2.1.5 Carbohydrates (Tests for Monitoring Glycemic Control)

Question 1

Most commonly analyzed using POCT devices at home or at the patient’s bedside

a. Whole blood Glucose
b. Glycated hemoglobin (HbA1c)
c. Fructosamine

Answer 1

a

Question 2

In whole blood glucose, _______ times daily for type 1 DM patients according to ADA guidelines for analyzing using POCT

Answer 2

3-4

Question 3

In whole Blood Glucose, it is about ____________ than plasma glucose level

a. 5-10% LOWER
b. 5-10% HIGHER
c. 10-15% Higher
d. 10-15% LOWER

Answer 3

d. 10-15% LOWER

Question 4

In whole Blood Glucose,

The ADA glycemic goals is consist of

Pre prandial (Before meal)
- _____________ mg/dl

POst prandial (After meal)
- _____________ mg/dl

Answer 4

70 -130

180

Question 5

Glycated hemoglobin:

Hb A with Glucose is IRREVERSIBLY attached to one or both N terminal valines of the Alpha chains

T or F

Answer 5

F

Not alpha, - Beta

Question 6

Consideration for glycated Hemoglobin

• the average plasma glucose level
• LIFE SPAN of RBC (120 days / 4months)

T or F

Answer 6

T

Question 7

Glycated hemoglobin provides an index average blood glucose levels over the past _______ months

a. 4 months
b. 2-3 months
c. 3-4 months
d. 120 days

Answer 7

b

Question 8

Glycated hemoglobin is unreliable in patient with ?

a. Bacterial infection
b. Hemolytic disorders
c. Leukopenia
d. Cancer

Answer 8

b

Question 9

Glycated hemoglobin ADA glycemic goal is?

a. < 7%
b. > 6.5%
c. > 12%
d. 5.6 - 6.4%

Answer 9

a

USE for Monitoring

> 6.5 is for Screening

Question 10

Poor control for Hb 1ac

a. < 7%
b. > 6.5%
c. > 12%
d. 5.6 - 6.4%

Answer 10

c

Question 11

Substitute monitoring if the patient has DM, or Hemoglobinopathy

a. WHole Blood Glucose
b. Hb A1c
c. Fructosamine

Answer 11

c

Question 12

Fructosamine is known as glycosylated albumin

T or G

Answer 12

T

Question 13

Half life of albumin?

Answer 13

17 days

Question 14

Fructosamine is used to assess glycemic control over the pass _______ weeks in case when HbA1c is unreliable

Answer 14

2-3

Question 15

Fructosamine has advantage of using what specimen?

Answer 15

Serum

Question 16

Fructosamine is unreliable when serum albumin level is?

a. < or equal to 3 g/dL
b. < or equal to 5 g/dL
c. < or equal to 1 g/dL
d. < or equal to 2 g/dL

Answer 16

a

Also known as hypoalbuminemia

Question 17

What is the reference value for Fructosamine?

a. 205 - 285 umol/L
b. 205 - 285 ug/dL
c. 200 - 280 umol/L
d. 200 - 280 ug/dL

Answer 17

a