Diabetes Mellitus - Diagnosis To Management

13 Questions | Total Attempts: 619

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Diabetes Mellitus - Diagnosis To Management

This quiz is to test your knowledge about some aspects of diabetes management


Questions and Answers
  • 1. 
    If a person has a fasting plasma glucose of 6.8mmol/L and a two-hour postprandial plasma glucose of 11.6mmol/L, should this person be suspected of having diabetes?
    • A. 

      Yes

    • B. 

      No

    • C. 

      Cannot decide

  • 2. 
    A woman has a fasting plasma glucose of 5.9mmol/L and a two-hour postprandial plasma glucose of 7.6mmol/L. Are these values normal?
    • A. 

      No.

    • B. 

      Yes, according to the American Diabetes Association guidelines

    • C. 

      Yes, according to the World Health Organisation guidelines

  • 3. 
    If a person has a random plasma glucose of 8mmol/L, is it normal?
    • A. 

      Yes

    • B. 

      No

    • C. 

      Not possible to tell

  • 4. 
    There are a range of glucose values called "impaired glucose tolerance". What is the significance to a person who has impaired glucose tolerance?
    • A. 

      The person has an increased risk of developing diabetes

    • B. 

      The person has an increased cardiovascular risk

    • C. 

      Both the above

    • D. 

      None of the above

  • 5. 
    Can the onset of new diabetes be prevented or delayed?
    • A. 

      Yes

    • B. 

      No

  • 6. 
    Are there any laboratory tests to distinguish between Type 1 and Type 2 diabetes?
    • A. 

      Yes

    • B. 

      No

  • 7. 
    Which statement below is CORRECT regarding initiation of long term insulin therapy in diabetes?
    • A. 

      Patients with Type 1 diabetes should be initiated on basal insulin alone

    • B. 

      Patients with Type 1 diabetes should be initiated on prandial insulin alone

    • C. 

      Patients with Type 2 diabetes should be initiated on basal insulin alone

    • D. 

      Patients with Type 2 diabetes should be initiated on prandial insulin alone

  • 8. 
    Which statement below is TRUE with regard to these two insulin preparations:1. Insulatard Insulin (NPH insulin)2. Mixtard insulin (a pre-mixed combination of short acting and long acting insulin)
    • A. 

      Insulatard insulin and Mixtard insulin can be given at bedtime without the need for a bedtime snack

    • B. 

      Mixtard insulin can be given at bedtime without the need for a bedtime snack

    • C. 

      Insulatard insulin can be given at bedtime without the need for a bedtime snack

  • 9. 
    Which of the statements below is true when initiating insulin in a Type 2 diabetic who is already on Metformin and Glibenclamide?
    • A. 

      Both the oral drugs must be stopped

    • B. 

      Metformin must be stopped or the dose reduced

    • C. 

      Glibenclamide must be stopped or the dose reduced

  • 10. 
    A patient with diabetes on Metformin and Glibenclamide is scheduled for a coronary angiogram. His diabetic control is good. Which of the statements below is TRUE?
    • A. 

      Both the drugs must be stopped before the procedure and blood sugar must be controlled with insulin

    • B. 

      Metformin must be stopped before the procedure

    • C. 

      Glibenclamide must be stopped before the procedure

    • D. 

      No changes need to be made. He can undergo the procedure.

  • 11. 
    Which statement below regarding the use of intravenous insulin for treating diabetic ketoacidosis is TRUE?
    • A. 

      Insulin should be given IV until the blood sugar is normal

    • B. 

      Insulin should be given IV until the acidotic state is controlled

    • C. 

      Insulin should be given IV until the patient is well hydrated

  • 12. 
    What is the best method of controlling blood sugar in a diabetic who cannot take orally?
    • A. 

      Fixed dose insulin according to body weight given subcutaneously

    • B. 

      Insulin given subcutaneously according to a sliding scale

    • C. 

      Insulin given intravenously along with dextrose and potassium

  • 13. 
    Is this statement true or false?The glycosylated hemoglobin value is a useful parameter when making decisions regarding the need for insulin in a Type 2 diabetic.
    • A. 

      True

    • B. 

      False