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Questions and Answers

What is the primary cause of Type 1 Diabetes?

  • Pancreatic β-cell destruction (correct)
  • Excessive insulin production
  • None of the above
  • Insulin resistance
  • Which of the following is a common adverse effect of Metformin?

  • Increased appetite
  • Weight gain
  • Hypoglycemia
  • GI disturbances (correct)
  • What is the primary mechanism of action of SGLT2 inhibitors?

  • Inhibiting glucose reabsorption in the kidneys (correct)
  • Increasing insulin secretion
  • Enhancing glucose uptake in muscles
  • Reducing hepatic glucose production
  • Which drug class reduces glucose reabsorption in the kidneys?

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

    Which of the following insulin types has no peak activity?

    <p>Long-acting insulin</p> Signup and view all the answers

    Which of the following is a sign of diabetic ketoacidosis (DKA)?

    <p>Sweet-smelling breath</p> Signup and view all the answers

    What is the primary marker used to assess renal function?

    <p>Glomerular Filtration Rate (GFR)</p> Signup and view all the answers

    Which hormone increases renal blood flow by dilating afferent arterioles?

    <p>Prostaglandins</p> Signup and view all the answers

    Which of the following drugs is known to be nephrotoxic?

    <p>NSAIDs</p> Signup and view all the answers

    Which condition is characterized by a rapid decrease in kidney function, usually within hours or days?

    <p>Acute Kidney Injury (AKI)</p> Signup and view all the answers

    What is the most common cause of chronic kidney disease (CKD)?

    <p>Diabetes Mellitus</p> Signup and view all the answers

    Which electrolyte imbalance is a common complication of CKD?

    <p>Hyperkalemia</p> Signup and view all the answers

    Which therapy is typically initiated when CKD progresses to end-stage kidney disease (ESKD)?

    <p>Renal Replacement Therapy</p> Signup and view all the answers

    Which condition is an indication for immediate dialysis in CKD patients?

    <p>Severe hyperkalemia</p> Signup and view all the answers

    Which test is most commonly used to estimate GFR in clinical practice?

    <p>Serum Creatinine</p> Signup and view all the answers

    Which renal structure is primarily responsible for the secretion of renin?

    <p>Juxtaglomerular cells</p> Signup and view all the answers

    Which of the following is a sign of nephrotic syndrome?

    <p>Hypoalbuminemia</p> Signup and view all the answers

    Which of the following therapies is used to manage hyperparathyroidism in CKD?

    <p>Phosphate binders</p> Signup and view all the answers

    Which of the following is a common complication of peritoneal dialysis?

    <p>Peritonitis</p> Signup and view all the answers

    Which of the following is a potential complication of hyperkalemia in patients with CKD?

    <p>Arrhythmias</p> Signup and view all the answers

    What is one key advantage of using ACE inhibitors in the management of CKD?

    <p>ACE inhibitors reduce proteinuria and slow the progression of CKD by lowering glomerular pressure.</p> Signup and view all the answers

    Identify one disadvantage of using loop diuretics in CKD patients.

    <p>A significant disadvantage of loop diuretics is the risk of hypokalemia, which can lead to arrhythmias and other complications.</p> Signup and view all the answers

    What is a major benefit of SGLT2 inhibitors in managing Type 2 Diabetes and CKD?

    <p>SGLT2 inhibitors reduce the progression of CKD by lowering blood glucose and blood pressure and promoting natriuresis.</p> Signup and view all the answers

    List one con of using erythropoiesis-stimulating agents (ESAs) in CKD.

    <p>A con of using ESAs is the increased risk of cardiovascular events such as stroke and hypertension due to elevated hemoglobin levels.</p> Signup and view all the answers

    What test is commonly used to monitor long-term glucose control in patients with diabetes and CKD?

    <p>The Glycated Hemoglobin (HbA1c) test is commonly used to monitor long-term glucose control.</p> Signup and view all the answers

    Study Notes

    Type 1 Diabetes

    • Primary cause is pancreatic β-cell destruction.

    Metformin

    • Common adverse effect includes gastrointestinal (GI) disturbances.

    SGLT2 Inhibitors

    • Primary mechanism is inhibiting glucose reabsorption in the kidneys.
    • Also includes a drug class specifically known for reducing glucose reabsorption.

    Insulin

    • Long-acting insulin has no peak activity.

    Diabetic Ketoacidosis (DKA)

    • A notable sign is sweet-smelling breath.

    Renal Function

    • Glomerular Filtration Rate (GFR) is the primary marker to assess renal function.

    Renal Blood Flow

    • Prostaglandins increase renal blood flow by dilating afferent arterioles.

    Nephrotoxic Drugs

    • NSAIDs are known to be nephrotoxic.

    Kidney Function

    • Acute Kidney Injury (AKI) is characterized by a rapid decrease in kidney function, typically within hours or days.

    Chronic Kidney Disease (CKD)

    • Most common cause is Diabetes Mellitus.
    • Common complication includes hyperkalemia.

    End-Stage Kidney Disease (ESKD)

    • Renal Replacement Therapy is initiated when CKD progresses to ESKD.

    Immediate Dialysis Indications in CKD

    • Severe hyperkalemia is an indication for immediate dialysis.

    GFR Estimation

    • Serum Creatinine is the most commonly used test to estimate GFR.

    Renin Secretion

    • Juxtaglomerular cells are primarily responsible for secreting renin.

    Nephrotic Syndrome

    • A sign of nephrotic syndrome is hypoalbuminemia.

    Hyperparathyroidism Management in CKD

    • Phosphate binders are used to manage hyperparathyroidism.

    Peritoneal Dialysis Complications

    • Peritonitis is a common complication of peritoneal dialysis.

    Hyperkalemia Complications

    • Potential complications include arrhythmias.

    ACE Inhibitors in CKD Management

    • They reduce proteinuria and slow CKD progression by lowering glomerular pressure.

    Loop Diuretics in CKD

    • A significant disadvantage is the risk of hypokalemia.

    SGLT2 Inhibitors Benefits

    • They lower blood glucose, blood pressure, and promote natriuresis, reducing CKD progression.

    Erythropoiesis-Stimulating Agents (ESAs)

    • Increased risk of cardiovascular events is a con of using ESAs.

    Long-term Glucose Control Monitoring

    • The Glycated Hemoglobin (HbA1c) test is used to monitor long-term glucose control in diabetes and CKD.

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    Description

    Test your knowledge on the pharmacology of diabetes medications with this quiz. It covers key concepts such as Type 1 Diabetes causes, common medication side effects, and mechanisms of action of diabetes drugs. Ideal for students studying pharmacology or healthcare professionals.

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