Question 1

Which of the following has the greatest effect on blood glucose?

Accepted Answer

A) Carbohydrate 
B) Protein 
C) Fat 
D) All have equal effect 
A) Carbohydrate 
B) Protein 
C) Fat 
D) All have equal effect

Question 2

During an acute illness, clients with type 1 diabetes should

Accepted Answer

A) decrease their medications if their appetite is poor. 
B) decrease their fluid intake to prevent nausea. 
C) drink fluids with sugar if their blood glucose is greater than 240 mg/dL. 
D) monitor their urine for ketones. 
A) decrease their medications if their appetite is poor. 
B) decrease their fluid intake to prevent nausea. 
C) drink fluids with sugar if their blood glucose is greater than 240 mg/dL. 
D) monitor their urine for ketones.

Question 3

Which statement is false?

Accepted Answer

A) Even a small weight loss (10 to 20 pounds) can improve symptoms of metabolic syndrome. 
B) Dietary recommendations for metabolic syndrome include restricting added sugars and refined carbohydrates while emphasizing high-fiber foods such as fruits and vegetables. 
C) Increased fatty acid concentrations in the blood are thought to result from obesity and to cause the accumulation of triglycerides in the muscle, liver, and abdomen. 
D) Obesity alters hormone levels by increasing secretion of adiponectin and decreasing secretion of resistin. 
A) Even a small weight loss (10 to 20 pounds) can improve symptoms of metabolic syndrome. 
B) Dietary recommendations for metabolic syndrome include restricting added sugars and refined carbohydrates while emphasizing high-fiber foods such as fruits and vegetables. 
C) Increased fatty acid concentrations in the blood are thought to result from obesity and to cause the accumulation of triglycerides in the muscle, liver, and abdomen. 
D) Obesity alters hormone levels by increasing secretion of adiponectin and decreasing secretion of resistin.

Question 4

Mr.Lilly, a 42-year-old male, tells you that he used to take "pills" for his diabetes but is now taking insulin.What is the most likely reason that he no longer takes oral antidiabetic agents?

Accepted Answer

A) They are only effective in type 1 diabetes. 
B) His body now stimulates enough insulin to meet his needs. 
C) They suppress insulin release. 
D) They were not controlling his blood glucose. 
A) They are only effective in type 1 diabetes. 
B) His body now stimulates enough insulin to meet his needs. 
C) They suppress insulin release. 
D) They were not controlling his blood glucose.

Question 5

Metabolic syndrome is currently estimated to affect _____ percent of the adult population in the United States.

Accepted Answer

A) 6 
B) 12 
C) 29 
D) 34% 
A) 6 
B) 12 
C) 29 
D) 34%

Question 6

Blood glucose is monitored at least _____ times a day ideally for people with type 1 diabetes.

Accepted Answer

A) 1 
B) 2 
C) 3 
D) 4 
A) 1 
B) 2 
C) 3 
D) 4

Question 7

Mason has type 1 diabetes.He is amazed at how many people are not aware of the differences between type 1 and type 2 diabetes.Which of the following is true about his illness?

Accepted Answer

A) It occurs mostly in those over 40 
B) Obesity is the major cause 
C) There is no link with genetic inheritance 
D) It is caused by autoimmune destruction 
A) It occurs mostly in those over 40 
B) Obesity is the major cause 
C) There is no link with genetic inheritance 
D) It is caused by autoimmune destruction

Question 8

Pregnant women who are not from high-risk groups should be screened for diabetes between _____ weeks of gestation.

Accepted Answer

A) 10 and 14 
B) 19 and 23 
C) 24 and 28 
D) 30 and 34 
A) 10 and 14 
B) 19 and 23 
C) 24 and 28 
D) 30 and 34

Question 9

Which of the following treatments is not recommended for pregnant women with diabetes?

Accepted Answer

A) Insulin therapy 
B) High-calorie/high-protein diet 
C) Physical activity 
D) Low-carbohydrate breakfast 
A) Insulin therapy 
B) High-calorie/high-protein diet 
C) Physical activity 
D) Low-carbohydrate breakfast

Question 10

Fatigue, increased urination, and dry mouth are symptoms of

Accepted Answer

A) hyperglycemia. 
B) hypoglycemia. 
C) macroangiopathies. 
D) microangiopathies. 
A) hyperglycemia. 
B) hypoglycemia. 
C) macroangiopathies. 
D) microangiopathies.

Question 11

Which of the following is an acute complication associated with diabetes?

Accepted Answer

A) Ketoacidosis 
B) Hypoglycemia 
C) Hyperosmolar hyperglycemic state 
D) All of the above 
A) Ketoacidosis 
B) Hypoglycemia 
C) Hyperosmolar hyperglycemic state 
D) All of the above

Question 12

Stewart has type 1 diabetes.He is getting ready to go for a 2-mile run.His blood glucose is 200 mg/dL.Stewart should:

Accepted Answer

A) eat a snack. 
B) go for his run. 
C) skip the exercise. 
D) call his doctor. 
A) eat a snack. 
B) go for his run. 
C) skip the exercise. 
D) call his doctor.

Question 13

When nighttime hypoglycemia leads to fasting hyperglycemia, this condition is known as:

Accepted Answer

A) rebound hypoglycemia. 
B) rebound hyperglycemia. 
C) dawn phenomenon. 
D) nocturnal hypoglycemia. 
A) rebound hypoglycemia. 
B) rebound hyperglycemia. 
C) dawn phenomenon. 
D) nocturnal hypoglycemia.

Question 14

Ruth Ann Glebowski is an active 68 year old. She has a past medical history of gestational diabetes, high cholesterol, hypothyroidism, and depression. She is 5 feet 4 inches tall and weighs 170 pounds. She has an appointment with her physician for her annual check-up.
-Ruth Ann's doctor can best evaluate long-term diabetic compliance by checking her:

Accepted Answer

A) fasting blood glucose. 
B) urine for ketones. 
C) blood pressure. 
D) glycated hemoglobin. 
A) fasting blood glucose. 
B) urine for ketones. 
C) blood pressure. 
D) glycated hemoglobin.

Question 15

Women with diabetes who are attempting to become pregnant should be aware that uncontrolled blood glucose can contribute to all of the following except

Accepted Answer

A) diabetes in the infant. 
B) high birthweight of the infant. 
C) risk of spontaneous abortion. 
D) birth defects. 
A) diabetes in the infant. 
B) high birthweight of the infant. 
C) risk of spontaneous abortion. 
D) birth defects.

Question 16

Which of the following factors influences glycemic response to foods?

Accepted Answer

A) Sodium content of the food 
B) Fiber content of the food 
C) Individual preferences 
D) All of the above 
A) Sodium content of the food 
B) Fiber content of the food 
C) Individual preferences 
D) All of the above

Question 17

Diabetes ranks _____ among the leading causes of death in the United States.

Accepted Answer

A) 1st 
B) 3rd 
C) 4th 
D) 7th 
A) 1st 
B) 3rd 
C) 4th 
D) 7th

Question 18

Complications of poor glycemic control during pregnancy include which of the following in newborns?

Accepted Answer

A) Respiratory distress syndrome 
B) Jaundice 
C) Hypoglycemia 
D) All of the above 
E) b and c only 
A) Respiratory distress syndrome 
B) Jaundice 
C) Hypoglycemia 
D) All of the above 
E) b and c only

Question 19

Physiological stress, such as colds and surgery, causes _____ in blood glucose.

Accepted Answer

A) a decrease 
B) an increase 
C) no change 
A) a decrease 
B) an increase 
C) no change

Question 20

Which of the following ethnic populations has the lowest relative risk for developing type 2 diabetes?

Accepted Answer

A) Pacific Islanders 
B) Mexican American 
C) European Americans 
D) Native Americans 
A) Pacific Islanders 
B) Mexican American 
C) European Americans 
D) Native Americans

Exam 26: Diabetes Mellitus

Which of the following has the greatest effect on blood glucose?

During an acute illness, clients with type 1 diabetes should

Which statement is false?

Mr.Lilly, a 42-year-old male, tells you that he used to take "pills" for his diabetes but is now taking insulin.What is the most likely reason that he no longer takes oral antidiabetic agents?

Metabolic syndrome is currently estimated to affect _____ percent of the adult population in the United States.

Blood glucose is monitored at least _____ times a day ideally for people with type 1 diabetes.

Mason has type 1 diabetes.He is amazed at how many people are not aware of the differences between type 1 and type 2 diabetes.Which of the following is true about his illness?

Pregnant women who are not from high-risk groups should be screened for diabetes between _____ weeks of gestation.

Which of the following treatments is not recommended for pregnant women with diabetes?

Fatigue, increased urination, and dry mouth are symptoms of

Which of the following is an acute complication associated with diabetes?

Stewart has type 1 diabetes.He is getting ready to go for a 2-mile run.His blood glucose is 200 mg/dL.Stewart should:

When nighttime hypoglycemia leads to fasting hyperglycemia, this condition is known as:

Women with diabetes who are attempting to become pregnant should be aware that uncontrolled blood glucose can contribute to all of the following except

Which of the following factors influences glycemic response to foods?

Diabetes ranks _____ among the leading causes of death in the United States.

Complications of poor glycemic control during pregnancy include which of the following in newborns?

Physiological stress, such as colds and surgery, causes _____ in blood glucose.

Which of the following ethnic populations has the lowest relative risk for developing type 2 diabetes?

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugars, Starches and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Metabolism: Transformations and Interactions

Energy Balance and Body Composition

Weight Management: Overweight, Obesity, and Underweight

The Water-Soluble Vitamins: B Vitamins and Vitamin C

The Fat-Soluble Vitamins: A, D, E, and K

Water and the Major Minerals

The Trace Minerals

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: Adulthood and the Later Years

Nutrition Care and Assessment

Nutrition Intervention

Medications, Diet-Drug Interactions, and Herbal Products

Enteral Nutrition Support

Parenteral Nutrition Support

Metabolic and Respiratory Stress

Upper Gastrointestinal Disorders

Lower Gastrointestinal Disorders

Liver Disease and Gallstones

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

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