorganic failure to thrive in the toddler years.

Question 6

53. Screening children with a known risk factor for type 2 diabetes mellitus is recommended at age 10 or at onset of puberty and should be repeated how often?
A. every other year
B. every year
C. every 6 months
D. every 3 years

Answer 6

A. every other year

Question 7

54. Increased risk for diabetes (prediabetes) in children is defined as which of the following? (Choose all that apply.)
    A. impaired fasting glucose (glucose level ≥100 mg/dL
    or 6.2 mmol/L) but ≤125 mg/dL or 7 mmol/L)
    B. impaired glucose tolerance (2-hour postprandial
    140–199 mg/dL or 7.8 mmol/L–11 mmol/L)
    C. HbA1c ≥7.5% but ≤8.5%
    D. random plasma glucose ≥250 mg/dL (13.9 mmol/L)

Answer 7

A. impaired fasting glucose (glucose level ≥100 mg/dL
or 6.2 mmol/L) but ≤125 mg/dL or 7 mmol/L)

B. impaired glucose tolerance (2-hour postprandial
140–199 mg/dL or 7.8 mmol/L–11 mmol/L)

Question 8

55. Risk factors for dyslipidemia in children include which of the following? (Choose all that apply.)
    A. blood pressure at the 70th to 80th percentile for age
    B. breastfeeding into the toddler years
    C. family history of lipid abnormalities
    D. family history of type 2 diabetes mellitus

Answer 8

C. family history of lipid abnormalities

D. family history of type 2 diabetes mellitus

Question 9

56. Screening cholesterol levels in children with one or more risk factors begins at what age?
A. birth
B. 2 years
C. 5 years
D. 10 years

Answer 9

B. 2 years

Question 10

57. An acceptable level of total cholesterol (mg/dL) in
    children and teens is:
    A. <170 mg/dL or 9.4 mmol/L.
    B. <130 mg/dL or 7.2 mmol/L.
    C. 110–130 mg/dL or 6.2 mmol/L–7.2 mmol/L.
    D. 130–199 mg/dL or 7.2 mmol/L–11 mmol/L.

Answer 10

A. <170 mg/dL or 9.4 mmol/L.