Hba1c

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| By Johnson_1234
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Hba1c - Quiz

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Questions and Answers
  • 1. 

    Which of the following is not a glycated haemoglobin?

    • A.

      HbA0

    • B.

      HbA1a

    • C.

      HbA1b

    • D.

      HbA1c

    Correct Answer
    A. HbA0
    Explanation
    HbA0 is not a glycated haemoglobin. Glycated haemoglobin refers to the attachment of glucose to the haemoglobin molecule. HbA1a, HbA1b, and HbA1c are all forms of glycated haemoglobin, representing different stages of glucose attachment. HbA0, on the other hand, refers to the normal, non-glycated form of haemoglobin.

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  • 2. 

    Conversion of HbA-βNH2 with glucose to stable HbA1c is a

    • A.

      Rapid reversible enzymatic reaction

    • B.

      Rapid irreversible non-enzymatic reaction

    • C.

      Slow irreversible enzymatic reaction

    • D.

      Slow reversible enzymatic reaction

    Correct Answer
    C. Slow irreversible enzymatic reaction
    Explanation
    The conversion of HbA-βNH2 with glucose to stable HbA1c is a slow irreversible enzymatic reaction. This means that the reaction occurs slowly and cannot be reversed. Enzymes are involved in the process, indicating that they catalyze the reaction. The irreversible nature of the reaction suggests that once the conversion takes place, it cannot be reversed back to its original form.

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  • 3. 

    The determination of HbA1c reflects the average glucose level for

    • A.

      30 - 60 days

    • B.

      60 - 90 days

    • C.

      90 - 360 days

    • D.

      100 - 120 days

    Correct Answer
    D. 100 - 120 days
    Explanation
    The determination of HbA1c reflects the average glucose level for 100-120 days. HbA1c is a form of hemoglobin that is formed when glucose attaches to hemoglobin in red blood cells. As red blood cells have a lifespan of approximately 120 days, measuring HbA1c provides an indication of average blood glucose levels over that time period. This makes it a useful tool for assessing long-term glycemic control in individuals with diabetes.

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  • 4. 

    Which of the following is incorrect for increased level of HbA1c?

    • A.

      Newly diagnosed and poorly controlled diabetic patient

    • B.

      Acute stress response, Cushing's syndrome, pheochromocytoma, glucagonaoma

    • C.

      Splenectomized patient

    • D.

      Chronic renal failure

    Correct Answer
    D. Chronic renal failure
    Explanation
    Chronic renal failure is incorrect for increased levels of HbA1c because HbA1c is a measure of long-term blood glucose control and is not affected by renal function. In chronic renal failure, there may be impaired kidney function leading to decreased clearance of HbA1c, resulting in falsely low levels. Therefore, chronic renal failure does not contribute to increased levels of HbA1c.

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  • 5. 

    Which of the following is incorrect?

    • A.

      HbA1c is useful for evaluating the success of diabetic treatment and patient compliance

    • B.

      HbA1c provides a sensitive estimate of glucose imbalance in patients with mild diabetes

    • C.

      Concentration of labile form of HbA1c does not fluctuates rapidly in response to acute changes in glucose level

    • D.

      Advantage of HbA1c is that specimen can be drawn at any time

    Correct Answer
    C. Concentration of labile form of HbA1c does not fluctuates rapidly in response to acute changes in glucose level
    Explanation
    The concentration of the labile form of HbA1c does not fluctuate rapidly in response to acute changes in glucose level. This is incorrect because the labile form of HbA1c is sensitive to acute changes in glucose levels and can fluctuate rapidly. HbA1c provides a sensitive estimate of glucose imbalance in patients with mild diabetes, making it useful for evaluating the success of diabetic treatment and patient compliance. Another advantage of HbA1c is that the specimen can be drawn at any time.

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  • 6. 

    Which of the following does not measure HbA1c?

    • A.

      High performance liquid chromatography

    • B.

      Ion-exchange chromatography

    • C.

      Colorimetry

    • D.

      Indirect potentiometry

    Correct Answer
    D. Indirect potentiometry
    Explanation
    Indirect potentiometry is not a method used to measure HbA1c. HbA1c is typically measured using high performance liquid chromatography, ion-exchange chromatography, or colorimetry. Indirect potentiometry is a technique used to measure the potential difference between two electrodes in a solution, and it is not suitable for measuring HbA1c levels.

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  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Dec 16, 2010
    Quiz Created by
    Johnson_1234
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