Question 1

Which of the following situations would not make blood glucose higher in a diabetic patient?

Accepted Answer

A) stress 
B) flu 
C) taking too much insulin 
D) eating excessive amounts of food 
A) stress 
B) flu 
C) taking too much insulin 
D) eating excessive amounts of food C

Question 2

Prolonged hyperglycemia from uncontrolled diabetes can lead to one of two acute metabolic crises They are:

Accepted Answer

A) diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome. 
B) diabetic neuritis and hyperosmolar hypertension. 
C) cerebral vascular accident and severe dehydration. 
D) diabetic nephrosis and acute dehydration. 
A) diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome. 
B) diabetic neuritis and hyperosmolar hypertension. 
C) cerebral vascular accident and severe dehydration. 
D) diabetic nephrosis and acute dehydration. A

Question 3

You have a patient experiencing symptoms of gastroparesis Which of the following is an appropriate recommendation for treatment of this condition?

Accepted Answer

A) discontinue insulin until symptoms subside 
B) maintain inactivity for at least 1 hour after eating 
C) continue with a liberal diet 
D) eat small, frequent meals 
A) discontinue insulin until symptoms subside 
B) maintain inactivity for at least 1 hour after eating 
C) continue with a liberal diet 
D) eat small, frequent meals D

Question 4

FG is a 30 yo F who has just been diagnosed with T2DM.Her doctor told her she had IFG a year ago, but she did not make any lifestyle changes.She is now very concerned with her new diagnosis and has decided to see a registered dietitian.
HT: 5'2"      WT: 206#     Hemoglobin A1C 10%
-Which of the following is a good long-term measurement of how well FG is doing with her blood sugars?

Accepted Answer

A) fasting plasma glucose 
B) oral glucose tolerance test 
C) hemoglobin A1C 
D) weight 
A) fasting plasma glucose 
B) oral glucose tolerance test 
C) hemoglobin A1C 
D) weight

Question 5

FG is a 30 yo F who has just been diagnosed with T2DM.Her doctor told her she had IFG a year ago, but she did not make any lifestyle changes.She is now very concerned with her new diagnosis and has decided to see a registered dietitian.
HT: 5'2"      WT: 206#     Hemoglobin A1C 10%
-What would be an optimal hemoglobin A1C for FG once she begins her new meal plan?

Accepted Answer

A) 7% 
B) 8% 
C) 6% 
D) 9% 
A) 7% 
B) 8% 
C) 6% 
D) 9%

Question 6

Individuals with diabetes should monitor their protein intake, which should not exceed _____ for those who have developed nephropathy

Accepted Answer

A) 1.2 g/kg 
B) 1.5 g/kg 
C) 0.8 g/kg 
D) 1.0 g/kg 
A) 1.2 g/kg 
B) 1.5 g/kg 
C) 0.8 g/kg 
D) 1.0 g/kg

Question 7

Which of the following is a macrovascular complication of diabetes?

Accepted Answer

A) retinophathy 
B) nephropathy 
C) neuropathy 
D) cardiovascular disease 
A) retinophathy 
B) nephropathy 
C) neuropathy 
D) cardiovascular disease

Question 8

The adrenal medulla secretes all of the following except:

Accepted Answer

A) epinephrine. 
B) catecholamines. 
C) norepinephrine. 
D) thyroxine. 
A) epinephrine. 
B) catecholamines. 
C) norepinephrine. 
D) thyroxine.

Question 9

Case Study
JK is a 19 yo M college student with T1DM.He is away from home and is reportedly drinking and eating poorly.His school schedule is erratic so he eats at all different times of the day.He currently takes an extended long-acting analogue insulin once per day.Around 8 pm, his blood sugars are falling very low.
HT: 5'10"       WT: 178      Hemoglobin A1c 9%
-What is likely the cause of JK's low blood sugar at 8 pm?

Accepted Answer

A) his insulin dosage is to high 
B) he is eating too much 
C) the timing and peak of his insulin are not matching his intake 
D) low blood sugar is desirable for someone with T1DM 
A) his insulin dosage is to high 
B) he is eating too much 
C) the timing and peak of his insulin are not matching his intake 
D) low blood sugar is desirable for someone with T1DM

Question 10

Self-monitoring of blood glucose should be performed _____ in type 1 diabetics

Accepted Answer

A) twice a day (every morning and night) 
B) only when symptoms of hypoglycemia are experienced 
C) at least three times each day 
D) only when the client feels badly 
A) twice a day (every morning and night) 
B) only when symptoms of hypoglycemia are experienced 
C) at least three times each day 
D) only when the client feels badly

Question 11

Oral glucose-lowering medications are frequently prescribed for type 2 DM Which of the following groups of medications causes the pancreas to secrete additional insulin?

Accepted Answer

A) biguanides, such as Glucophage 
B) sulfonylureas, such as DiaBeta 
C) alpha-glucosidase inhibitors, such as acarbose 
A) biguanides, such as Glucophage 
B) sulfonylureas, such as DiaBeta 
C) alpha-glucosidase inhibitors, such as acarbose

Question 12

During an acute episode of the flu with nausea and vomiting, clients with type 1 DM should:

Accepted Answer

A) drink only sugar-free fluids. 
B) not take their insulin. 
C) monitor their urine for ketones. 
D) not eat. 
A) drink only sugar-free fluids. 
B) not take their insulin. 
C) monitor their urine for ketones. 
D) not eat.

Question 13

Case Study
JK is a 19 yo M college student with T1DM.He is away from home and is reportedly drinking and eating poorly.His school schedule is erratic so he eats at all different times of the day.He currently takes an extended long-acting analogue insulin once per day.Around 8 pm, his blood sugars are falling very low.
HT: 5'10"       WT: 178      Hemoglobin A1c 9%
-If JK does not take his insulin because he no longer wants to inject himself, what acute illness is he at risk for developing?

Accepted Answer

A) hypoglycemia 
B) cardiovascular disease 
C) renal failure 
D) DKA 
A) hypoglycemia 
B) cardiovascular disease 
C) renal failure 
D) DKA

Question 14

Case Study
JK is a 19 yo M college student with T1DM.He is away from home and is reportedly drinking and eating poorly.His school schedule is erratic so he eats at all different times of the day.He currently takes an extended long-acting analogue insulin once per day.Around 8 pm, his blood sugars are falling very low.
HT: 5'10"       WT: 178      Hemoglobin A1c 9%
-If JK's MD adopts the above option, JK will have to work with the dietitian to learn:

Accepted Answer

A) carbohydrate counting. 
B) how to inject insulin for maximum benefits. 
C) changing his schedule. 
D) changing his diet to all sugar-free foods. 
A) carbohydrate counting. 
B) how to inject insulin for maximum benefits. 
C) changing his schedule. 
D) changing his diet to all sugar-free foods.

Question 15

Glucagon promotes the degradation of _____ to _____

Accepted Answer

A) glycogen, glucose 
B) glucose, glycogen 
C) glycogen, glycerol 
D) glycerol, glucose 
A) glycogen, glucose 
B) glucose, glycogen 
C) glycogen, glycerol 
D) glycerol, glucose

Question 16

FG is a 30 yo F who has just been diagnosed with T2DM.Her doctor told her she had IFG a year ago, but she did not make any lifestyle changes.She is now very concerned with her new diagnosis and has decided to see a registered dietitian.
HT: 5'2"      WT: 206#     Hemoglobin A1C 10%
-If FG does not keep her blood glucose under control, she may develop which macrovascular disorder?

Accepted Answer

A) retinopathy 
B) cardiovascular disease 
C) nephropathy 
D) DKA 
A) retinopathy 
B) cardiovascular disease 
C) nephropathy 
D) DKA

Question 17

People with type 2 DM are prone to

Accepted Answer

A) ketosis. 
B) weight loss. 
C) acidosis. 
D) hyperglycemic hyperosmolar syndrome. 
A) ketosis. 
B) weight loss. 
C) acidosis. 
D) hyperglycemic hyperosmolar syndrome.

Question 18

Case Study
JK is a 19 yo M college student with T1DM.He is away from home and is reportedly drinking and eating poorly.His school schedule is erratic so he eats at all different times of the day.He currently takes an extended long-acting analogue insulin once per day.Around 8 pm, his blood sugars are falling very low.
HT: 5'10"       WT: 178      Hemoglobin A1c 9%
-Given his schedule, what may work better for JK?

Accepted Answer

A) conventional therapy 
B) multiple daily injections 
C) split-dose insulin 
D) single-dose insulin 
A) conventional therapy 
B) multiple daily injections 
C) split-dose insulin 
D) single-dose insulin

Question 19

In order for T2DM to develop both _____ must be evident

Accepted Answer

A) cell receptor defects and insulin secretory defects 
B) central body adiposity and insulin secretory defects 
C) identifiable gene defects and cell receptor defects 
D) identifiable gene defects and insulin secretory defects 
A) cell receptor defects and insulin secretory defects 
B) central body adiposity and insulin secretory defects 
C) identifiable gene defects and cell receptor defects 
D) identifiable gene defects and insulin secretory defects

Question 20

Which of the following levels of blood glucose indicates a positive test for IGT in an individual who has been given an oral glucose tolerance test?

Accepted Answer

A) 140-199 mg/dL 
B) 100-125 mg/dL 
C) 70-110 mg/dL 
D) 115-140 mg/dL 
A) 140-199 mg/dL 
B) 100-125 mg/dL 
C) 70-110 mg/dL 
D) 115-140 mg/dL

Which of the following situations would not make blood glucose higher in a diabetic patient?

Prolonged hyperglycemia from uncontrolled diabetes can lead to one of two acute metabolic crises They are:

You have a patient experiencing symptoms of gastroparesis Which of the following is an appropriate recommendation for treatment of this condition?

Individuals with diabetes should monitor their protein intake, which should not exceed _____ for those who have developed nephropathy

Which of the following is a macrovascular complication of diabetes?

The adrenal medulla secretes all of the following except:

Self-monitoring of blood glucose should be performed _____ in type 1 diabetics

Oral glucose-lowering medications are frequently prescribed for type 2 DM Which of the following groups of medications causes the pancreas to secrete additional insulin?

During an acute episode of the flu with nausea and vomiting, clients with type 1 DM should:

Glucagon promotes the degradation of _ to _

People with type 2 DM are prone to

In order for T2DM to develop both _____ must be evident

Which of the following levels of blood glucose indicates a positive test for IGT in an individual who has been given an oral glucose tolerance test?

Role of the Dietitian in the Health Care System

The Nutrition Care Process

Nutrition Assessment: Foundation of the Nutrition Care Process

Nutrition Intervention

Enteral and Parenteral Nutrition Support

Documentation of the Nutrition Care Process

Fluid and Electrolyte Balance

Acid-Base Balance

Cellular and Physiological Response to Injury:The Role of the Immune System

Nutritional Genomics

Pharmacology

Energy Balance and Body Weight

Diseases of the Cardiovascular System

Diseases of the Upper Gastrointestinal Tract

Diseases of the Lower Gastrointestinal Tract

Diseases of the Liver, Gallbladder, and Exocrine Pancreas

Diseases of the Renal System

Diseases of the Hematological System

Diseases and Disorders of the Neurological System

Diseases of the Respiratory System

Metabolic Stress and the Critically Ill

Neoplastic Disease

Hiv and Aids

Diseases of the Musculoskeletal System

Metabolic Disorders

Filters

Exam 17: Diseases of the Endocrine System

Which of the following situations would not make blood glucose higher in a diabetic patient?

Prolonged hyperglycemia from uncontrolled diabetes can lead to one of two acute metabolic crises They are:

You have a patient experiencing symptoms of gastroparesis Which of the following is an appropriate recommendation for treatment of this condition?

Individuals with diabetes should monitor their protein intake, which should not exceed _____ for those who have developed nephropathy

Which of the following is a macrovascular complication of diabetes?

The adrenal medulla secretes all of the following except:

Self-monitoring of blood glucose should be performed _____ in type 1 diabetics

Oral glucose-lowering medications are frequently prescribed for type 2 DM Which of the following groups of medications causes the pancreas to secrete additional insulin?

During an acute episode of the flu with nausea and vomiting, clients with type 1 DM should:

Glucagon promotes the degradation of _____ to _____

People with type 2 DM are prone to

In order for T2DM to develop both _____ must be evident

Which of the following levels of blood glucose indicates a positive test for IGT in an individual who has been given an oral glucose tolerance test?

Role of the Dietitian in the Health Care System

The Nutrition Care Process

Nutrition Assessment: Foundation of the Nutrition Care Process

Nutrition Intervention

Enteral and Parenteral Nutrition Support

Documentation of the Nutrition Care Process

Fluid and Electrolyte Balance

Acid-Base Balance

Cellular and Physiological Response to Injury:The Role of the Immune System

Nutritional Genomics

Pharmacology

Energy Balance and Body Weight

Diseases of the Cardiovascular System

Diseases of the Upper Gastrointestinal Tract

Diseases of the Lower Gastrointestinal Tract

Diseases of the Liver, Gallbladder, and Exocrine Pancreas

Diseases of the Renal System

Diseases of the Hematological System

Diseases and Disorders of the Neurological System

Diseases of the Respiratory System

Metabolic Stress and the Critically Ill

Neoplastic Disease

Hiv and Aids

Diseases of the Musculoskeletal System

Metabolic Disorders

Filters

Glucagon promotes the degradation of _ to _