32. Diabetes Mellitus Quiz

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20 Questions

Which fasting blood glucose level is indicative of impaired glucose tolerance?

Less than 110 mg/dL (6.1 mmol/L) but greater than 100 mg/dL (5.5 mmol/L)

What is the concordance rate of type 1 diabetes in monozygotic twins?

40% to 50%

What is the main cause of insulin deficiency in type 1 diabetes?

Autoimmune destruction of the pancreatic β cells

Which type of diabetes is associated with autoimmune diseases?

Type 1 diabetes

Which type of diabetes accounts for the majority (>90%) of diabetic patients in Europe and North America?

Type 2 diabetes

Which type of diabetes is susceptible to ketoacidosis if insulin is withheld?

Type 1 diabetes

Which type of diabetes is associated with a 15% prevalence of other autoimmune diseases?

Type 1 diabetes

What is the major risk factor for diabetic patients undergoing surgery?

Cardiovascular dysfunction

What is the primary cause of the expected increase in diabetes prevalence over the next decade?

Excessive weight gain in adults

What is the effect of long-term, strict control of blood glucose levels and arterial blood pressure?

Major delay in microvascular complications

What is the primary cause of hyperinsulinemia in type 2 diabetes?

Postulated to be caused by hyperinsulinemia

What is the effect of poor preoperative glucose control in diabetic patients?

Independent predictor of worse perioperative outcome

Which of the following is the threshold for retinopathy? A1C

8.5% to 9.0% (12.5 mmol/L or 225 mg/dL)

What is the risk for renal insufficiency in a person with type 1 diabetes and microalbuminuria greater than 29 mg/day?

80%

What is the threshold for glycemic toxicity for cardiovascular disease?

5.4 mmol/L (96 mg/dL)

What is the threshold at which the risk for microalbuminuria increases logarithmically?

8.1%

What is the threshold for glycemic toxicity for retinopathy?

8.5% to 9.0% (12.5 mmol/L or 225 mg/dL)

What is the threshold for glycemic toxicity for microalbuminuria?

8.1%

What is the threshold for glycemic toxicity for cardiovascular disease?

5.4 mmol/L (96 mg/dL)

What is the threshold for glycemic toxicity for microalbuminuria?

8.1%

Test your knowledge of diabetes mellitus with this quiz! Learn about the features, diagnosis, and complications of this heterogeneous group of disorders characterized by insulin deficiency.

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