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5 Written questions

5 Multiple choice questions

  1. releases insulin-like protein that causes hypoglycaemia
  2. mediated by impaired supply of glucose to brain over extended period of time, following gradual decline in blood glucose concentration, does not elicit epinephrine response, brain cell malfunction when deprived of glucose, cognitive behavior affected, have slurred speech, confusion, seizures, may have coma leading to death if not corrected, slow decline in blood glucose level without sudden release of epinephrine
  3. usually occurs 6-7 hours after last meal, indicative of underlying disorder, most patients are Type 1 diabetics receiving too large dose of insulin, may be caused by liver disease (more than 80% of liver damage can severely compromise hepatic gluconeogenesis), can be caused by Addison's disease--hyposecretion of cortisol rendering tissues more sensitive to insulin
  4. may be caused by drug-induced hypoglycaemia or postprandial hypoglycaemia (within 5h of meal), some individuals manifest transitory hypoglycaemic symptoms after eating a large carbohydrate meal--causes exaggerated transient insulin response, does not usually indicate underlying disorder
  5. indicative of insulinoma

5 True/False questions

  1. glucagonomaoccur as result of tumors of α-cells of islet of Langerhans, excessive secretion of glucagon-->secondary diabetes

          

  2. alcohol induced hypoglycemiausually occurs 6-7 hours after last meal, indicative of underlying disorder, most patients are Type 1 diabetics receiving too large dose of insulin, may be caused by liver disease (more than 80% of liver damage can severely compromise hepatic gluconeogenesis), can be caused by Addison's disease--hyposecretion of cortisol rendering tissues more sensitive to insulin

          

  3. high serum insulin, high C-peptide, high proinsulin levels with sulphonylureaindicative of reactive hypoglycaemia, sulphonylurea overdose--promote pancreatic secretion of insulin

          

  4. high serum insulin, low C-peptide levels, low proinsulin levelsindicative of reactive hypoglycaemia, sulphonylurea overdose--promote pancreatic secretion of insulin

          

  5. insulinomaoccur as result of tumors of α-cells of islet of Langerhans, excessive secretion of glucagon-->secondary diabetes