Diabetes Powerpoints

Question 1 of 48

1

Fill the blank space to complete the text.

is actually a group of metabolic disorders characterized by hyperglycemia which results from defect in secretion of insulin, action of insulin, or both

Explanation

Question 2 of 48

1

What counterregulatory hormones are responsible for the decrease in insulin release when blood glucose levels drop? (select all that apply)

Select one or more of the following:

Glucagon
growth hormone
glucocorticoids
epinephrine
thyroid hormone

Explanation

Question 3 of 48

1

Fill the blank space to complete the text.

enzymes are responsible for the break down of gut incretins GLP-1 and GIP.

Explanation

Question 4 of 48

1

Insulin is secreted from ___________.

Select one of the following:

alpha cells
beta cells
gamma cells
delta cells

Explanation

Question 5 of 48

1

What would you check to see if a person is in fact making insulin?

Select one of the following:

preproinsulin
proinsulin
C peptide

Explanation

Question 6 of 48

1

Click on each orange point and write the correct answer.

Fill in the blanks

Explanation

Question 7 of 48

1

Select from the dropdown list to complete the text.

Meal ingestion causes the rapid release of insulin and ( amylin, proinsulin, c peptide ) from the pancreas.

Explanation

Question 8 of 48

1

Type 1 DM is the abosulte deficiecny of amylin and insuilin.

Select one of the following:

True
False

Explanation

Question 9 of 48

1

Which of the following is NOT an effect of amylin?

Select one or more of the following:

increases rate of gastric emptying
inhibits glucagon
reduces gastric emptying
induces post-prandial satiety

Explanation

Question 10 of 48

1

Fill the blank spaces to complete the text.

In glucose homeostasis, 40% of gluconeogeneiss occurs in the and reabsoprtion of glucose occurs in the .

Explanation

Question 11 of 48

1

Select from the dropdown lists to complete the text.

Fill in the blanks with appropriate values used to diagnose a patient with PRE-DIABETES according to ADA guidelines?

FPG/IFG: ( 50-100mg/dL, 100-125mg/dL, 150-200mg/dL, 200-225mg/dL )
2-hr OGTT/IGT: ( 100-125mg/dL, 140-199mg/dL, 220=250mg/dL )
A1c: ( 5.7% - 6.4%, 7% -7.5%, 8% - 8.5% )

Explanation

Question 12 of 48

1

β-cell destruction usually leading to absolute insulin and amylin deficiency.

Select one of the following:

Type 1 DM
Type 2 DM

Explanation

Question 13 of 48

1

“Progressive insulin secretory defect (β-cell dysfunction) on the background of insulin resistance.

Select one of the following:

Type 1 DM
Type 2 DM
Gestational DM

Explanation

Question 14 of 48

1

Diabetes diagnosed during pregnancy that IS NOT clearly overt diabetes

Select one of the following:

Type 1 DM
Type 2 DM
Gestational Diabetes

Explanation

Question 15 of 48

1

Click on each orange point and select the correct answer.

Fill in the table below

{"43.4414_11.3594":[{"id":12594749,"answer":"\u003c 30 years","x":43.4414,"y":11.3594},{"id":12594750,"answer":"\u003e 30 years","x":43.4414,"y":11.3594}],"43.2592_24.5451":[{"id":12594753,"answer":"lean","x":43.2592,"y":24.5451},{"id":12594754,"answer":"obese or history of obesity","x":43.2592,"y":24.5451}],"43.2542_38.1835":[{"id":12594785,"answer":"rarely present","x":43.2542,"y":38.1835},{"id":12594786,"answer":"often present","x":43.2542,"y":38.1835}],"63.1135_18.0753":[{"id":12594751,"answer":"abrupt","x":63.1135,"y":18.0753},{"id":12594752,"answer":"gradual","x":63.1135,"y":18.0753}],"43.0771_54.0106":[{"id":12594793,"answer":"absent","x":43.0771,"y":54.0106},{"id":12594794,"answer":"present","x":43.0771,"y":54.0106}],"62.383_31.5357":[{"id":12594755,"answer":"present","x":62.383,"y":31.5357},{"id":12594756,"answer":"absent","x":62.383,"y":31.5357}],"70.5816_11.8869":[{"id":12594808,"answer":"\u003c 30 years","x":70.5816,"y":11.8869},{"id":12594809,"answer":"\u003e 30 years","x":70.5816,"y":11.8869}],"70.7638_25.2132":[{"id":12594816,"answer":"obese or history of obesity","x":70.7638,"y":25.2132},{"id":12594817,"answer":"lean","x":70.7638,"y":25.2132}],"62.5632_44.5126":[{"id":12594787,"answer":"often asymptomatic","x":62.5632,"y":44.5126},{"id":12594788,"answer":"symptomatic","x":62.5632,"y":44.5126}],"69.3053_37.8648":[{"id":12594918,"answer":"often present","x":69.3053,"y":37.8648},{"id":12594919,"answer":"rarely present","x":69.3053,"y":37.8648}],"42.1632_67.6479":[{"id":12594798,"answer":"HHS","x":42.1632,"y":67.6479},{"id":12594799,"answer":"DKA","x":42.1632,"y":67.6479}],"62.5632_60.7254":[{"id":12594796,"answer":"immediate","x":62.5632,"y":60.7254},{"id":12594797,"answer":"years after diagnosis","x":62.5632,"y":60.7254}],"72.7035_54.5774":[{"id":12594922,"answer":"present","x":72.7035,"y":54.5774},{"id":12594923,"answer":"absent","x":72.7035,"y":54.5774}],"93.165_17.7182":[{"id":12594810,"answer":"abrupt","x":93.165,"y":17.7182},{"id":12594811,"answer":"gradual","x":93.165,"y":17.7182}],"61.8359_76.2241":[{"id":12594800,"answer":"Yes","x":61.8359,"y":76.2241},{"id":12594801,"answer":"No","x":61.8359,"y":76.2241}],"93.3452_32.1675":[{"id":12594866,"answer":"absent","x":93.3452,"y":32.1675},{"id":12594867,"answer":"present","x":93.3452,"y":32.1675}],"44.7151_89.2064":[{"id":12594806,"answer":"Rare","x":44.7151,"y":89.2064},{"id":12594807,"answer":"Common","x":44.7151,"y":89.2064}],"72.1353_70.2898":[{"id":12594926,"answer":"DKA","x":72.1353,"y":70.2898},{"id":12594927,"answer":"HHS","x":72.1353,"y":70.2898}],"96.431_46.4381":[{"id":12594920,"answer":"symptomatic","x":96.431,"y":46.4381},{"id":12594921,"answer":"often asymptomatic","x":96.431,"y":46.4381}],"95.4861_63.4702":[{"id":12594924,"answer":"immediate","x":95.4861,"y":63.4702},{"id":12594925,"answer":"years after diagnosis","x":95.4861,"y":63.4702}],"71.3852_92.5585":[{"id":12594930,"answer":"rare","x":71.3852,"y":92.5585},{"id":12594931,"answer":"common","x":71.3852,"y":92.5585}],"95.3024_79.1235":[{"id":12594928,"answer":"NO","x":95.3024,"y":79.1235},{"id":12594929,"answer":"Common","x":95.3024,"y":79.1235}]}

Explanation

Question 16 of 48

1

Which of the following below are symptoms of HYPERglycemia? (select all that apply)

Select one or more of the following:

polydipsia
polyuria
polyphagia
dry skin
blurry vision
drowsy
slow healing wounds

Explanation

Question 17 of 48

1

During pregnanacy, the placenta can produce hormones that contribute to insulin resistance.

Select one of the following:

True
False

Explanation

Question 18 of 48

1

Fill the blank spaces to complete the text.

Criteria for the diagnosis of diabetes;

(1) A1C > %
(2) FPG > mg/dL
(3) 2-hr PG > mg/dL after a 75 gram oral glucose tolerance test (OGTT)

Explanation

Question 19 of 48

1

Acanthosis Nigricans is associated with ....

Select one or more of the following:

Type 1 DM
Type 2 DM

Explanation

Question 20 of 48

1

Fill the blank space to complete the text.

Children with BMI precentile of or greater should be considered for screening for T2DM

Explanation

Question 21 of 48

1

When should pregnant women without overt DM should be screeened for gestational diabetes mellitus?

Select one of the following:

15-20 weeeks
20-22 weeks
24-28 weeks
30-33 weeks

Explanation

Question 22 of 48

1

Gestational diabetes mellitus should be tested for a second time 2-3 weeks post partum.

Select one of the following:

True
False

Explanation

Question 23 of 48

1

Which of the following are complications of DM in pregnancy (select all that apply)

Select one or more of the following:

gestational HTN
Preecalmpsia
Gestational HYPOtension
infections
ketoacidosis
polyhrdramnios
preterm labor
seizures

Explanation

Question 24 of 48

1

Fill the blank spaces to complete the text.

Fill in the appropriate values for the ACOG: Carpenter and Coustan 100mg OGTT 3hr (mg/dL) which is used in the diagnosis of GDM.

Fasting:
1 hour:
2 hours:
3 hours:

Explanation

Question 25 of 48

1

Fill the blank spaces to complete the text.

What are the glycemic goal for patients with GDM and preexisting DM?

(1) Fasting less than or equal to mg/dL
(2) 1-hr PP less than or equal to mg/dL
(3) 2-hr PP less than or equal to mg/dL

Explanation

Question 26 of 48

1

Fill the blank spaces to complete the text.

During pregnancy an A1C of % is the reccomeneded target in the second and third trimester but < % may be optimal.

Explanation

Question 27 of 48

1

During pregnancy insulin resistance decreases as pregnancy progresses

Select one of the following:

True
False

Explanation

Question 28 of 48

1

Fill the blank space to complete the text.

Hypoglycemia is usually defined as < 70 mg/dl but in pregnancy BG is often allowed to be than mg/dL

Explanation

Question 29 of 48

1

Indicate which insulins and oral medications are utilized in the treatment of diabetes during pregnancy?

Select one or more of the following:

Metformin
Lantus
Glargine
NPH
Regular insulin
Glyburide
Apidra

Explanation

Question 30 of 48

1

Fill the blank space to complete the text.

is the first-line agent recommended for treatment of GDM in the U.S

Explanation

Question 31 of 48

1

Fill the blank space to complete the text.

may be inferior to metformin and insulin due to increased risk of neonatal hypoglycemia and macrosomia

Explanation

Question 32 of 48

1

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and are the only rapid-acting insulins approved during pregnancy

Explanation

Question 33 of 48

1

Fill the blank space to complete the text.

is the only long-acting basal insulin utilized to treat diabetes in pregnancy

Explanation

Question 34 of 48

1

Fill the blank spaces to complete the text.

What are the glucose levels for insulin initiation in GDM

Fasting PG less than or equal to mg/dL
1-hours postprandial plasma glucose less than or equal to mg/dL
2-hour postprandial plasma glucose less than or equal to mg/dL

Explanation

Question 35 of 48

1

T1DM will require insulin during labor while most do not require insulin during labor and delivery with GDM

Select one of the following:

True
False

Explanation

Question 36 of 48

1

What immunizations are reccomended for diabetic patients?

Select one or more of the following:

influnenza
pneumococal
hepatitis B

Explanation

Question 37 of 48

1

Fill the blank space to complete the text.

Hypoglycemia is indicated with a BG of less than mg/dL

Explanation

Question 38 of 48

1

Fill the blank spaces to complete the text.

1) If blood glucose (BG) is less than 70 mg/dL, you should give grams of carbs and recheck the blood glucose after 15 minutes.

2) If blood glucose is less than 50 mg/dL , you should give grams of carbs and recheck the blood glucose after 15 minutes

Explanation

Question 39 of 48

1

Select from the dropdown lists to complete the text.

15g is equal to:

( 1, 3-4, 4, 6 ) tablespoon of sugar, ( 3-4, 1, 4, 6 ) hard candies, ( 4, 1, 3-4, 6 ) oz regular fruit juice, ( 6, 4, 1, 3-4 ) oz regular soda, 3-4 glucose tablets, 6 lifesvavers save a life

Explanation

Question 40 of 48

1

Which of the following should be part of the sick day management plan?

Select one or more of the following:

Check BG more frequently
Try to keep BG < 200 mg
Contiune basal insulin
Stay hydrated
use liquid carbohydrates to keep BG stable if unable to keep food down or having frequent or severe drops in BG
May need to hold prandial insulin or some oral medications if unable to keep down any carbohydrates.

Explanation

Question 41 of 48

1

What are the possible causes of DKA?

Select one or more of the following:

Exacerbated by an increase in counterregulatory hormones – hyperglycemic crisis
Insulin deficiency promotes lipolysis and metabolism of FFA to β-hydroxybutyrate, acetoacetic acid, and acetone in the liver
Excess glucagon enhance gluconeogenesis and impairs peripheral ketone utilization
Reduction in the effective circulating insulin with a concomitant elevation of counter-regulatory hormones

Explanation

Question 42 of 48

1

What are the causes of HHS?

Select one or more of the following:

Excess glucagon enhance gluconeogenesis and impairs peripheral ketone utilization
Reduction in the effective circulating insulin with a concomitant elevation of counter-regulatory hormones
Consistently elevated blood glucose concentration (sometimes weeks) in the face of reduce fluid intake
Most commonly preceded by infection or other serious illness

Explanation

Question 43 of 48

1

Click on each orange point and write the correct answer.

Complete the algorithhm

Explanation

Question 44 of 48

1

Click on each orange point and write the correct answer.

Complete the algortithm

Explanation

Question 45 of 48

1

Fill the blank spaces to complete the text.

In hospital care, treat if the blood glucose is above mg/dL with a goal between mg/dL.

Explanation

Question 46 of 48

1

In what conditions should you consider lowering the dose of basal insulin by 20%?

Select one or more of the following:

renal insufficiency or failure exisit
Heart failure
tapering off coticosteriod medications
no history of diabetes

Explanation

Question 47 of 48

1

Fill the blank space to complete the text.

Turn off insulin infusion hours after administration of SubQ basal insulin

Explanation

Question 48 of 48

1

	Created by Mark W. almost 8 years ago

Endo Module

Diabetes Powerpoints

Question 1 of 48

Fill the blank space to complete the text.

is actually a group of metabolic disorders characterized by hyperglycemia which results from defect in secretion of insulin, action of insulin, or both

Explanation

Question 2 of 48

What counterregulatory hormones are responsible for the decrease in insulin release when blood glucose levels drop? (select all that apply)

Select one or more of the following:

Explanation

Question 3 of 48

Fill the blank space to complete the text.

enzymes are responsible for the break down of gut incretins GLP-1 and GIP.

Explanation

Question 4 of 48

Insulin is secreted from ___________.

Select one of the following:

Explanation

Question 5 of 48

What would you check to see if a person is in fact making insulin?

Select one of the following:

Explanation

Question 6 of 48

Click on each orange point and write the correct answer.

Fill in the blanks

Explanation

Question 7 of 48

Select from the dropdown list to complete the text.

Meal ingestion causes the rapid release of insulin and amylin proinsulin c peptide( amylin, proinsulin, c peptide ) from the pancreas.

Explanation

Question 8 of 48

Type 1 DM is the abosulte deficiecny of amylin and insuilin.

Select one of the following:

Explanation

Question 9 of 48

Which of the following is NOT an effect of amylin?

Select one or more of the following:

Explanation

Question 10 of 48

Fill the blank spaces to complete the text.

In glucose homeostasis, 40% of gluconeogeneiss occurs in the and reabsoprtion of glucose occurs in the .

Explanation

Question 11 of 48

Select from the dropdown lists to complete the text.

Explanation

Question 12 of 48

β-cell destruction usually leading to absolute insulin and amylin deficiency.

Select one of the following:

Explanation

Question 13 of 48

“Progressive insulin secretory defect (β-cell dysfunction) on the background of insulin resistance.

Select one of the following:

Explanation

Question 14 of 48

Diabetes diagnosed during pregnancy that IS NOT clearly overt diabetes

Select one of the following:

Explanation

Question 15 of 48

Click on each orange point and select the correct answer.

Fill in the table below

Explanation

Question 16 of 48

Which of the following below are symptoms of HYPERglycemia? (select all that apply)

Select one or more of the following:

Explanation

Question 17 of 48

During pregnanacy, the placenta can produce hormones that contribute to insulin resistance.

Select one of the following:

Explanation

Question 18 of 48

Fill the blank spaces to complete the text.

Criteria for the diagnosis of diabetes; (1) A1C > % (2) FPG > mg/dL (3) 2-hr PG > mg/dL after a 75 gram oral glucose tolerance test (OGTT)

Explanation

Question 19 of 48

Acanthosis Nigricans is associated with ....

Select one or more of the following:

Explanation

Question 20 of 48

Fill the blank space to complete the text.

Children with BMI precentile of or greater should be considered for screening for T2DM

Meal ingestion causes the rapid release of insulin and ( amylin, proinsulin, c peptide ) from the pancreas.

Criteria for the diagnosis of diabetes;

(1) A1C > %
(2) FPG > mg/dL
(3) 2-hr PG > mg/dL after a 75 gram oral glucose tolerance test (OGTT)

Fill in the appropriate values for the ACOG: Carpenter and Coustan 100mg OGTT 3hr (mg/dL) which is used in the diagnosis of GDM.

Fasting:
1 hour:
2 hours:
3 hours:

What are the glycemic goal for patients with GDM and preexisting DM?

(1) Fasting less than or equal to mg/dL
(2) 1-hr PP less than or equal to mg/dL
(3) 2-hr PP less than or equal to mg/dL

What are the glucose levels for insulin initiation in GDM

Fasting PG less than or equal to mg/dL
1-hours postprandial plasma glucose less than or equal to mg/dL
2-hour postprandial plasma glucose less than or equal to mg/dL