مراجعه فاينل ايندو

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

Which of the following is the leading cause of visual loss in patients with diabetic retinopathy?

  • Vitreous haemorrhage (correct)
  • Maculopathy
  • Rubeosis iridis
  • Traction retinal detachment

What is the treatment for proliferative retinopathy?

  • Laser therapy directed at points of leakage
  • Laser photocoagulation therapy (correct)
  • Vitrectomy
  • Annual screening

Which of the following is a complication of proliferative retinopathy that may cause neovascular glaucoma?

  • Maculopathy
  • Vitreous haemorrhage
  • Rubeosis iridis (correct)
  • Traction retinal detachment

What is the age requirement for annual screening for diabetic retinopathy?

<p>Over 11 years old (C)</p> Signup and view all the answers

Which of the following is a proposed mechanism for diabetic encephalopathy?

<p>Altered vascular supply of the brain (A)</p> Signup and view all the answers

Which of the following is a common cause of non-traumatic adult amputation in the developed world?

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

What is the most common cause of adult kidney failure in the developed world?

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

What is the association between diabetes and erectile dysfunction?

<p>Men with diabetes are more likely to experience erectile dysfunction (B)</p> Signup and view all the answers

What is the association between diabetes and periodontal disease?

<p>Diabetes increases the risk of developing periodontal disease (C)</p> Signup and view all the answers

Which of the following is a common symptom of diabetic neuropathy?

<p>Decreased sensation in a 'glove and stocking' distribution (B)</p> Signup and view all the answers

What is the main cause of diabetic foot problems?

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

Which of the following infections are diabetic patients with good glycemic control more prone to?

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

Which of the following is a risk factor for diabetic retinopathy?

<p>All of the above (D)</p> Signup and view all the answers

Why does poor glycemic control lead to increased susceptibility to infection?

<p>Impaired neutrophil superoxide generation (B)</p> Signup and view all the answers

What is the most common cause of blindness among non-elderly adults in the developed world?

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

What is the recommended vaccination schedule for diabetic patients?

<p>Pneumococcal vaccine and yearly influenza vaccine (D)</p> Signup and view all the answers

What is the main aim in the management of diabetic foot problems?

<p>Preservation of viable tissue (C)</p> Signup and view all the answers

What is the main threat to the skin and subcutaneous tissues in diabetic foot ulcers?

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

What is the most appropriate treatment for diabetic retinopathy?

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

What can diabetic retinopathy be divided into?

<p>Non-proliferative retinopathy, proliferative retinopathy, maculopathy (A)</p> Signup and view all the answers

Which of the following is an acute complication of diabetes mellitus?

<p>Hyperosmolar hyperglycemic state (B)</p> Signup and view all the answers

What is the medical emergency characterized by unconsciousness in a patient with diabetes mellitus called?

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

Which of the following conditions is characterized by severe hyperglycemia, dehydration, shock, and exhaustion?

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

What is the diagnosis based on blood tests finding a blood sugar greater than 30 mmol/L (600 mg/dL), osmolarity greater than 320 mOsm/kg, and a pH above 7.3?

<p>Hyperosmolar hyperglycemic state (D)</p> Signup and view all the answers

Which of the following is a chronic complication of diabetes mellitus?

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

What is the term for the condition in which high blood sugar results in high osmolarity without significant ketoacidosis?

<p>Hyperosmolar nonketotic coma (D)</p> Signup and view all the answers

Which of the following is likely to be under-recognized in older people with diabetes due to non-specific symptoms?

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

What is the term for the loss of consciousness due to severe hypoglycemia?

<p>Loss of consciousness (C)</p> Signup and view all the answers

Which of the following is a chronic complication of diabetes mellitus that leads to cardiovascular disease?

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

Which of the following is a chronic complication of diabetes mellitus characterized by accelerated atherosclerosis?

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

Which of the following is a modifiable risk factor for Diabetes Mellitus in KSA?

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

What is the recommended screening test for Diabetes Mellitus?

<p>All of the above (D)</p> Signup and view all the answers

What is the prevalence of goiter worldwide?

<p>15.8% (B)</p> Signup and view all the answers

What is the preferred strategy for the control of iodine deficiency disorders?

<p>Universal salt iodization (B)</p> Signup and view all the answers

What is the prevalence of obesity in KSA among adult females?

<p>33.5% (C)</p> Signup and view all the answers

What is the prevalence of obesity worldwide among adults?

<p>1.9 billion (A)</p> Signup and view all the answers

What is the most common cause of goiter?

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

What is the recommended age for universal screening for prediabetes and diabetes?

<p>45 years or older (A)</p> Signup and view all the answers

What is the recommended screening interval for adults with normal results for prediabetes and diabetes?

<p>3 years (D)</p> Signup and view all the answers

What is the prevalence of diabetes among the urban population of KSA?

<p>25.5% (B)</p> Signup and view all the answers

Which classification system is used for Diabetes Mellitus to guide clinical care decisions, stimulate research, and provide a basis for epidemiological studies?

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

What is the main aim of diabetes management for diabetic foot problems?

<p>Prevention of amputation (A)</p> Signup and view all the answers

What is the most common chronic complication of diabetes mellitus that leads to cardiovascular disease?

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

What is the recommended age requirement for annual screening for diabetic retinopathy?

<p>Above 60 years old (C)</p> Signup and view all the answers

What is the main cause of diabetic foot problems?

<p>Poor glycemic control (D)</p> Signup and view all the answers

What is the term for the condition characterized by severe hyperglycemia, dehydration, shock, and exhaustion in patients with diabetes mellitus?

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

What is the most common cause of blindness among non-elderly adults in the developed world?

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

What is the term for the loss of consciousness due to severe hypoglycemia in patients with diabetes mellitus?

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

What is the most common cause of adult kidney failure in the developed world?

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

What is the diagnosis based on blood tests finding a blood sugar greater than 30 mmol/L (600 mg/dL), osmolarity greater than 320 mOsm/kg, and a pH above 7.3?

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

What is the main cause of iodine deficiency disorders in Saudi Arabia?

<p>Lack of iodized salt in the diet (A)</p> Signup and view all the answers

What is the role of goitre in determining the prevalence and severity of iodine deficiency disorders?

<p>Goitre is a symptom of iodine deficiency (D)</p> Signup and view all the answers

Which organization has published guidelines on obesity in Saudi Arabia?

<p>Ministry of Health (MOH) (B)</p> Signup and view all the answers

What is the relationship between diabetes and periodontal disease?

<p>Diabetes increases the risk of periodontal disease (A)</p> Signup and view all the answers

What is the leading cause of visual loss in patients with diabetic retinopathy?

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

What is the most common cause of adult kidney failure in the developed world?

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

What is the term for the condition in which high blood sugar results in high osmolarity without significant ketoacidosis?

<p>Hyperglycemic hyperosmolar state (HHS) (D)</p> Signup and view all the answers

What is the most appropriate treatment for diabetic retinopathy?

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

What is the recommended vaccination schedule for diabetic patients?

<p>Annual influenza vaccination and pneumococcal vaccination (B)</p> Signup and view all the answers

What is the association between diabetes and erectile dysfunction?

<p>Diabetes increases the risk of erectile dysfunction (C)</p> Signup and view all the answers

Which type of diabetes mellitus is characterized by inadequate insulin production due to β-cells dysfunction?

<p>Type-2 DM (C)</p> Signup and view all the answers

What is the major factor contributing to the development of insulin resistance in type-2 DM?

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

What is the relationship between fasting plasma free fatty acid (FFA) levels and insulin resistance in type-2 DM?

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

Which of the following hormones released by adipose tissue promotes hyperglycemia in obesity?

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

What is the major cause of β-cells dysfunction in type-2 DM?

<p>FFA-induced lipotoxicity (B)</p> Signup and view all the answers

What is the term for the condition characterized by severe hyperglycemia, dehydration, shock, and exhaustion in patients with diabetes mellitus?

<p>Diabetic ketoacidosis (DKA) (A)</p> Signup and view all the answers

What is the most common chronic complication of diabetes mellitus that leads to cardiovascular disease?

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

Which of the following is a specific criterion for diagnosing prediabetes (impaired glucose tolerance)?

<p>Elevated blood glucose level (A)</p> Signup and view all the answers

What is the most common type of diabetes in children and people younger than 20 years?

<p>Type-1 DM (B)</p> Signup and view all the answers

What is the autoimmune process in type-1 DM characterized by?

<p>Failure of self-tolerance in T-cells against β-cells (D)</p> Signup and view all the answers

What is the percentage of cases of type-1 DM in the general population?

<p>5-10% (A)</p> Signup and view all the answers

What is the genetic factor most strongly associated with type-1 DM?

<p>MHC (HLADR) genes (C)</p> Signup and view all the answers

What is the term for the chronic autoimmune process in type-1 DM that starts years before manifestation?

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

What is the term for the destruction of β-cells in type-1 DM?

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

Which type of diabetes is characterized by the initial 2 years after the diagnosis requiring minimal insulin dose due to remaining β-cells?

<p>Type 1 DM (C)</p> Signup and view all the answers

What is the key mechanism leading to metabolic acidosis in diabetic ketoacidosis (DKA)?

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

What are the main microvascular complications of diabetes mellitus?

<p>Renal, retinal, and peripheral nervous system (PNS) diseases (A)</p> Signup and view all the answers

Which of the following is a non-proliferative ophthalmic complication of diabetes mellitus?

<p>Causing microanyorism and thickening of retinal capillaries (D)</p> Signup and view all the answers

What are the three major changes involved in the formation of advanced glycation endproducts (AGE)?

<p>Formation of AGE, activation of protein kinase C, disturbance of polyol pathways (C)</p> Signup and view all the answers

Which of the following is the most common sensory complication of diabetes mellitus?

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

What is the morphological change in the size and numbers of islets in type-2 diabetes and infants of diabetic mothers?

<p>Increased size and numbers of islets (D)</p> Signup and view all the answers

Which of the following is the main cause of retinopathy, nephropathy, and neuropathy in diabetes mellitus?

<p>Diffuse thickening of BM (B)</p> Signup and view all the answers

What is the main cause of nodular glomerulosclerosis in diabetes mellitus?

<p>Ball-like laminated matrix (D)</p> Signup and view all the answers

What is the key player in the pathophysiology of chronic complications of diabetes mellitus?

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

Which of the following is the most serious proliferative ophthalmic complication of diabetes mellitus?

<p>Ischemia leading to retinal detachment and blindness (B)</p> Signup and view all the answers

What is the main intracellular enzyme activated by calcium in the pathophysiology of chronic complications of diabetes mellitus?

<p>Protein kinase C (D)</p> Signup and view all the answers

Which of the following is a proposed mechanism for diabetic encephalopathy?

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

Which of the following is likely to be under-recognized in older people with diabetes due to non-specific symptoms?

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

What is the main aim in the management of diabetic foot problems?

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

Which of the following is a risk factor for diabetic retinopathy?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is true about the relationship between calories and blood glucose?

<p>Calories impact blood glucose levels but it is not the only determinant of whether a food is healthy or not. (D)</p> Signup and view all the answers

Which of the following is a possible reason for a food to have high calories but low carbohydrates?

<p>The food is high in fats. (D)</p> Signup and view all the answers

Which of the following is a possible reason for a food to have high carbohydrates but low calories?

<p>The food is high in sugars. (D)</p> Signup and view all the answers

Which of the following is NOT a determinant of whether a food is healthy or not?

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

Which of the following is a factor that can contribute to healthy food choices?

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

Which of the following is NOT mentioned as a factor that can impact blood glucose levels?

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

Which of the following is NOT mentioned as a possible determinant of whether a food is healthy or not?

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

Which of the following is NOT mentioned as a factor that can impact blood glucose levels?

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

Which of the following is mentioned as a possible determinant of whether a food is healthy or not?

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

Which of the following is mentioned as a factor that can impact blood glucose levels?

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

Which type of diabetes is characterized by the initial 2 years after the diagnosis requiring minimal insulin dose due to remaining β-cells?

<p>Type 1 diabetes (D)</p> Signup and view all the answers

Which of the following conditions is characterized by severe hyperglycemia, dehydration, shock, and exhaustion?

<p>Hyperosmolar hyperglycemic state (HHS) (A)</p> Signup and view all the answers

What is the association between diabetes and periodontal disease?

<p>Diabetes and periodontal disease have a reciprocal relationship (B)</p> Signup and view all the answers

What is the most common cause of blindness among non-elderly adults in the developed world?

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

What is the diagnosis based on blood tests finding a blood sugar greater than 30 mmol/L (600 mg/dL), osmolarity greater than 320 mOsm/kg, and a pH above 7.3?

<p>Diabetic ketoacidosis (DKA) (B)</p> Signup and view all the answers

What is the major factor contributing to the development of insulin resistance in type-2 DM?

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

What is the main cause of nodular glomerulosclerosis in diabetes mellitus?

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

What is the main cause of diabetic foot problems?

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

What are the main microvascular complications of diabetes mellitus?

<p>Retinopathy, neuropathy, and nephropathy (C)</p> Signup and view all the answers

What is the estimated prevalence of diabetes in Saudi Arabia?

<p>7 million (C)</p> Signup and view all the answers

What is the term for the chronic autoimmune process in type-1 DM that starts years before manifestation?

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

What is the rank of Saudi Arabia in terms of diabetes prevalence worldwide?

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

How many people in Saudi Arabia have prediabetes?

<p>3 million (B)</p> Signup and view all the answers

What was the cost of diabetes care in the USA in 2012?

<p>$245 billion (C)</p> Signup and view all the answers

What percentage of the cost of diabetes care in the USA is for visits and medications?

<p>21% (A)</p> Signup and view all the answers

What is the main characteristic of Type 1 DM?

<p>Complete lack of insulin (C)</p> Signup and view all the answers

How much higher is the treatment cost for a diabetic patient compared to a normal individual in Saudi Arabia?

<p>10 times (D)</p> Signup and view all the answers

What is the main characteristic of Type 2 DM?

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

What are the main complications of diabetes?

<p>Infections and decreased immunity (D)</p> Signup and view all the answers

What is the primary prevention strategy for diabetes?

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

Flashcards are hidden until you start studying

Related Documents

Complications Of DM PDF
L4-Diabetes Mulitas.pptx

More Like This

Diabetic Retinopathy in Older Adults
10 questions
Diabetic Retinopathy Overview
5 questions
Diabetic Retinopathy Overview
5 questions
Diabetic Retinopathy Overview
16 questions

Diabetic Retinopathy Overview

UndamagedAmethyst8170 avatar
UndamagedAmethyst8170
Use Quizgecko on...
Browser
Browser