Exam 2 - 2nd Semester Flashcards Preview

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Flashcards in Exam 2 - 2nd Semester Deck (17)
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1

Which of the following best explains why Diabetic Ketoacidosis is not usually associated with Type-2 Diabetes Mellitus (DM)?

A. Because glucose levels in Type-2 DM usually do not drop low enough to increase lipid breakdown
B. Because insulin levels in Type-2 DM are usually high enough to inhibit lipid breakdown
C. Because Glucagon levels in Type-2 DM are usually not high enough to allow lipid breakdown
D. all of the above

B. Because insulin levels in Type-2 DM are usually high enough to inhibit lipid breakdown

2

Diabetic ketoacidosis is an acute complication of an absolute insulin deficiency. The severity of ketoacidosis is increased by:

A.Elevated glucagon
B.Trauma
C.Infection
D.All of the above

D.All of the above

3

Early signs and symptoms of hypoglycemia.

A.Include confusion and a change in mental status
B.Are caused by stimulation of the parasympathetic nervous system
C.Include tachycardia and the sensation of feeling "shaky"
D.become more intense over time the more frequently a person experiences episodes hypoglycemia.

C.Include tachycardia and the sensation of feeling "shaky"

4

Which of the following is an example of a possible chronic complication Diabetes Mellitus?

A.Renal Failure
B.Blindness
C.Lower limb amputations
D.All of the above

D.All of the above

5

A patient with a history of type 2 diabetes visits her primary care provider complaining of frequent episodes of dizziness when she sits up from bed or stands up after sitting for some time. She also described an episode of syncope (fainting) when she got up out of bed use the toilet 2 nights ago. What is this patient likely suffering from?

A.Diabetic nephropathy
B.Diabetic retinopathy
C.Diabetic autonomic neuropathy
D.Diabetis sensory neuropathy

C.Diabetic autonomic neuropathy

6

The defecation reflex is triggered by which of the following events?

A. Distension of the rectum
B. Relaxation of the internal anal sphincter
C. Relaxation of the external anal sphincter
D. Distension of the descending colon

A.Distension of the rectum

7

Water is absorbed via ____________ in the large intestine.

A.Active transport
B.Facilitated diffusion
C.Osmosis
D.All of the above

C.Osmosis

8

The most common form of peptic ulcers are:

A.Gastric ulcers
B.Doudenal Ulcers
C.Lower esophageal Ulcers
D.None of the above

B.Doudenal Ulcers

9

Signs of a bile salt deficiency include:

A.weight loss and steatorrhea
B.weight gain and irritability
C.clay colored stool and fat soluble vitamin deficiency
D.frequent infections and poor wound healing

C.clay colored stool and fat soluble vitamin deficiency

10

Patients with pancreatic insufficiency will have the greatest difficulty digesting:

A.Carbohydrates
B.Protein
C.Fats

C. Fats

11

The vast majority of peptic ulcer cases involve which of the following risk factors?

A.Smoking
B.Habitual alcohol use
C.psychological stress
D.H. Pylori infection

D.H. Pylori infection

12

Signs of pancreatic insufficiency include:

A.weight gain and irritability
B.weight loss and steatorrhea
C.frequent infections and poor wound healing
D.none of the above

B.weight loss and steatorrhea

13

Stress ulcers are caused by:

A.High psychological stress
B.An excess number of parietal cells and hypermotility of the stomach
C.Reduced GI perfusion associated with a stress response
D.Excess gastric acid secretion caused by anti-cholinergic drugs

C.Reduced GI perfusion associated with a stress response

14

How soon after eating will pain return in someone with a gastric ulcer?

A.immediately
B.after approximately 30 minutes
C.after approximately 1 hour
D.after approximately 2 hours

B.after approximately 30 minutes

15

Habitual use of which of the following drugs can increase the risk of peptic ulcers?

A.Acetaminophen
B.Ibuprofen
C.Histamine Blockers
D.Opioids

B.Ibuprofen

16

How soon after eating will pain relief occur in someone with a gastric ulcer?

A.immediately
B.after approximately 30 minutes
C.after approximately 1 hour
D.after approximately 2 hours

A.immediately

17

Chronic conditions such as Emphysema and Rheumatoid arthritis are associated with an increased risk for peptic ulcers due to:

A.Chronic inflammation associated with these diseases
B.Habitual opioid use associated with these diseases
C.The use of broad spectrum antibiotics to treat these diseases
D.All of the above

A.Chronic inflammation associated with these diseases