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(3) Pharmacology > S3_L1: Drugs for Diabetes Mellitus > Flashcards

S3_L1: Drugs for Diabetes Mellitus Flashcards

1
Q

The following are nonpharmacological management for DM, EXCEPT:

A. Weight loss
B. Diet
C. Exercise
D. All of the above
E. None of the above

A

E. None of the above

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2
Q

What is the normal range for fasting blood sugar?

A

70-99 mg/dL

This must always be below 100 mg/dL

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3
Q

Identify: A glycated hemoglobin test for the average sugar within the past 3 months

A

HbA1c

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4
Q

TRUE OR FALSE: Insulin is released from alpha cells of the pancreas. Glucagon is released from beta cells of the islets of Langerhans of the pancreas.

A. Both statements are false
B. Both statements are true
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

A. Both statements are false

The cells are interchanged.
Insulin - beta
Glucagon - alpha

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5
Q

TRUE OR FALSE: A low glucose in the blood leads to low blood sugar

A

True

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6
Q

TRUE OR FALSE: Sugar binds to hemoglobin. In doing so, it becomes a glycated hemoglobin

A. Both statements are false
B. Both statements are true
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

B. Both statements are true

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7
Q

TRUE OR FALSE: Alcohol has an additive effect on blood sugar wherein it leads to hyperglycemia

A

False
additive effect leads to hypoglycemia

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8
Q

TRUE OR FALSE: DM leads to increase in risk for cataracts

A

True

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9
Q

TRUE OR FALSE: How many mg/deciliter is considered as diabetic in checking for FBS?

A

126mg/deciliter or higher

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10
Q

The following statements are true, EXCEPT:

A. DM leads to increase in risk for heart disease
B. DM leads to increase in risk for diabetic nephropathy
C. DM leads to increase in risk for retinopathy
D. DM leads to increase in risk for Htn
E. all of the above
F. none of the above

A

F. none of the above

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11
Q

TRUE OR FALSE: Too much sugar in the brain causes abnormalities. Too little sugar in the brain causes abnormalities

A. Both statements are false
B. Both statements are true
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

B. Both statements are true

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12
Q

What is the action/s taken when a pt presents with insulin allergy?

A

options:
1. change to another brand/mode
3. treat allergy first
4. treat allergy and DM side by side

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13
Q

This happens due to chronic use of injecting insulin and the body does not respond anymore.

A

Insulin resistance

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14
Q

What is the action taken when a pt presents with insulin resistance?

A

change to another brand/mode

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15
Q

What is the effect of DM in the nerves?

A

it results in tingling and numbness (glove & stocking)

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16
Q

What is the effect of DM with gait?

A

Impaired balance d/t sensory problems (loss of proprioception), which may lead to falls and foot
problems

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17
Q

onset: 90-150 mins

A. rapid acting insulin
B. intermediate acting insulin
C. long acting insulin

A

B. intermediate acting insulin

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18
Q

115 mg/dL blood sugar level

A. normal
B. prediabetic
C. diabetic

A

B. prediabetic

range: 100-125 mg/dL

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19
Q
  1. Short hx, very acute onset
  2. First detected in pregnancy
  3. Has a rare occurence

A. Type 1 diabetes
B. Type 2 diabetes
C. Gestational diabetes
D. both a & b
E. both b & c

A
  1. A
  2. C
  3. A
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20
Q
  1. Genetic predisposition is often random
  2. Often overweight
  3. Seen through routine testing

A. Type 1 diabetes
B. Type 2 diabetes
C. Gestational diabetes
D. both a & b
E. both b & c

A
  1. A
  2. E
  3. C
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21
Q

TRUE OR FALSE: Gestational Dm has a family hx of T2DM

A

True

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22
Q
  1. Usually present in the young
  2. Insulin deficiency
  3. Insulin resistance

A. Type 1 diabetes
B. Type 2 diabetes
C. Gestational diabetes
D. both a & b
E. both b & c

A
  1. A
  2. A
  3. E

Note: gestational diabetes is secondary to placental hormones

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23
Q
  1. Insulin dependent
  2. Insulin requiring
  3. Usually seen in older generations

A. Type 1 diabetes
B. Type 2 diabetes
C. Gestational diabetes
D. both a & b
E. both b & c

A
  1. A
  2. B
  3. B
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24
Q
  1. Insidious/chronic/ lingering/long onset
  2. Mx includes oral hypoglycemic
  3. Mx includes diet and lifestyle change

A. Type 1 diabetes
B. Type 2 diabetes
C. Gestational diabetes
D. both a & b
E. both b & c

A
  1. B
  2. B
  3. E
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25
Q

TRUE OR FALSE: Pts with type 1 DM are usually overweight

A

False

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26
Q

This describes a rebound high blood glucose level in response to low blood glucose

A

Somogyi phenomenon

NOTE: This is also known as post-hypoglycemic hyperglycemia or chronic Somogyi rebound

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27
Q

TRUE OR FALSE: Nowadays, gestational DM is becoming more common

A

True

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28
Q

This is known as decreased blood sugar levels whose effects may be seen on the brain and on
the nervous system

A

hypoglycemia

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29
Q

This is known as damage to the lipid subcutaneous tissue at the injection site

A

Lipodystrophy

Note: legs & buttocks are usually affected since they are common sites for injections

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30
Q

What are the 3 possible mechanism of actions of oral hypoglycemic agents

A
  1. potentiate insulin release
  2. decrease insulin resistance
  3. decrease glucose absorption
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31
Q

Effect of thiazides
A. hypoglycemia
B. hyperglycemia

A

B. hyperglycemia

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32
Q

Effect of beta-blockers
A. hypoglycemia
B. hyperglycemia

A

B. hyperglycemia

33
Q

Insulin also stores glucose in the form of (1)_____ in the (2)_____.

A
  1. glycogen
  2. liver
34
Q

Enumerate the triad of symptoms for diabetes.

A
  1. polyuria
  2. polydipsia
  3. polyphagia
35
Q
  1. excessive urination
  2. excessive hunger
  3. excessive thirst

A. polyuria
B. polydipsia
C. polyphagia

A
  1. A
  2. C
  3. B
36
Q
  1. occurs due to the compensations of the kidney
  2. comes secondarily to excessive urination

A. polyuria
B. polydipsia
C. polyphagia

A
  1. A
  2. B & C
37
Q

When testing for FBS or HbA1c, how many hours does an individual have to fast or have NPO?

A

6 hours

38
Q

TRUE OR FALSE: Repeated samples of FBS is needed to confirm diabetes

A

True

39
Q

The following are mode of administration for insulin, EXCEPT:

A. oral
B. subcutaneous
C. intramusular
D. intravenous
E. none

A

A. oral

NOTE: insulin is only avaible through injections. It is not available per oral since it is a protein. When you take it by mouth, it will only be digested.

40
Q

The effects of hypoglycemia are seen in which parts or structures of the body?

A

brain and nervous system

41
Q

Low blood sugar promotes release of what?

A

glucagon

42
Q

Glucagon is converted into what to raise blood sugar levels?

A

Glucose

43
Q

TRUE OR FALSE: Eating carbohydrates elevates the blood sugar level

A

True

44
Q

Effect of salicylates
A. hypoglycemia
B. hyperglycemia

A

A. hypoglycemia

45
Q

The following is true of the complications of diabetes, EXCEPT:

A. diabetes is a risk factor for stroke
B. diabetes is a risk factor MI
C. diabetes causes chest pain d/t coronary artery affectation
D. diabetes is a causes peripheral neuropathy

A

C. diabetes causes chest pain d/t coronary artery affectation

In DM pts, they do not manifest chest pain & straight to heart attack d/t peripheral neuropathy

46
Q

Oral hypoglycemic agents is used for what type of DM?

A

Type 2

47
Q

TRUE OR FALSE: Type I diabetes runs in the family

A

False

This is a characteristic of type II. DM

48
Q

What’s the word for the sugar that can be found in your blood after eating something?

A

Glucose

49
Q

Why does the body need glucose?

A

to have a source of energy

50
Q

What’s the name of the hormone that works as a key to let glucose into muscle cells?

A

Insulin

51
Q

What is the effect of exercise on blood glucose level?

A

decreases blood glucose level

52
Q

What’s a clear symptom of low blood glucose?

A

Shakiness

53
Q

The client with insulin-dependent diabetes mellitus (IDDM) has been brought to the emergency room. What should the nurse watch for if blood pH is 7.28?

A. Lactic acidosis
B. Ketoacidosis
C. Metabolic alkalosis
D. Respiratory Acidosis

A

B. Keto acidosis

Ketoacidosis is characterized by low blood pH. Type 1 diabetic clients are prone to ketoacidosis.

54
Q

Which of the following laboratory test best indicate compliance of the diabetic client and insulin therapy?

A. 2-hour postprandial blood glucose
B. Fasting blood glucose
C. Glycosylated hemoglobin (HbA1c)
D. Oral glucose tolerance test

A

C - Glycosylated hemoglobin (HbA1c) is the best indicator of diabetic control. If reflects blood glucose level for the past 3 months

55
Q

The client has been diagnosed to have IDDM. The following is indicated for the patient, EXCEPT:

A. Propranolol
B. Insulin injection
C. Acetaminophen
D. Diltiazem

A

A - Propranolol, a beta-adrenergic blocker causes hyperglycemia. It is contraindicated among diabetes clients.

56
Q

duration: 24 hours

A. rapid acting insulin
B. intermediate acting insulin
C. long acting insulin

A

B. intermediate acting insulin

57
Q

duration: 36 hours

A. rapid acting insulin
B. intermediate acting insulin
C. long acting insulin

A

C. long acting insulin

58
Q

onset: 30-90 mins

A. rapid acting insulin
B. intermediate acting insulin
C. long acting insulin

A

A. rapid acting insulin

59
Q

duration: 6-16 hours

A. rapid acting insulin
B. intermediate acting insulin
C. long acting insulin

A

A. rapid acting insulin

60
Q

The following are adverse effects possibly seen in intake of oral hypoglycemic agents, EXCEPT:
A. nausea
B. vomiting
C. pruritis
D. hemolytic anemia
E. bone marrow aplasia
F. all of the above
G. none of the above

A

G. none of the above

61
Q

The following are symptoms seen in diabetic peripheral neuropathy, EXCEPT:
A. Painful cramps
B. Shooting pain
C. Burning pain
D. Tingling pain
E. None

A

E. None

62
Q

Choose the following that are symptoms seen in diabetic peripheral neuropathy.
A. Numbness
B. Weakness
C. Sensory Loss
D. Foot Deformities
E. Impaired Balance

A

A, C, D, E

63
Q

Choose the following that are symptoms seen in diabetic peripheral neuropathy.
A. Fatigue
B. Hot sensitivity
C. Cold sensitivity
D. Dizziness
E. Confusion

A

B & C

64
Q

The following are adverse effects possibly seen in intake of oral hypoglycemic agents
A. rashes
B. low blood sugar
C. high blood sugar
D. fatigue
E. drowsiness

A

A & B only

65
Q

metformin mechanism of action

A. potentiate insulin release
B. decrease insulin resistance
C. decrease glucose absorption

A

B. decrease insulin resistance

66
Q
  1. 5.5% HbA1c result
  2. 6.3 HbA1c result

A. normal
B. prediabetic
C. diabetic

A
  1. A
  2. B

○ Normal: Less than 5.7%
○ Pre-diabetes: 5.7% to 6.4%

67
Q
  1. 6.5% HbA1c result
  2. 7.2% HbA1c result

A. normal
B. prediabetic
C. diabetic

A

both C. diabetic

○ Diabetes: 6.5% or higher

68
Q

TRUE OR FALSE: prediabetic patients needs to be monitored of their blood sugar level

A

True

69
Q
  1. Pancreas are not producing insulin
  2. Insulin resistance
  3. Occur due to hormones reaching the placenta

A. Type 1 diabetes
B. Type 2 diabetes
C. Gestational diabetes

A
  1. A
  2. B
  3. C
70
Q
  1. Body is not using the insulin
  2. Affects size and length growth
  3. Leads to hormonal imbalance

A. Type 1 diabetes
B. Type 2 diabetes
C. Gestational diabetes

A
  1. B
  2. C
  3. C
71
Q

Happens d/t autoimmune disease or by genetics

A. Type 1 diabetes
B. Type 2 diabetes
C. Gestational diabetes
D. None

A

A. Type 1 diabetes

72
Q

This is a microvascular effect of DM that leads to AKA or BKA

A

diabetic foot > poor wound healing

73
Q

TRUE OR FALSE: Prothesis and strengthening exercises may be used for pts c diabetic foot

A

True

74
Q
  1. tremors
  2. convulsions
  3. abnormal behavior
  4. confusion

A. immediate/ acute effect of moderately low hypoglycemia
B. effect of severely low hypoglycemia

A
  1. A
    2-4. B
75
Q
  1. sweating
  2. nervousness
  3. palpitations
  4. loss of consciousness

A. immediate/ acute effect of moderately low hypoglycemia
B. effect of severely low hypoglycemia

A

All A except #4

76
Q

TRUE OR FALSE: Insulin may be taken orally and as an injectable

A

False

Insulin is ONLY available through injections

77
Q

TRUE OR FALSE: The brain is highly dependent on sugar

A

True

78
Q

TRUE OR FALSE: The brain is capable of producing sugar

A

False

79
Q

TRUE OR FALSE: The brain has a high rate of metabolism for glucose

A

True

(3) Pharmacology (12 decks)

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