Diabetes Patho- Endocrine Exam Quiz

13 Questions | By Smmedina | Updated: Mar 21, 2022 | Attempts: 1219

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Patho- Endocrine Exam

Questions and Answers

1.

Which of the following produce an increase in blood glucose levels?
- A.
  
  Glucagon
- B.
  
  Epinephrine
- C.
  
  Lactic Acid
- D.
  
  Ketones
- E.
  
  Growth Hormone
- F.
  
  Cortisol
- G.
  
  A, B, & C
- H.
  
  A, B, E, & F
2.

Your patient is a 12-y-o girl with type I diabetes who is going to have a surgical procedure for the removal of a foreign object in her right bronchus. You know that she might require insulin perioperitively because:
- A.
  
  This type of diabetes results in little if any insulin secretion
- B.
  
  Stress of hospitalization and surgery is likely to raise her glucose levels
- C.
  
  A and B
- D.
  
  Neither A or B
3.

In what patient would you expect to see a positive result for an ICA?
- A.
  
  Type I diabetic
- B.
  
  Type II diabetic
- C.
  
  Type II diabetic treated with insulin and not oral hypoglycemics
4.

Your patient is a 67-y--o male who weighs 150kg and is having a hip replacement. Your preoperative Chem 10 notes a glucose of 155 mg d/L. He confirms having been NPO since last night. He asks you if he has diabetes and if you will have to cancel his surgery. You base your answer on your knowledge that type II diabetes:
- A.
  
  Has a slow progression and there are often abnormalities years before diagnosis
- B.
  
  All surgical procedures should be cancelled for a CBG > 150 mg d/L
- C.
  
  A & B
- D.
  
  A nor B
5.

Your patient is a 46-y-o male with type II diabetes who is going to the cath lab for a diagnostic cath post several episodes of chest pain. He is very anxious, so a request for an anesthesia provider was made by the interventional cardiologist. Which of the following is the greatest contributing factor for the development of atherosclerosis secondary to diabetes?
- A.
  
  HTN
- B.
  
  ESRD
- C.
  
  Dyslipidemia
6.

Using the same patient from the last question, what would be the most important factor for the development of ESRD with diabetes
- A.
  
  HTN
- B.
  
  Decreased GI Motility
- C.
  
  Dyslipidemia
7.

All of the following are common sites of insulin resistance in Type II diabetes, EXCEPT:
- A.
  
  Skeletal Muscle
- B.
  
  Brain
- C.
  
  Adipose Tissue
- D.
  
  LIver
8.

When reviewing your patient's H&P you note that he has Type I DM, Peripheral neuropathy, and HTN. You know:
- A.
  
  Sensory deficits in peripheral neuropathy progress as "stocking glove"
- B.
  
  Sensory deficits overshadow motor deficits
- C.
  
  A & B
- D.
  
  Neither A or B
9.

Your patient with a history of Type II diabetes, HTN, and renal insufficiency is having an emergent AAA repair. His wife tells you he has Diabetic Autonomic Neuropathy. You are concerned because you know DAN causes risks related to:
- A.
  
  Gastroparesis
- B.
  
  Impaired barorecptor function
- C.
  
  A & B
- D.
  
  Neither A nor B
10.

Your patient is a well controlled diabetic with HTN. His home meds include: NSAID for neuropathic pain (which he has not taken in the last 2 weeks) Metoprolol and Glipizide. Your peroperative medication instructions include:
- A.
  
  Take metoprolol as usual
- B.
  
  Do not take glipizide for at least 24 hrs pre-op
- C.
  
  A & B
- D.
  
  Neither A or B
11.

When formulating a plan of care for your patient with diabetes, you expect to consider all of the following, EXCEPT:
- A.
  
  Difficult intubation
- B.
  
  Increased gastric content
- C.
  
  Checking CBG Q 1 hr
- D.
  
  Maintaining CBG between 80 - 100 mg d/L
12.

Your patient is a 15-y-o female who has had flu-like symptoms for the past 2 days. She has diabetes and her mother reports has not been taking her insulin because she has not been eating. Her Chem 10 panal shows the following results:Glucose 378HCO3: Unable to be calculated (your lab report says this means <5)Anion gap: Unable to calculate K+ 4.0 Your patient need an emergent removal of her appendix. You suspect she has DKA and want to include all of the following in your plan of care, EXCEPT:
- A.
  
  Give large volumes of NS
- B.
  
  Give Insulin
- C.
  
  Give Potassium
- D.
  
  Ensure Na+ levels do not rise as hyperglycemia is being corrected
- E.
  
  Monitor CBGs very closely during the case
13.

Your patient is a 87-y-o nursing home resident and passed out today in her room. She hit her head and is going to the OR for an evacuation of a subdural hematoma. She has diabetes, HTN, and hyperlipidemia. Her labs reveal:pH 7.32Glucose 805HCO3 21Serum Osmolarity 376The nursing home tech reports that the patient has not been eating or drink much for 2 weeks. You suspect:
- A.
  
  She has HHS
- B.
  
  She will need significant fluid resuscitation
- C.
  
  A and B
- D.
  
  Neither A or B