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What is the cause of diabetic ketoacidosis?


A) excess insulin in the body
B) loss of glucose in the urine
C) failure of the kidney to excrete sufficient acids
D) increased catabolism of fats and proteins

E) C) and D)
F) A) and C)

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Early signs of hyperglycemia include polyphagia,which means :


A) thirst
B) increased urine output
C) hunger
D) glucose in the urine

E) C) and D)
F) B) and C)

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Which of the following may cause high serum levels of parathyroid hormone?


A) hypoparathyroidism
B) chronic renal failure
C) hypercalcemia
D) adenoma in the thyroid gland

E) None of the above
F) All of the above

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Which of the following hormonal imbalances causes diabetes insipidus?


A) increased insulin
B) decreased glucocorticoids
C) deficit of ADH
D) deficit of T3 and T4

E) C) and D)
F) All of the above

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What is/are the effect(s) of thyrotoxic crisis?


A) hyperthermia and heart failure
B) hypotension and hypoglycemia
C) toxic goiter and hypometabolism
D) decreased stress response

E) None of the above
F) A) and B)

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Which one of the following develops hypoglycemia more frequently?


A) Type I diabetics
B) Type II diabetics
C) patients with a poor stress response
D) those with a regular exercise and meal plan

E) B) and D)
F) B) and C)

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Which of the following is an effect of Addison's disease?


A) elevated blood glucose levels
B) high blood pressure
C) low serum potassium levels
D) poor stress response

E) C) and D)
F) A) and C)

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Differences between Type I and Type II diabetes include:


A) Type 1 diabetes weight gain is common,and Type II weight loss often occurs
B) Type 1 diabetes leads to fewer complications than Type II diabetes
C) Type 1 diabetes may be controlled by adjusting dietary intake and exercise,but Type II diabetes requires insulin replacement
D) Type 1 diabetes occurs more frequently in children and adolescents,and Type II diabetes occurs more often in adults
E) None of the above are correct.

F) A) and D)
G) A) and E)

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Which of the following hormonal imbalances causes myxedema?


A) increased glucocorticoids
B) decreased glucocorticoids
C) deficit of ADH
D) deficit of T3 and T4

E) A) and B)
F) A) and C)

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Which of the following is recommended for immediate treatment of hypoglycemic shock? 1) if conscious,immediately give sweet fruit juice,honey,candy,or sugar 2) if unconscious,give nothing by mouth (require intravenous glucose 50%) 3) treat immediately with insulin 4) give large quantity of clear fluids for shock


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

E) C) and D)
F) B) and D)

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Visual impairment may develop in diabetics,primarily because of:


A) abnormal metabolism in the lens
B) macroangiopathy
C) neuropathy affecting cranial nerves
D) development of exophthalmos

E) B) and D)
F) B) and C)

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Dwarfism is caused by:


A) excessive levels of somatotropin (GH)
B) a deficit of somatotropin (GH)
C) excessive levels of insulin
D) excessive levels of parathyroid hormone

E) A) and C)
F) C) and D)

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How do the different types of available insulin vary? 1) time until onset of action 2) time until peak effect 3) duration of effect 4) source of insulin


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

E) B) and C)
F) C) and D)

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Which of the following does NOT usually develop as a complication of diabetes?


A) osteoporosis
B) nephropathy
C) impotence
D) peripheral neuropathy

E) B) and C)
F) A) and D)

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Which of the following may cause insulin shock to develop?


A) recurrent vomiting
B) missing an insulin dose
C) eating excessively large meals
D) sedentary lifestyle

E) A) and B)
F) None of the above

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Which characteristic of hyperosmolar hyperglycemic nonketotic coma (HHNK) differentiates it from diabetic ketoacidosis?


A) Dehydration is less severe.
B) Ketonuria is not present.
C) It only develops in Type 1 diabetes mellitus.
D) CNS depression develops.

E) A) and B)
F) C) and D)

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Which of the following indicates compensated acidosis in the diabetic?


A) increased serum bicarbonate
B) serum pH of 7.35
C) increased serum carbonic acid
D) urine pH 8.0

E) B) and C)
F) A) and C)

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What is the recommended treatment for insulin shock if the patient remains conscious?


A) administration of insulin
B) administration of intravenous glucose
C) administration of epinephrine
D) oral administration of concentrated glucose

E) B) and C)
F) A) and D)

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Which of the following is a major function of the hormone norepinephrine?


A) inhibition of an excessive stress response
B) visceral and cutaneous vasoconstriction
C) increased force of heart contraction
D) vasodilation in skeletal muscle

E) A) and B)
F) B) and C)

Correct Answer

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How do many oral hypoglycemic drugs act?


A) to replace insulin in patients with IDDM
B) to transport glucose into body cells
C) to prevent gluconeogenesis
D) to stimulate the pancreas to produce more insulin

E) None of the above
F) All of the above

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