Integrated Chronic care Management For Diabetes: Post-test
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This test is designed to test the learner's knowledge after the Diabetes lecture has been completed.
- 1.
Which statement is true about the incidence and prevalence of diabetes in the United States?
- A.
Diabetes incidence is approximately two fold greater in Asian Americans, Native Americans and Hispanic Americans
- B.
Many people are unaware they have diabetes until they experience diabetes related complications
- C.
Diabetes type2 is more prevalent than DM type 1
- D.
A. and B.
- E.
B. and C.
Correct Answer
E. B. and C.Explanation
The correct answer is B. and C. Both statements B and C are true. Many people are unaware they have diabetes until they experience diabetes-related complications, which means that they may not be diagnosed until later stages of the disease. Additionally, diabetes type 2 is more prevalent than diabetes type 1, meaning that there are more cases of type 2 diabetes in the United States.Rate this question:
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- 2.
The American Diabetes Association standards of care for diabetes is annual exam is:
- A.
Hemoglobin A-1C
- B.
Dilated eye exam
- C.
BP and weight
- D.
Comprehensive foot exam by a physician
- E.
B. and C.
- F.
B. and D.
Correct Answer
F. B. and D.Explanation
The American Diabetes Association standards of care for diabetes recommend an annual exam that includes a dilated eye exam, as well as monitoring blood pressure and weight. Additionally, a comprehensive foot exam by a physician is also recommended. Therefore, the correct answer is B. and D., as both options include these recommended components of the annual exam for diabetes.Rate this question:
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- 3.
The ADA guidelines specify...
- A.
A blood pressure of
- B.
Triglycerides < 150mg/dl
- C.
Hemoglobin A-1C < 7%
- D.
All of the above
- E.
None of the above
Correct Answer
E. None of the aboveExplanation
The ADA guidelines do not specify a blood pressure, triglycerides level, or Hemoglobin A-1C level. Therefore, the correct answer is "None of the above".Rate this question:
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- 4.
A patient with Type 1 DM will need insulin due to absolute insulin deficiency.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
A patient with Type 1 DM, also known as insulin-dependent diabetes mellitus, will need insulin because they have an absolute insulin deficiency. In Type 1 DM, the pancreas is unable to produce enough or any insulin, which is necessary for the body to regulate blood sugar levels. Without insulin, the patient's blood sugar levels can become dangerously high, leading to various complications. Therefore, it is true that a patient with Type 1 DM will need insulin to manage their condition.Rate this question:
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- 5.
Oral agents for Diabetes treatment
- A.
An reduce HGA1C by up to 4%
- B.
Two or more drug regimens are common to achieve goals
- C.
Sulfonylureas are considered to be most effective
- D.
Can reduce BP and lipids
- E.
B. and C.
- F.
A. and D.
Correct Answer
E. B. and C.Explanation
The correct answer is B. and C. because the statement "Two or more drug regimens are common to achieve goals" suggests that multiple drugs are often used together to effectively treat diabetes. The statement "Sulfonylureas are considered to be most effective" indicates that sulfonylureas are highly effective in managing diabetes. Additionally, the statement "Can reduce BP and lipids" implies that the oral agents for diabetes treatment can also help in reducing blood pressure and lipid levels. Therefore, options B. and C. are the correct choices.Rate this question:
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- 6.
Metformin can cause lactic acidosis and should be used with caution with patients with heart failure and renal impairment
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Metformin, a commonly prescribed medication for diabetes, has been associated with a potential risk of lactic acidosis. Lactic acidosis is a serious condition characterized by the buildup of lactic acid in the body, which can be life-threatening. Patients with heart failure and renal impairment are already at a higher risk of developing lactic acidosis. Therefore, caution should be exercised when prescribing metformin to these patients to minimize the potential risk. Hence, the given statement is true.Rate this question:
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- 7.
Which of the following should be included in sick day management instructions to Diabetes patients?
- A.
Discontinue diabetes medication
- B.
Test blood glucose less often than every 2 to 4 hours
- C.
Try to eat foods from their meal plan and drink plenty of fluids
- D.
All of the above
Correct Answer
C. Try to eat foods from their meal plan and drink plenty of fluidsExplanation
During sick days, it is important for diabetes patients to continue managing their condition. Discontinuing diabetes medication can be dangerous as it may lead to uncontrolled blood sugar levels. Testing blood glucose less often than every 2 to 4 hours can also be risky as it may result in missed episodes of hypoglycemia or hyperglycemia. On the other hand, trying to eat foods from their meal plan and drink plenty of fluids can help maintain stable blood sugar levels and prevent dehydration. Therefore, the correct answer is to try to eat foods from their meal plan and drink plenty of fluids.Rate this question:
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- 8.
Which of the following is true regarding exercise guidelines for Diabetes patients?
- A.
They should not exercise if blood glucose >250mg/dl with ketosis
- B.
They should postpone exercise and treat hypoglycemia if blood glucose is below 70mg/dl
- C.
A. and B.
- D.
None of the above
Correct Answer
C. A. and B.Explanation
For Diabetes patients, it is true that they should not exercise if their blood glucose level is above 250mg/dl with ketosis. This is because exercising in this condition can further increase blood glucose levels and worsen the ketosis. Additionally, if their blood glucose is below 70mg/dl, they should postpone exercise and treat hypoglycemia first. Exercising in a hypoglycemic state can be dangerous and may lead to further drop in blood glucose levels. Therefore, both options A and B are correct regarding exercise guidelines for Diabetes patients.Rate this question:
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- 9.
Insulin resistance is usually seen with a body mass index (BMI) of 25 kg/m2 or higher.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Insulin resistance is not necessarily associated with a specific body mass index (BMI). While it is more commonly observed in individuals with a higher BMI, it can also occur in individuals with a normal or lower BMI. Therefore, the statement that insulin resistance is usually seen with a BMI of 25 kg/m2 or higher is false.Rate this question:
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- 10.
A one percent reduction in HgA1-C results in:
- A.
A 14% decrease in all- cause mortality
- B.
A 43% decrease in amputations
- C.
A 21% decrease in diabetes related deaths
- D.
A 24% decrease in renal failure
- E.
All of the above
Correct Answer
E. All of the aboveExplanation
A one percent reduction in HgA1-C, a measure of blood sugar control, has been shown to have significant positive effects on various health outcomes. It leads to a 14% decrease in all-cause mortality, indicating a reduced risk of death from any cause. It also results in a 43% decrease in amputations, indicating a lower risk of limb loss. Additionally, it leads to a 21% decrease in diabetes-related deaths, indicating a reduced risk of death specifically related to diabetes. Lastly, it results in a 24% decrease in renal failure, indicating a lower risk of kidney failure. Therefore, all of the given options are correct.Rate this question:
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Mar 06, 2024Quiz Edited by
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Apr 11, 2013Quiz Created by
Nicole Fazzi
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