Assessment Day 3: Diabetes/Jacc

23 Questions | By Leecinn | Updated: Mar 21, 2022 | Attempts: 141

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1.

In reference to the JACC, The Basic Lipid Panel fails to identify up to_____% of those at risk for CVD
- A.
  
  20
- B.
  
  35
- C.
  
  50
- D.
  
  60
2.

There were roughly__________ patients enrolled in the JACC study
- A.
  
  1.3 million
- B.
  
  130,000
- C.
  
  1 million
- D.
  
  2 million
3.

In the JACC, which of the following groups of patients had the highest rate of misclassified risk?
- A.
- B.
  
  150-199 mg/dl TG’s
- C.
  
  100-149 mg/dl TG’s
- D.
  
  200-399 mg/dl TG’s
4.

There was more error seen in patients with LDL’s treated 70-99mg/dl than in those treated below 70mg/dl.
- A.
  
  True
- B.
  
  False
5.

In diabetics, the loss of lower-extremity sensation coupled with impaired peripheral vascular function is called______________ and can possibly lead to lower extremity ________________.
- A.
  
  Neuropathy, Amputation
- B.
  
  Nephropathy, Amputation
- C.
  
  Nerve damage, drop foot
- D.
  
  Microvascular disease, PVD
6.

Type 2 diabetes accounts for approximately what percentage of all cases of diabetes in adults?
- A.
  
  55-60%
- B.
  
  35-40%
- C.
  
  90-95%
- D.
  
  20-30%
7.

Risk factors for type 2 diabetes include all of the following except:
- A.
  
  Advanced age
- B.
  
  Obesity
- C.
  
  Smoking
- D.
  
  Physical inactivity
8.

35-60% of women with gestational diabetes are diagnosed with type 2 diabetes 10 to 20 years after deliver.
- A.
  
  True
- B.
  
  False
9.

Which form of diabetes is primarily linked to obesity?
- A.
  
  Type 1
- B.
  
  Type 2
- C.
  
  Type 3
- D.
  
  All of the above
10.

Which of the following is the most effective means of preventing or delaying the progression of pre-diabetes to type 2 diabetes?
- A.
  
  Taking medications to lower blood glucose.
- B.
  
  Eliminating sugar from the diet.
- C.
  
  Physical activity and weight loss
- D.
  
  All of these are equally effective.
11.

Which of the following is not a complication of diabetes?
- A.
  
  Myocardial infarction
- B.
  
  Neuropathy
- C.
  
  Asthma
- D.
  
  Retinopathy
12.

In order to have a positive diagnosis of metabolic syndrome, you must have at least 3 or more of the 5 of which following parameters:
- A.
  
  Over 65, minority race, obesity, history of diabetes and other disease states (HTN, CVD, Fatty liver, and PCOS) present.
- B.
  
  Increased waist circumference (>102 cm [>40 in] for men, >88 cm [>35 in] for women); elevated triglycerides (≥150 mg/dl); low HDL cholesterol (
- C.
  
  Obesity, HTN diagnosis of a blood pressure >120/80mm/Hg, positive OGTT >200mg/dl, High LDL cholesterol above >100 mg/dl, triglycerides over 400 mg/dl.
- D.
  
  None of the above
13.

Type 1 diabetes accounts for approximately what percentage of all cases of diabetes?
- A.
  
  5-10%
- B.
- C.
  
  90-95%
- D.
  
  50%
14.

The type of diabetes mellitus caused by lack of insulin is
- A.
  
  Type 1
- B.
  
  Type 2
- C.
  
  Adult-onset
- D.
  
  Non-insulin dependent
15.

Which of the following is not a warning sign or symptom of Type 1 diabetes?
- A.
  
  Loss of appetite
- B.
  
  Infrequent urination
- C.
  
  Weakness and fatigue
- D.
  
  Weight loss
16.

Which of the following factor(s) do not increase your risk of having metabolic syndrome: CHECK ALL THAT APPLY
- A.
  
  Age
- B.
  
  Race
- C.
  
  Thyroid Disease
- D.
  
  Obesity
- E.
  
  Gestational Diabetes
17.

Diabetes can be damaging to the kidneys because
- A.
  
  Excess pressure can damage the glomeruli
- B.
  
  High levels of circulating glucose can cause glomeruli damage
- C.
  
  Insulin level can cause damage to the kidneys
- D.
  
  Diabetes does not cause kidney damage, kidney damage may cause diabetes
18.

Which of the following is a conclusion drawn from the JACC paper?
- A.
  
  The Friedewald over estimates LDL when triglycerides climb above 400mg/dl
- B.
  
  Friedewald equation tends to underestimate LDL most when accuracy is most crucial
- C.
  
  Friedewald is good to use in all patients except for those at high risk
- D.
  
  Up to 60% of patients needed to be reclassified when comparing the VAP the BLP.
- E.
  
  B and D both
19.

How many patients were in the JACC study?
- A.
  
  30,174
- B.
  
  1.3 million
- C.
  
  Over 2 million
- D.
  
  1.8 million
20.

Under normal circumstances, endothelial cells are able to metabolize circulating blood glucose, providing the energy that the body needs to function. In hyperglycemia, however, too many glucose molecules in the blood cause endothelial cells to malfunction, damaging the body’s circulatory system and resulting in serious complications that can range from kidney failure and heart disease, to blindness.
- A.
  
  True
- B.
  
  False
21.

Diabetes is characterized by _______________, an elevated concentration of sugar, or glucose, in the blood.
- A.
  
  Hypoglycemia
- B.
  
  Endothelial Damage
- C.
  
  Dysglemia
- D.
  
  Hyperglycemia
22.

CHECK ALL THAT APPLY: Diabetic Dyslipidemia is classified by which of the following abnormalities:
- A.
  
  High HDL
- B.
  
  Small Dense LDL pattern
- C.
  
  High Triglycerides
- D.
  
  Low HDL2 cholesterol
- E.
  
  All apply to diabetic dyslipidemia