20 Questions
Which type of diabetes requires insulin due to T-cell mediated autoimmune destruction of beta cells?
Type 1 diabetes
What percentage of the US population has metabolic syndrome?
25-30%
Which system should be emphasized in the evaluation of a patient with diabetes?
Renal system
Which condition can diabetes lead to that may present with symptoms like early satiety, erectile dysfunction, neuropathy, and post-prandial vomiting?
Autonomic neuropathy
What should be considered if a diabetic patient presents with orthostatic hypotension and resting tachycardia?
Autonomic neuropathy
Which thyroid disorder is characterized by symptoms like sweating, anxiety, diarrhea, and a hypermetabolic state?
Grave's disease
What is the recommended preoperative treatment sequence for a patient with pheochromocytoma?
Alpha block first, then beta block
In diabetic retinopathy, what condition predisposes patients to a high risk of aspiration?
Autonomic neuropathy
Which symptoms may be indicative of autonomic neuropathy in a diabetic patient?
Heartburn and vomiting after eating
What should be monitored in a diabetic patient who continues insulin pump therapy during surgery?
Intraoperative blood glucose levels
Which of the following is NOT a trigger for acute porphyria attacks?
Hypoglycemia
Which of the following is the primary site of overproduction or accumulation in acute intermittent porphyria?
Liver
Which of the following is NOT a common clinical manifestation of acute porphyria?
Hypercalcemia
Which of the following statements about porphyrias is INCORRECT?
Porphyrias are essential for oxygen transport and storage.
Which of the following is a common neurological manifestation of acute porphyria?
All of the above
Which of the following statements about the preoperative examination for acute porphyria is CORRECT?
The presence of peripheral neuropathy should be assessed.
Which of the following statements about acute porphyria attacks is INCORRECT?
They can be precipitated by events that increase heme concentrations.
Which of the following is a common cardiovascular manifestation of acute porphyria?
Significant cardiovascular instability in the face of hypovolemia
Which of the following statements about the preoperative examination for acute porphyria is INCORRECT?
A history of triggering events, such as exposure to antibiotics, is always predictive.
Which of the following statements about inborn errors of metabolism is CORRECT?
They are caused by deficiencies in specific enzymes.
This quiz covers topics related to metabolism and endocrine disorders in health assessment. It discusses the goal of preoperative assessment, inborn errors of metabolism, and specific disorders such as porphyria, purine metabolism disorders, hyperlipidemia, and carbohydrate metabolism disorders.
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