Score for this quiz:65out of 75
Submitted Nov 16 at 9:05pm
This attempt took 46 minutes.
Question 1
2.5/ 2.5pts
Which of the following was NOT found to be associated with development of
diabetic retinopathy in a study involving diabetic Indian patients? (Chawla et
al.)
HbA1c
Body mass index
High non-LDL cholesterol
Microalbuminuria
Question 2
2.5/ 2.5pts
Which of the following statements is true regarding microvascular
complications of diabetes? (Chawla et al.)
Alteration of microvascular function begins after overt hyperglycemia
Diabetes causes a thinning of the capillary basement membrane in the retina
Thickening of the capillary basement membrane is related to normal vessel
function
Microvascular alterations lead to hypertension, delayed wound healing, and
tissue hypoxia
Question 3
2.5/ 2.5pts
Evidence suggests that the heart is negatively affected by both
macrovascular and microvascular complications of diabetes. (Chawla et al.)
True
False
I Question 4
0/ 2.5pts
Which microvascular complication is life-threatening and affects peripheral
and autonomic nerves? (Chawla et al.)
Diabetic retinopathy
Diabetic nephropathy
Diabetic neuropathy
Diabetic cardiopathy
Question 5
2.5/ 2.5pts
Microvessels and macrovessels share the same architecture and cell type
and only differ in size. (Chawla et al.)
True
False
Question 6
2.5/ 2.5pts
The risk of development of diabetic neuropathy is directly proportional to
both the duration and magnitude of hyperglycemia. (Chawla et al.)
True
False
Question 7
2.5/ 2.5pts
What is the major clinical indication of long-standing diabetes? (Inzucchi et
al.)
Exponentially increasing HbA1c levels
Diminished insulin secretory capacity
Inability to achieve glucose homeostasis despite aggressive therapy
Stage 4 kidney disease
Question 8
2.5/ 2.5pts
The SGLT2 inhibitors are approved for monotherapy but are mainly used in
combination with metformin and/or other agents. (Inzucchi et al.)
True
False
Question 9
2.5/ 2.5pts
What of the following describes appropriate glycemic control measures?
(Inzucchi et al.)
One-size-fits-all approach
Aggressive glycemic control in older patients with advanced disease
Balancing the benefits of glycemic control with its potential risks
Using glucose-lowering medications to induce hypoglycemia
Question 10
2.5/ 2.5pts
Which drug is still considered the optimal drug for monotherapy in diabetic
patients? (Inzucchi et al.)
Alogliptin
Saxagliptin
Metformin
Pioglitazone
Question 11
2.5/ 2.5pts
What should be the major focus of managing patients with type 2 diabetes?
(Inzucchi et al.)
Weight reduction
Increased physical activity
Pharmaceutical intervention
Glucose control
Question 12
2.5/ 2.5pts
Inability to achieve glycemic targets with an increasingly convoluted regimen
should prompt a pragmatic reassessment of the HbA1c target or, in the very
obese, consideration of nonpharmacological interventions, such as bariatric
surgery. (Inzucchi et al.)
True
False
Question 13
2.5/ 2.5pts
The success of dietary management of type 2 diabetes requires that the
health professionals should have an orientation about the cultural beliefs,
thoughts, family, and communal networks of the patients. (Sami et al.)
True
False
Question 14
2.5/ 2.5pts
In what ways is attitude toward food important in diabetes management?
(Sami et al.)
A positive dietary attitude can increase treatment compliance
Binge eating disorder is correlated with obesity, which can lead to type 2
diabetes
Psychological distress over weight gain in diabetes can lead to eating
disorders
All of the above
Question 15
2.5/ 2.5pts
What increasingly common dietary practice increases risk of weight gain and
metabolic disease? (Sami et al.)
Skipping breakfast
Avoiding snacks between meals
Alternate day fasting
Eating a late dinner
Question 16
2.5/ 2.5pts
Lack of access to insulin and insulin injection omissions are major causes of
_____. (Chiang et al.)
Retinopathy
Neuropathy
Diabetic ketoacidosis
Cerebrovascular disease
Question 17
2.5/ 2.5pts
The severity and duration of hyperglycemia exposure are directly related to
the risk of development and progression of microvascular complications in
both adults and adolescents with type 1 diabetes. (Chiang et al.)
True
False
I Question 18
0/ 2.5pts
Stage 3 Type 1 diabetes is characterized by: (Chiang et al.)
Hyperglycemia
Glucosuria
Ketonemia
Ketonuria
All of the above
Question 19
2.5/ 2.5pts
Classic symptoms of type 1 diabetes include: (Chiang et al.)
Polyuria
Polydipsia
Weight loss
Blurred vision
All of the above
Question 20
2.5/ 2.5pts
For type 1 diabetic children whose fasting lipid profile is abnormal, what is
the recommended medical nutrition therapy? (Chiang et al.)
Optimized glucose control
Saturated fat restricted to 7% of total calories
Dietary cholesterol restricted to 200 mg/day
All of the above
I Question 21
0/ 2.5pts
What is the most common autoimmune disease associated with diabetes?
(Chiang et al.)
Celiac disease
Psoriasis
Thyroid disease
Addison disease
Question 22
2.5/ 2.5pts
How many times per day should blood glucose be monitored in children and
adolescents with Type 1 diabetes? (Chiang et al.)
1-3 times per day
3-6 times per day
6-10 times per day
10-20 times per day
Question 23
2.5/ 2.5pts
Which of the following is a recommended component of nutrition therapy for
pediatric patients with Type 1 diabetes? (Chiang et al.)
Individualized medical nutrition therapy
Monitoring carbohydrate intake
Comprehensive nutrition education at diagnosis with annual updates by an
RD
All of the above
Question 24
2.5/ 2.5pts
According to Table 4, which type of diabetes has a 60-90% likelihood of the
patient having an affected relative? (Chiang et al.)
Type 1 diabetes
Type 2 diabetes
Maturity-onset diabetes
Atypical diabetes
Question 25
2.5/ 2.5pts
In what way does the pediatric population experience macrovascular
complications of type 1 diabetes? (Chiang et al.)
CVD events occur frequently in diabetic children
Subclinical CVD abnormalities occur within the first decade of diagnosis
Peripheral vascular disease is a leading cause of death in type 1 diabetic
children
Less than 14% of children with type 1 diabetes have 2 or more CVD risk
factors
Question 26
2.5/ 2.5pts
Which of the following is a potential challenge of managing type 1 diabetes
in adolescents? (Chiang et al.)
Disrupted communication between family members, youth, and providers
Minimized diabetes care measures in order to “fit in” in school settings
Resistance in accepting support
All of the above
Question 27
2.5/ 2.5pts
Which of the following statements is NOT true regarding pediatric nutrition
management for Type 1 diabetes? (Chiang et al.)
Healthful eating within the context of family meals is encouraged
A strict macronutrient distribution is advised
Carbohydrate intake should emphasize higher fiber and lower glycemic load
Saturated fats should be limited
I Question 28
0/ 2.5pts
Microvascular complications of type 1 diabetes including retinopathy,
nephropathy, and neuropathy are common in prepubertal children who have
had diabetes for 1-2 years. (Chiang et al.)
True
False
Question 29
2.5/ 2.5pts
Which drug is the only insulin sensitizer approved for use in the pediatric age
range? (Chiang et al.)
Alogliptin
Pramlintide
Metformin
Pioglitazone
Question 30
2.5/ 2.5pts
Although exercise is encouraged for Type 1 diabetic patients, intense activity
should be postponed if glucose levels are _____ and urine ketones are
present. (Chiang et al.)
>150 mg/dL
>200 mg/dL
>300 mg/dL
>350 mg/dL
