Insulin Preparations and Antidiabetic Drugs Quiz
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Questions and Answers

What is the main difference between rapid-acting and long-acting insulin preparations?

  • Mechanism of action
  • Onset of action
  • Side effects
  • Duration of action (correct)

Which class of drugs includes Amylin and Teplizumab-mzmv, and who benefits from taking them?

  • SGLT2 inhibitors; Patients with renal insufficiency
  • Alpha-glucosidase inhibitors; Heart failure patients
  • Amylin analogs; Patients with diabetes (correct)
  • Sulfonylureas; Elderly patients

What is a common misconception regarding second-generation Sulfonylureas?

  • They do not stimulate insulin release
  • They are associated with fewer side effects
  • They have a different mechanism of action than first-generation agents
  • They have a slow onset of action (correct)

How do Biguanides differ from Sulfonylureas in terms of contraindications?

<p>Biguanides are contraindicated in renal insufficiency (B)</p> Signup and view all the answers

What distinguishes Lantus® from Tresiba®?

<p>Duration of action (A)</p> Signup and view all the answers

What is a common adverse effect associated with Exenatide and Exenatide LAR?

<p>Pancreatitis (A)</p> Signup and view all the answers

What is the main difference between rapid-acting and short-acting insulin preparations?

<p>Onset of action (A)</p> Signup and view all the answers

Which drug class should be avoided in patients with cancer, heart failure, or renal insufficiency?

<p>SGLT2 inhibitors (D)</p> Signup and view all the answers

What is the recommended course of action under which Canagliflozin should be avoided?

<p>In patients with type 1 diabetes (D)</p> Signup and view all the answers

Which drug is associated with a black box warning for cardiovascular risks?

<p>Pioglitazone (C)</p> Signup and view all the answers

How does Sitagliptin differ from Linagliptin in terms of their mechanism of action?

<p>Sitagliptin inhibits DPP-4 enzyme (C)</p> Signup and view all the answers

Which insulin preparation is characterized by a longer duration of action between Lantus® and Tresiba®?

<p>Tresiba® (B)</p> Signup and view all the answers

What is a potential adverse drug reaction of Alpha glucosidase inhibitors?

<p>Gastrointestinal disturbances (C)</p> Signup and view all the answers

Which characteristic is common between Sitagliptin and Linagliptin?

<p>Mechanism of action (D)</p> Signup and view all the answers

Why should Canagliflozin be avoided in patients with high cardiovascular risk?

<p>May worsen cardiovascular outcomes (C)</p> Signup and view all the answers

Which adverse reaction is commonly associated with Exenatide and Exenatide LAR?

<p>Pancreatitis (C)</p> Signup and view all the answers

What differentiates Biguanides from other antidiabetic drugs in terms of administration?

<p>Can be administered orally (B)</p> Signup and view all the answers

Which class of drugs has a primary mechanism of inhibiting sodium-glucose cotransporters to help lower blood glucose levels?

<p>SGLT2 Inhibitors (A)</p> Signup and view all the answers

What is the primary immune response involved in hypersensitivity reactions to Canagliflozin?

<p>IgE-mediated immediate-type reaction (B)</p> Signup and view all the answers

Which type of hypersensitivity reaction might involve antibodies creating holes in cell membranes?

<p>Cytotoxic reaction (D)</p> Signup and view all the answers

What symptom is NOT commonly associated with IgE-mediated immediate-type hypersensitivity reactions to Canagliflozin?

<p>Joint pain (A)</p> Signup and view all the answers

Which type of hypersensitivity reaction to Canagliflozin can result in inflammation due to antigen-antibody complexes depositing in tissues?

<p>Immune-complex–mediated reactions (C)</p> Signup and view all the answers

Which type of hypersensitivity reaction might involve tissue damage due to activated T cells attacking specific organs with time delays?

<p>Delayed-type (cellular) reactions (B)</p> Signup and view all the answers

Which type of hypersensitivity reaction can potentially lead to anaphylaxis after exposure to Canagliflozin?

<p>IgE-mediated immediate-type reaction (C)</p> Signup and view all the answers

What symptom is commonly associated with IgE-mediated immediate-type hypersensitivity reactions to Canagliflozin?

<p>Hives (D)</p> Signup and view all the answers

What does immune-complex–mediated reactions cause by Canagliflozin?

<p>Inflammation caused by antigen-antibody complexes depositing in tissues. (C)</p> Signup and view all the answers

What is a potential complication of IgE-mediated immediate-type hypersensitivity reactions to Canagliflozin?

<p>Anaphylaxis. (D)</p> Signup and view all the answers

What is a common symptom associated with hypersensitivity reactions to Canagliflozin?

<p>Swelling (angioedema) (A)</p> Signup and view all the answers

Which symptom of hypersensitivity reactions to Canagliflozin may potentially lead to airway obstruction and respiratory distress?

<p>Swelling (angioedema) (B)</p> Signup and view all the answers

What is the most appropriate course of action if a patient experiences mild to moderate hypersensitivity reactions to Canagliflozin?

<p>Discontinue Canagliflozin and use anti-histamines (D)</p> Signup and view all the answers

What is one preventive measure recommended to minimize the risk of hypersensitivity reactions to Canagliflozin?

<p>Implement preventive measures during treatment (D)</p> Signup and view all the answers

Which statement best describes the risk of developing maculopapular exanthema due to Canagliflozin according to the meta-analysis?

<p>It occurs infrequently. (A)</p> Signup and view all the answers

In contrast to severe hypersensitivity reactions, what do the studies suggest about nonsevere cutaneous reactions related to Canagliflozin?

<p>They are less risky than severe reactions. (A)</p> Signup and view all the answers

What is the primary reason why monitoring for early indicators of potential hypersensitivity reactions is recommended during Canagliflozin treatment?

<p>To intervene promptly to prevent complications (B)</p> Signup and view all the answers

Which type of insulin provides steady coverage between meals and overnight?

<p>Intermediate-acting insulin (C)</p> Signup and view all the answers

What distinguishes long-acting insulin from other types of insulin preparations?

<p>Constant background insulin levels (A)</p> Signup and view all the answers

Which type of insulin is beneficial for managing premeal blood sugars but has limited utility post-meals?

<p>Short-acting insulin (B)</p> Signup and view all the answers

What characteristic is crucial to consider when choosing an appropriate insulin preparation?

<p>Individual lifestyle requirements (B)</p> Signup and view all the answers

Which of the following is an example of a long-acting insulin?

<p>Lantus® (D)</p> Signup and view all the answers

What is the primary function of intermediate-acting insulin?

<p>Providing steady coverage between meals (A)</p> Signup and view all the answers

What is the primary factor determining the choice of appropriate insulin preparation?

<p>Individual lifestyle requirements (A)</p> Signup and view all the answers

Which of the following types of insulin is designed to prevent postprandial spikes in blood sugar?

<p>Rapid-acting insulin (B)</p> Signup and view all the answers

What is the primary role of short-acting insulin?

<p>Maintaining consistent control during mealtimes (C)</p> Signup and view all the answers

Which source of insulin is known as 'human insulin'?

<p>Genetically engineered insulin (C)</p> Signup and view all the answers

What distinguishes bioengineered insulins from animal-derived insulins?

<p>Kinetics and duration of action (C)</p> Signup and view all the answers

Which type of insulin has a faster response time compared to regular human insulin?

<p>Short-acting insulin (C)</p> Signup and view all the answers

What is the purpose of long-acting insulin?

<p>Maintaining basal insulin levels between meals (D)</p> Signup and view all the answers

Which of the following is a characteristic of rapid-acting insulin?

<p>Peak activity within one hour (D)</p> Signup and view all the answers

What is the main difference between short-acting and long-acting insulins?

<p>'Basal' versus 'mealtime' control (C)</p> Signup and view all the answers

'Bioengineered insulins' are synthesized through which method?

<p>'Genetic engineering' (C)</p> Signup and view all the answers

What is a common side effect of amylin due to its ability to slow down stomach emptying?

<p>Nausea and vomiting (A)</p> Signup and view all the answers

How does amylin's combination with insulin affect blood sugar levels if dosages aren't adjusted appropriately?

<p>Lead to dangerously low blood sugar levels (C)</p> Signup and view all the answers

What is the primary benefit of teplizumab-mzmv for individuals with early stage type 1 diabetes?

<p>Preserving residual C-peptide production (C)</p> Signup and view all the answers

Why is teplizumab-mzmv only approved for specific populations with newly diagnosed type 1 diabetes under strict protocols?

<p>Because of the need for close monitoring (A)</p> Signup and view all the answers

What distinguishes the mechanism of action of amylin from teplizumab-mzmv in managing type 1 diabetes?

<p>Amylin targets CD3 T-cells (C)</p> Signup and view all the answers

What is one way in which Amylin helps regulate postprandial glucose metabolism?

<p>By increasing gastric emptying rate (C)</p> Signup and view all the answers

Why do type 1 diabetics not produce enough amylin naturally?

<p>Because their beta cells are destroyed by an autoimmune response (D)</p> Signup and view all the answers

Which of the following is a possible benefit of synthetic forms of amylin for type 1 diabetics?

<p>Prevention of hypoglycemia (D)</p> Signup and view all the answers

What is one potential adverse effect associated with the use of amylin?

<p>Weight gain (B)</p> Signup and view all the answers

Which aspect of Teplizumab-mzmv makes it a potential treatment option for type 1 diabetes?

<p>It has a unique mechanism of action (D)</p> Signup and view all the answers

What is a common adverse effect associated with second-generation sulfonylureas?

<p>Hypoglycemia (C)</p> Signup and view all the answers

Which characteristic makes glimepiride and gliclazide suitable for elderly patients?

<p>Favorable pharmacokinetics (B)</p> Signup and view all the answers

What is one rare but serious complication linked to sulfonylureas that elderly patients need to be monitored for?

<p>Stevens-Johnson syndrome (C)</p> Signup and view all the answers

Which adverse event should healthcare professionals prioritize monitoring in elderly patients treated with second-generation sulfonylureas?

<p>Hypoglycemia (D)</p> Signup and view all the answers

What makes second-generation sulfonylureas a valuable tool in managing type 2 diabetes?

<p>They enhance insulin secretion in response to elevated blood glucose (C)</p> Signup and view all the answers

How do second-generation sulfonylureas primarily lower blood glucose levels?

<p>By stimulating pancreatic beta cells to secrete insulin (A)</p> Signup and view all the answers

Which of the following is a common side effect associated with second-generation sulfonylureas?

<p>Hypoglycemia (D)</p> Signup and view all the answers

What is a significant consideration when prescribing second-generation sulfonylureas for older adults?

<p>Reduced incidence of hypoglycemia (A)</p> Signup and view all the answers

Which of the following best describes the mechanism of action of second-generation sulfonylureas?

<p>Stimulating pancreatic beta cells to release insulin (B)</p> Signup and view all the answers

What is a notable adverse drug reaction associated with second-generation sulfonylureas?

<p>Gastrointestinal symptoms like nausea and vomiting (B)</p> Signup and view all the answers

What is a potential risk factor for developing lactic acidosis associated with Metformin use?

<p>Impaired kidney function (B)</p> Signup and view all the answers

In patients with moderate-to-severe chronic kidney disease, what should be considered if creatinine clearance drops between 30–59 ml/min?

<p>Switching to a different antidiabetic medication (A)</p> Signup and view all the answers

Which condition would contraindicate the use of Metformin?

<p>Recent myocardial infarction (C)</p> Signup and view all the answers

How does Cimetidine interact with Metformin, potentially affecting its pharmacokinetics?

<p>Increasing serum concentrations of Metformin (A)</p> Signup and view all the answers

Which drug interaction can lead to excessive hypoglycemic episodes when combined with Metformin?

<p>Insulin (C)</p> Signup and view all the answers

What should patients consult healthcare providers about when it comes to administering Lantus and Tresiba?

<p>Proper Injection Techniques (B)</p> Signup and view all the answers

Which side effect is highlighted as a less common effect associated with Tresiba usage?

<p>Injection Site Reactions (D)</p> Signup and view all the answers

What is a potential risk associated with both Lantus and Tresiba in terms of cost?

<p>Geographic price variations for Tresiba (D)</p> Signup and view all the answers

Which of the following is a potential side effect shared by both Lantus and Tresiba?

<p>Hypoglycemia (D)</p> Signup and view all the answers

How are Lantus and Tresiba typically administered to patients?

<p>Subcutaneous Injections (D)</p> Signup and view all the answers

What is a distinguishing feature of Exenatide LAR in terms of dosing compared to short-acting exenatide?

<p>Necessitates fewer weekly doses (C)</p> Signup and view all the answers

Which adverse reaction is commonly associated with both Exenatide and Exenatide LAR?

<p>Nausea (D)</p> Signup and view all the answers

Which rare hypersensitivity reaction has been noted with Exenatide LAR?

<p>Angioedema (B)</p> Signup and view all the answers

What is a black box warning for Exenatide LAR regarding potential risks?

<p>Thyroid C cell tumors (A)</p> Signup and view all the answers

How often should Exenatide LAR be injected?

<p>Once every week (C)</p> Signup and view all the answers

What is an advantage of Exenatide LAR over the original exenatide product?

<p>Decreased risk of hypoglycemia (C)</p> Signup and view all the answers

Which local reaction is frequently observed with both Exenatide and Exenatide LAR?

<p>Swelling at the injection site (C)</p> Signup and view all the answers

What feature does Exenatide LAR share with short-acting exenatide in terms of plasma concentrations?

<p>Sustained release over two weeks (C)</p> Signup and view all the answers

Which of the following best describes the mechanism of action of Exenatide?

<p>Acts similarly to GLP-1 by boosting insulin production and inhibiting glucagon release (D)</p> Signup and view all the answers

What is a common side effect associated with Exenatide?

<p>Headache (B)</p> Signup and view all the answers

Which side effect is highlighted in the black box warning for Exenatide products?

<p>Risk of pancreatitis (B)</p> Signup and view all the answers

How does Exenatide LAR differ from Exenatide in terms of administration frequency?

<p>Exenatide LAR is taken once daily, while Exenatide is taken twice daily (C)</p> Signup and view all the answers

What is a potential adverse reaction associated with Exenatide LAR that requires immediate medical attention?

<p>Acute pancreatitis (B)</p> Signup and view all the answers

In what way does Exenatide LAR act when administered externally?

<p>Acts similarly to GLP-1 in promoting healthy glycemia management (A)</p> Signup and view all the answers

What distinguishes the black box warning of Exenatide from Exenatide LAR?

<p>Increased risk of pancreatitis (B)</p> Signup and view all the answers

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