مراجعه فاينل ايندو
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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

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