Question 1

Macrovascular complications include which of the following?

Accepted Answer

A) gastroparesis 
B) sexual dysfunction 
C) ischemic heart disease 
D) nephropathy 
A) gastroparesis 
B) sexual dysfunction 
C) ischemic heart disease 
D) nephropathy

Question 2

Mr M is a 45-year-old man He has type 2 DM that is controlled by diet alone He is 5'9" and weighs 210 lbs Which of the following will help to improve insulin resistance?

Accepted Answer

A) weight reduction 
B) hard candy for hypoglycemic attack 
C) antioxidants 
D) 3 meals with a bedtime snack 
A) weight reduction 
B) hard candy for hypoglycemic attack 
C) antioxidants 
D) 3 meals with a bedtime snack

Question 3

Insulin promotes the conversion of _____ into _____ in the liver

Accepted Answer

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

Question 4

Complications associated with gestational diabetes mellitus (GDM) include:

Accepted Answer

A) preeclampsia. 
B) excessive sweating. 
C) chronic fatigue. 
D) fever. 
A) preeclampsia. 
B) excessive sweating. 
C) chronic fatigue. 
D) fever.

Question 5

The most common cause of hyperthyroidism is:

Accepted Answer

A) Graves' disease. 
B) multiple sclerosis. 
C) Addison's disease. 
D) Cushing's disease. 
A) Graves' disease. 
B) multiple sclerosis. 
C) Addison's disease. 
D) Cushing's disease.

Question 6

Which of the following is not a parameter used to diagnose DM?

Accepted Answer

A) casual plasma glucose concentration 
B) fasting plasma glucose 
C) oral glucose tolerance test 
D) hemoglobin A1c 
A) casual plasma glucose concentration 
B) fasting plasma glucose 
C) oral glucose tolerance test 
D) hemoglobin A1c

Question 7

Urine testing glucose was used routinely in the past The greatest limitation for this test is that glucose is not in the urine until the serum glucose is greater than _____ mg/dL

Accepted Answer

A) 85 
B) 100 
C) 250 
D) 300 
A) 85 
B) 100 
C) 250 
D) 300

Question 8

You have a patient who reports loss of hair, weight gain, lack of energy, and intolerance to cold In addition, the patient's labs show low levels of T4 This patient is most likely exhibiting symptoms of which of the following?

Accepted Answer

A) anemia 
B) poor circulation 
C) insulin resistance 
D) hypothyroidism 
A) anemia 
B) poor circulation 
C) insulin resistance 
D) hypothyroidism

Question 9

All of the following are basic types of insulin administration regimens except:

Accepted Answer

A) conventional/standard insulin therapy. 
B) flexible/intensive insulin therapy. 
C) continuous subcutaneous insulin infusion . 
D) scheduled intermittent insulin therapy. 
A) conventional/standard insulin therapy. 
B) flexible/intensive insulin therapy. 
C) continuous subcutaneous insulin infusion . 
D) scheduled intermittent insulin therapy.

Question 10

T2DM is an often undiagnosed symptom of:

Accepted Answer

A) PCOS. 
B) uterine fibroids. 
C) HTN. 
D) atherosclerosis. 
A) PCOS. 
B) uterine fibroids. 
C) HTN. 
D) atherosclerosis.

Question 11

Which of the following is dependent on insulin for transportation of glucose?

Accepted Answer

A) brain 
B) liver 
C) working muscles 
D) adipose tissues 
A) brain 
B) liver 
C) working muscles 
D) adipose tissues

Question 12

Which of these would lead to blurred vision?

Accepted Answer

A) retinopathy 
B) neuropathy 
C) peripheral vascular disease 
D) nephropathy 
A) retinopathy 
B) neuropathy 
C) peripheral vascular disease 
D) nephropathy

Question 13

Treatment for reactive hypoglycemia includes all of the following except:

Accepted Answer

A) drug therapy using anticholinergic agents. 
B) increasing simple carbohydrates in the diet. 
C) limiting caffeine intake. 
D) eating small, frequent meals. 
A) drug therapy using anticholinergic agents. 
B) increasing simple carbohydrates in the diet. 
C) limiting caffeine intake. 
D) eating small, frequent meals.

Question 14

What situation might cause hypoglycemia in a diabetic client?

Accepted Answer

A) avoiding alcohol 
B) skipping a meal 
C) taking too little insulin 
D) decreased amounts of physical activity 
A) avoiding alcohol 
B) skipping a meal 
C) taking too little insulin 
D) decreased amounts of physical activity

Question 15

Most cases of hyporesponsiveness in endocrine disorders are caused by:

Accepted Answer

A) lack or deficiency of hormone receptors on the target cells. 
B) lack or deficiency of hormones. 
C) lack or deficiency of cofactors or coenzymes. 
D) excess production of hormones. 
A) lack or deficiency of hormone receptors on the target cells. 
B) lack or deficiency of hormones. 
C) lack or deficiency of cofactors or coenzymes. 
D) excess production of hormones.

Question 16

When is the peak time for insulin glargine?

Accepted Answer

A) 2 hours after the injection 
B) there is no peak 
C) before the third meal of the day (dinner) 
D) at bedtime 
A) 2 hours after the injection 
B) there is no peak 
C) before the third meal of the day (dinner) 
D) at bedtime

Question 17

People with type 1 diabetes mellitus need insulin because they:

Accepted Answer

A) have become insulin resistant. 
B) have developed hyperinsulinemia. 
C) no longer synthesize insulin. 
D) digest insulin with GI enzymes. 
A) have become insulin resistant. 
B) have developed hyperinsulinemia. 
C) no longer synthesize insulin. 
D) digest insulin with GI enzymes.

Question 18

Current recommendations for the use of sucrose and other refined sugars in diabetics are that they are

Accepted Answer

A) never allowed. 
B) acceptable for all patients. 
C) more restricted than in the general population. 
D) not part of individualized carbohydrate goals. 
A) never allowed. 
B) acceptable for all patients. 
C) more restricted than in the general population. 
D) not part of individualized carbohydrate goals.

Question 19

All of the following foods have a profound positive effect on serum glucose except:

Accepted Answer

A) resistant starch. 
B) pectin. 
C) gums. 
D) corn starch. 
A) resistant starch. 
B) pectin. 
C) gums. 
D) corn starch.

Question 20

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

Exam 17: Diseases of the Endocrine System

Macrovascular complications include which of the following?

Mr M is a 45-year-old man He has type 2 DM that is controlled by diet alone He is 5'9" and weighs 210 lbs Which of the following will help to improve insulin resistance?

Insulin promotes the conversion of _____ into _____ in the liver

Complications associated with gestational diabetes mellitus (GDM) include:

The most common cause of hyperthyroidism is:

Which of the following is not a parameter used to diagnose DM?

Urine testing glucose was used routinely in the past The greatest limitation for this test is that glucose is not in the urine until the serum glucose is greater than _____ mg/dL

You have a patient who reports loss of hair, weight gain, lack of energy, and intolerance to cold In addition, the patient's labs show low levels of T4 This patient is most likely exhibiting symptoms of which of the following?

All of the following are basic types of insulin administration regimens except:

T2DM is an often undiagnosed symptom of:

Which of the following is dependent on insulin for transportation of glucose?

Which of these would lead to blurred vision?

Treatment for reactive hypoglycemia includes all of the following except:

What situation might cause hypoglycemia in a diabetic client?

Most cases of hyporesponsiveness in endocrine disorders are caused by:

When is the peak time for insulin glargine?

People with type 1 diabetes mellitus need insulin because they:

Current recommendations for the use of sucrose and other refined sugars in diabetics are that they are

All of the following foods have a profound positive effect on serum glucose except:

Glucagon promotes the degradation of _____ to _____

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

Insulin promotes the conversion of _ into _ in the liver

Glucagon promotes the degradation of _ to _