Pharm Chapter 44; Drugs For Diabetes
Pharm chapter 44; drugs for diabetes
- 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
Questions: 18 | Attempts: 206 | Last updated: Mar 22, 2022
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Sample QuestionDiabetes is a disease that causes:
Questions: 14 | Attempts: 12063 | Last updated: Mar 21, 2022
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Sample QuestionWhat do you believe causes type 2 diabetes?
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