Question 1

Which of the following would lead to protein in the urine?

Accepted Answer

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

Question 2

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 3

The patient who can be a candidate for oral hypoglycemic agents is one with

Accepted Answer

A) functioning alpha cells in the pancreas. 
B) functioning beta cells in the pancreas. 
C) functioning chromaffin tissue in the liver. 
D) resistance to insulin in all tissue. 
A) functioning alpha cells in the pancreas. 
B) functioning beta cells in the pancreas. 
C) functioning chromaffin tissue in the liver. 
D) resistance to insulin in all tissue.

Question 4

Which of the following is a valid test to measure the degree of hyperglycemia for the period beginning more than 1 month prior to the test?

Accepted Answer

A) fructosamine test 
B) hemoglobin A1c test 
C) urine test 
D) ketone test 
A) fructosamine test 
B) hemoglobin A1c test 
C) urine test 
D) ketone test

Question 5

Which of the following statements is true?

Accepted Answer

A) Insulin is an anabolic hormone. 
B) Insulin stimulates lipolysis. 
C) Insulin is not necessary for protein metabolism. 
D) Insulin stimulates gluconeogenesis. 
A) Insulin is an anabolic hormone. 
B) Insulin stimulates lipolysis. 
C) Insulin is not necessary for protein metabolism. 
D) Insulin stimulates gluconeogenesis.

Question 6

All of the following hormones are responsible for stimulating lipolysis except:

Accepted Answer

A) glucagon. 
B) insulin. 
C) growth hormone. 
D) cortisol. 
A) glucagon. 
B) insulin. 
C) growth hormone. 
D) cortisol.

Question 7

The typical nutrition prescription for a type 2 DM patient who needs approximately 2000 kcal/day would be:

Accepted Answer

A) 50% carbohydrate, 20% protein, and 30% fat. 
B) 50% fat, 20% protein, and 30% carbohydrate. 
C) 50% protein, 20% fat, and 30% carbohydrate. 
D) 50% carbohydrate, 20% fat, and 30% protein. 
E) 50% fat, 20% carbohydrate, and 30% protein. 
A) 50% carbohydrate, 20% protein, and 30% fat. 
B) 50% fat, 20% protein, and 30% carbohydrate. 
C) 50% protein, 20% fat, and 30% carbohydrate. 
D) 50% carbohydrate, 20% fat, and 30% protein. 
E) 50% fat, 20% carbohydrate, and 30% protein.

Question 8

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%
-The registered dietitian meets with FG and teaches her the exchange system for meal planning FG reports that she eats a turkey sandwich for lunch every day and two bananas How many starch exchanges does this amount to?

Accepted Answer

A) 3 
B) 4 
C) 2 
D) 5 
A) 3 
B) 4 
C) 2 
D) 5

Question 9

Risk factors for gestational DM include all of the following except:

Accepted Answer

A) family history. 
B) high sugar intake. 
C) maternal obesity. 
D) delivery of an infant weighing >9 lb. 
A) family history. 
B) high sugar intake. 
C) maternal obesity. 
D) delivery of an infant weighing >9 lb.

Question 10

One way that oral hypoglycemic agents help to lower blood glucose levels is by

Accepted Answer

A) augmenting beta-cell secretion of insulin. 
B) decreasing the insulin sensitivity of the receptor cell. 
C) increasing glucose formation from liver glycogen. 
D) decreasing the deamination of protein. 
A) augmenting beta-cell secretion of insulin. 
B) decreasing the insulin sensitivity of the receptor cell. 
C) increasing glucose formation from liver glycogen. 
D) decreasing the deamination of protein.

Question 11

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 range did the MD likely use to calculate JK's initial insulin regimen?

Accepted Answer

A) 0.3-0.5 units/kg 
B) 0.5-0.8 units/kg 
C) 0.8-1.1 units/kg 
D) 1.1-1.4 units/kg 
A) 0.3-0.5 units/kg 
B) 0.5-0.8 units/kg 
C) 0.8-1.1 units/kg 
D) 1.1-1.4 units/kg

Question 12

Which of the following statements is false in regards to HHS?

Accepted Answer

A) It is characterized by BG levels > 600 mg/dL. 
B) Infection and dehydration are most likely the precipitating factors. 
C) Symptoms include polyuria, polydipsia, and weight loss. 
D) This does not require hospitalization. 
A) It is characterized by BG levels > 600 mg/dL. 
B) Infection and dehydration are most likely the precipitating factors. 
C) Symptoms include polyuria, polydipsia, and weight loss. 
D) This does not require hospitalization.

Question 13

The diabetic patient should be told that the use of alcohol is

Accepted Answer

A) acceptable if body weight is normal. 
B) acceptable if consumed only once per day. 
C) acceptable if diabetes is well controlled and if food is consumed at the same time. 
D) never acceptable. 
A) acceptable if body weight is normal. 
B) acceptable if consumed only once per day. 
C) acceptable if diabetes is well controlled and if food is consumed at the same time. 
D) never acceptable.

Question 14

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 is the likely cause of her condition?

Accepted Answer

A) weight 
B) family history 
C) her hemoglobin A1C 
D) high intake of carbohydrates 
A) weight 
B) family history 
C) her hemoglobin A1C 
D) high intake of carbohydrates

Question 15

Match between columns
                        Premises: glycosuria
LADA
OGTT
dawn phenomenon
glycemic control
ketoacidosis
polyhydramnios
diabetes mellitus
autoantibodies
catecholamines
amylin
polydipsia
pre-diabetes mellitus
renal threshold
macrosomia
acanthrosis nigricans
serum osmolality
polyuria
fasting hypoglycemia
alpha-glucosidase

Accepted Answer

The Answer of excessive accumulation of amniotic fluid and diffuse, is...

Question 16

When working with T2DM patients, the aim of nutrition intervention should be to:

Accepted Answer

A) support and facilitate lifestyle and behavior modification. 
B) always obtain HbA1c periodically. 
C) focus on increasing fiber intake because it has positive effects on BG levels. 
D) encourage patients to use the exchange system. 
A) support and facilitate lifestyle and behavior modification. 
B) always obtain HbA1c periodically. 
C) focus on increasing fiber intake because it has positive effects on BG levels. 
D) encourage patients to use the exchange system.

Question 17

You have a T1DM patient who is non-compliant and does not regularly inject her prescribed insulin Your main concern is:

Accepted Answer

A) assessing the level of glucose in the blood. 
B) assessing the patient's dietary intake. 
C) reducing the risk of DKA. 
D) reducing long-term complications such as retinal damage. 
A) assessing the level of glucose in the blood. 
B) assessing the patient's dietary intake. 
C) reducing the risk of DKA. 
D) reducing long-term complications such as retinal damage.

Question 18

A target preprandial serum glucose for a non-pregnant diabetic should be _____

Accepted Answer

A) <180 mg/dL 
B) 70-130 mg/dL 
C) <7% 
D) 100-140 mg/dL 
A) <180 mg/dL 
B) 70-130 mg/dL 
C) <7% 
D) 100-140 mg/dL

Question 19

Microvascular complications of diabetes mellitus include which of the following?

Accepted Answer

A) retinopathy 
B) heart failure 
C) peripheral vascular disease 
D) premature birth 
A) retinopathy 
B) heart failure 
C) peripheral vascular disease 
D) premature birth

Exam 17: Diseases of the Endocrine System

Which of the following would lead to protein in the urine?

Insulin promotes the conversion of _____ into _____ in the liver

The patient who can be a candidate for oral hypoglycemic agents is one with

Which of the following is a valid test to measure the degree of hyperglycemia for the period beginning more than 1 month prior to the test?

Which of the following statements is true?

All of the following hormones are responsible for stimulating lipolysis except:

The typical nutrition prescription for a type 2 DM patient who needs approximately 2000 kcal/day would be:

Risk factors for gestational DM include all of the following except:

One way that oral hypoglycemic agents help to lower blood glucose levels is by

Which of the following statements is false in regards to HHS?

The diabetic patient should be told that the use of alcohol is

When working with T2DM patients, the aim of nutrition intervention should be to:

You have a T1DM patient who is non-compliant and does not regularly inject her prescribed insulin Your main concern is:

A target preprandial serum glucose for a non-pregnant diabetic should be _____

Microvascular complications of diabetes mellitus include which of the following?

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