Pharm Chapter 44; Drugs For Diabetes

23 Questions | Total Attempts: 170

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Diabetes Drug Quizzes & Trivia

Pharm chapter 44; drugs for diabetes


Questions and Answers
  • 1. 
    The pancreas is essential to both the endocrine and exorcrine system. what other statement are true regarding the pancreas and those systems
    • A. 

      Insulin released when blood glucose increases

    • B. 

      Glucagon released when blood glucose decreases

    • C. 

      Glucagon and insulin are same substance

    • D. 

      Alpha cells secrete insulin

    • E. 

      Beta cells secrete glucagon

  • 2. 
    Type 1 diabetes......
    • A. 

      Caused by absolute lack of insulin secretion due to autoimmune destruction of pancreatic islet cells

    • B. 

      Can result in cardiovascular damage

    • C. 

      Can result in nervous system damage

    • D. 

      Treated with insulin therapy

  • 3. 
    Type II diabetes.......
    • A. 

      Caused by Lack of sensitivity of insulin receptors at target cells (insulin resistance)

    • B. 

      Deficiency in insulin secretion

    • C. 

      If untreated, results in same chronic conditions as type 1 DM

  • 4. 
    Almost all insulin today is made from animals
    • A. 

      True

    • B. 

      False

  • 5. 
    Human regular insulin( humulin R, novolin R).......
    • A. 

      Promotes cellular uptake of glucose

    • B. 

      Because it is short acting, it should not be used in conjunction with long acting insulin

    • C. 

      Can be used for emergency treatment of DKA

    • D. 

      Can be used for gestational diabetes

    • E. 

      The only type of insulin that can be given IV

    • F. 

      Wieght gain is a possible side effect

    • G. 

      Can be used in conjunction with , asa, MAOIs, alcohol and anabolic steroids

  • 6. 
    Wich can result from hypoglycemia?
    • A. 

      Tachycardia

    • B. 

      Confusion

    • C. 

      Sweating

    • D. 

      Drowsiness, coma

    • E. 

      Convulsions, death

  • 7. 
    Fasting blood glucose greater than 126 is a sign of hyperglycemia
    • A. 

      True

    • B. 

      False

  • 8. 
    Clear insulin must be drawn into the syrenge first, then cloudy last
    • A. 

      True

    • B. 

      False

  • 9. 
    At what blood glucose level should urinary ketones be monitored
    • A. 

      Over 300

    • B. 

      Uder 150

    • C. 

      Between 200-250

    • D. 

      All of the above

  • 10. 
    Oral hypoglycemic drugs do not work for type 1 DM
    • A. 

      True

    • B. 

      False

  • 11. 
    Sulfonylureas are oral hypoglycemic drugs. which are answers true?
    • A. 

      Inhibit release of insulin from pancreatic islet cells

    • B. 

      Increase sensitivity of insulin receptors on target cells

    • C. 

      Most common adverse effect is hypoglycemia

  • 12. 
    Which are true about binguanides?
    • A. 

      Metformin (Glucophage), is the only drug in this class

    • B. 

      Decreases hepatic production of glucose (gluconeogenesis) and reduces insulin resistance

    • C. 

      promotes insulin release from pancreas

  • 13. 
    What is true about the pro drug Metformin(fortamet, glucophage, glumetza, others)
    • A. 

      Is the preferred oral hypoglycemic drug due to its effectiveness and safety

    • B. 

      Can not be used with other oral drugs in its class or insulin

    • C. 

      Does not cause hypoglycemia

    • D. 

      Inefective in pts who no longer secrete insulin

    • E. 

      Also lowers tryglycerides, ldls and promotes wieght loss!!

    • F. 

      Can be used to restore menstrual cycles and ovulation

    • G. 

      Adverse effects include metalic tast and anorexia

    • H. 

      Often causes hypoglycemia and wieght gain

    • I. 

      Cannot be used by pt with impaired renal function, heart failure or liver failure

    • J. 

      Garlic and genseng may increase effects

  • 14. 
    Alpha-Glucosidase Inhibitors
    • A. 

      Speeds up the digestion of glucose

    • B. 

      Block enzymes in small intestine responsible for breaking down complex carbohydrates into monosaccharides

    • C. 

      Usually well tolerated with minimal side effects related to the GI system

  • 15. 
    Thiazolidinediones optimal lowering of blood glucose may take 3 to 4 months of therapy
    • A. 

      True

    • B. 

      False

  • 16. 
    Meglitinides have a long duration of action of 24 to 36 hrs
    • A. 

      True

    • B. 

      False

  • 17. 
    Byetta mimics the effects of incretins
    • A. 

      True

    • B. 

      False

  • 18. 
    Insulins block entry of glucose into cells
    • A. 

      True

    • B. 

      False

  • 19. 
    Oral hypoglycemics stimulate pancreas to secrete more insulin
    • A. 

      True

    • B. 

      False

  • 20. 
    At what level should insulin dose be held and reported to HC provider
    • A. 

      90 or below

    • B. 

      70 or below

    • C. 

      Above 120

    • D. 

      90 or above

  • 21. 
    How long fter exercise should you monitor for hypoglycemia
    • A. 

      48 hrs

    • B. 

      24hrs

    • C. 

      12hrs

    • D. 

      4hrs

  • 22. 
    How is type 1 diabetes treated??
    • A. 

      Dietary restrictions

    • B. 

      Exercise

    • C. 

      Insulin therapy

    • D. 

      Amputations

  • 23. 
    Type 2 diabetes is controlled through lifestyle changes and oral hypoglycemic drugs
    • A. 

      True

    • B. 

      False

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