Module 9 Exam Diabetes

24 terms by nastasia706 

Ready to study?
Start with Flashcards

Create a new folder

Advertisement Upgrade to remove ads

What effect does the presence of advanced glycosylation end products (AGEs) have in diabetes?

A) Increased ketone formation
B) Tissue injury
C) Dawn phenomenon
D) Reduction of chronic complications

B) Tissue injury

Alterations in lipid and protein metabolism lead to chronic complications of DM through which of the following processes?

A) Activation of protein kinase C
B) Induction of the polyol pathway
C) Glycosylation
D) All of the above

D) All of the above

Syndrome of inappropriate diuretic hormone (SIADH) results in excessive:

A) renal retention of sodium and water.
B) renal retention of sodium without water retention.
C) renal retention of water without sodium retention.
D) renal excretion of water without sodium retention.

C) renal retention of water without sodium retention.

The development of an acute metabolic acidosis from insulin deficiency is due to which of the following processes?

A) Protein catabolism with ammonia release
B) Anaerobic metabolism of glucose
C) Fatty acid metabolism with ketone production
D) Renal failure

C) Fatty acid metabolism with ketone production

Gestational diabetes can occur:

A) during fetal development.
B) in early childhood.
C) during pregnancy.
D) in older adults.

C) during pregnancy.

The symptom of polyuria in diabetes mellitus (DM) is caused by:

A) a reduced AHD response caused by insulin deficiency.
B) the loss of protein across the glomerular membrane.
C) the production of ketones.
D) increased glucose in the urine.

D) increased glucose in the urine.

The purpose of monitoring glycosylated hemoglobin levels in persons with diabetes is to:

A) check for hyperlipidemia.
B) detect acute complications of diabetes.
C) monitor long-term serum glucose control.
D) measure fasting glucose levels.

C) monitor long-term serum glucose control.

When evaluating the kidney function of an individual with diabetes insipidus (DI), the nurse would observe:

A) high volume urine output.
B) high urine osmolarity.
C) blood in the urine.
D) protein in the urine.

A) high volume urine output.

A new diagnosis of type 1 diabetes is based on:

A) random serum glucose levels.
B) fasting plasma glucose levels and glucose tolerance tests.
C) genetic testing.
D) the presence of symptoms only.

B) fasting plasma glucose levels and glucose tolerance tests.

Classic symptoms of diabetes insipidus (DI) include all of the following except:

A) hypertension.
B) dehydration.
C) low urine osmolarity.
D) thirst.

A) hypertension

Signs and symptoms that a person with type 1 diabetes has administered too much insulin include:

A) Kussmaul respirations and acetone breath.
B) dizziness and confusion.
C) abdominal cramping and nausea.
D) pain at the site of injection.

B) dizziness and confusion.

Neurological symptoms of SIADH are related to:

A) hypotension and cellular dehydration.
B) decreased serum sodium concentrations.
C) increased serum osmolarity.
D) hypokalemia.

B) decreased serum sodium concentrations.

Chronic complications of DM include which of the following?

A) Peripheral neuropathies
B) End-stage renal disease
C) Coronary artery disease
D) All of the above

D) All of the above

Hyperglycemia and lipid abnormalities in type 2 diabetes mellitus (DM) are a result of:

A) production of inactive insulin.
B) glucagon deficiency.
C) insulin resistance.
D) glycogen excess.

C) insulin resistance.

Damage to the posterior pituitary caused by a cerebrovascular accident (stroke) results in _____ diabetes insipidus (DI).

A) vascular
B) nephrogenic
C) psychogenic
D) neurogenic

B) nephrogenic

Signs and symptoms common to both type 1 and type 2 diabetes mellitus (DM) include all of the following except:

A) polyphagia.
B) weight loss.
C) polydipsia.
D) polyuria.

B) weight loss.

Which of the following is a serious complication of SIADH?

A) Permanent neurological damage
B) Renal failure
C) Myocardial infarction
D) Panhypopituitarism

A) Permanent neurological damage

The pathophysiology of type 1 diabetes mellitus (DM) involves:

A) autoimmune destruction of pancreatic beta cells.
B) production of antibodies against insulin.
C) type IV hypersensitivity against pancreatic islet cells.
D) all of the above.

D) all of the above.

Activation of protein kinase C contributes to

insulin resistance, tissue inflammation, and edema. However, hyperglycemia can also induce the polyol pathway and glycosylation.

Induction of the polyol pathway increases

intracellular osmotic pressure, causing cellular edema and tissue dysfunction. However, hyperglycemia can also activate protein kinase C and glycosylation.

Glycosylation of

proteins, lipids, and nucleic acids in blood vessels, nerves, lenses, and other tissues stimulates cellular injury and inflammation. However, hyperglycemia can also activate protein kinase C and induction of the polyol pathway.

A new diagnosis of type 1 diabetes is based on:

The suspicion of diabetes-based clinical manifestations can be confirmed by evaluating fasting plasma glucose levels and conducting glucose tolerance tests.

signs of hypoglycemia related to overadministration of insulin.

Dizziness and confusion, combined with tachycardia, palpations, and visual disturbances

The insulin deficiency that results in type 1 DM is caused by three factors:

(1) the production of antibodies that destroy the beta cells in the pancreatic islets of Langerhans

(2) the production of antibodies against insulin

(3) cell-mediated destruction of the islet cells.

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set