Anesthesia Pharmacology Chapter 29: Diabetes Management and Background Practice Questions

Glycemic control is based upon:
1. Short-term measurements
2. Long-term measurements
3. Both
4. Neither
Automated, continuous glucose monitoring:
1. More commonly used in tracking "type II" diabetes compared to "type I" diabetes.
2. Allows for almost real-time blood glucose level tracking.
3. Both
4. Neither
Dapagliflozin is associated with:
1. Decrease risk of and-stage renal disease.
2. Reduced risk of death from renal and cardiovascular causes.
3. Beneficial and safe even in patients with eGFR As low as 25 ml/minute/1.73 m^ 2
4. Dapagliflozin is effective only in those patients with clinically documented diabetes.
5. A & B
6. B & C
7. A & C
8. A, B & C
9. All of the above: A, B, C & D
Type I diabetes:
1. Initial manifestation may be candidal vaginitis.
2. Ketonuriaand weight loss are uncommon at the time of diagnosis
3. Both
4. Neither
Associated with type II diabetes:
1. Obesity
2. Polyuria and polydipsia
3. HbA1c >6.5%
4. A & B
5. B & C
6. A, B & C
Diabetes mellitus:
1. In the United States, most individuals diagnosed with diabetes are likely to be classified as type I:
2. About 10% of individuals in the United States (about 34 million individuals) have diabetes mellitus.
3. Both
4. Neither
Diabetes Classifications:
1. Type I diabetes is thought to be due to pancreatic islet B-cell autoimmune-mediated cell loss.
2. N-type 1 diabetes, circulating insulin is almost completely absent and pancreatic B cells tend to fail to respond to insulogenic stimulation.
3. Both
4. Neither
"Family members of diabetic probands are at an increased lifetime risk for developing type 1 diabetes mellitus."
1. True
2. Paul's
In familial diabetes, the highest risk is for monozygotic twins (concordance is about 25-50%).
1. True
2. False
At least initially, some patients exhibiting mild type I diabetes have sufficient B-cell function to avoid ketosis; however, later in life insulin therapy dependence typically develops.
1. True
2. False