qQuiz 4.docx

Quiz 4: Diabetes Self-Management and Insulin Therapy Multiple-Choice Questions: 1\. Which of the following is a key component of diabetes self-management? \- A) Regular physical activity \- B) Increased sugar intake \- C) Avoidance of all medications \- D) Increased fat consumption Answer: A)...

Quiz 4: Diabetes Self-Management and Insulin Therapy Multiple-Choice Questions: 1\. Which of the following is a key component of diabetes self-management? \- A) Regular physical activity \- B) Increased sugar intake \- C) Avoidance of all medications \- D) Increased fat consumption Answer: A) Regular physical activity 2\. What is the primary goal of insulin therapy in diabetes management? \- A) To induce hypoglycemia \- B) To achieve and maintain euglycemia \- C) To increase insulin resistance \- D) To reduce body weight Answer: B) To achieve and maintain euglycemia 3\. Which of the following is a common site for insulin injection? \- A) Abdomen \- B) Forehead \- C) Thigh \- D) Chest Answer: A) Abdomen 4\. Which of the following factors should be considered when adjusting insulin doses? \- A) Current blood glucose levels \- B) Meal size and composition \- C) Physical activity levels \- D) All of the above Answer: D) All of the above 5\. What is the primary advantage of using a basal-bolus insulin regimen? \- A) Fewer injections required \- B) Greater flexibility in meal timing and carbohydrate intake \- C) Lower cost \- D) Reduced need for glucose monitoring Answer: B) Greater flexibility in meal timing and carbohydrate intake 6\. Which of the following is an early sign of insulin-induced hypoglycemia? \- A) Tremors \- B) Blurred vision \- C) Rapid weight gain \- D) Increased appetite Answer: A) Tremors 7\. Which of the following is the preferred treatment for a conscious patient experiencing mild hypoglycemia? \- A) Insulin injection \- B) Glucagon injection \- C) Oral glucose \- D) IV fluids Answer: C) Oral glucose 8\. Which of the following is an indication for initiating insulin therapy in a patient with Type 2 Diabetes? \- A) Inadequate glycemic control with oral medications \- B) Hypertension \- C) Dyslipidemia \- D) Mild hyperglycemia Answer: A) Inadequate glycemic control with oral medications 9\. Which of the following insulin types is used for rapid correction of hyperglycemia? \- A) Long-acting insulin \- B) Intermediate-acting insulin \- C) Rapid-acting insulin \- D) Basal insulin Answer: C) Rapid-acting insulin 10\. What is the primary reason for rotating insulin injection sites? \- A) To increase absorption \- B) To reduce the risk of lipohypertrophy \- C) To decrease insulin dosage \- D) To prevent hypoglycemia Answer: B) To reduce the risk of lipohypertrophy 11\. Which of the following is a potential complication of insulin therapy? \- A) Hyperkalemia \- B) Hypoglycemia \- C) Weight loss \- D) Hypertension Answer: B) Hypoglycemia 12\. What is the main advantage of using insulin pumps in diabetes management? \- A) Elimination of the need for glucose monitoring \- B) Continuous insulin delivery with customizable basal rates \- C) Reduced cost compared to injections \- D) Less frequent need for insulin adjustments Answer: B) Continuous insulin delivery with customizable basal rates 13\. Which of the following is the preferred insulin regimen for patients with Type 1 Diabetes? \- A) Once-daily long-acting insulin \- B) Split-mixed insulin regimen \- C) Basal-bolus insulin regimen \- D) Oral hypoglycemic agents Answer: C) Basal-bolus insulin regimen 14\. Which of the following is a potential benefit of using insulin analogs over human insulin? \- A) Lower cost \- B) More predictable absorption and action profiles \- C) Higher risk of hypoglycemia \- D) Increased insulin resistance Answer: B) More predictable absorption and action profiles 15\. What is the main purpose of self-monitoring of blood glucose (SMBG) in patients using insulin therapy? \- A) To guide insulin dose adjustments \- B) To eliminate the need for insulin injections \- C) To monitor for signs of hyperlipidemia \- D) To decrease insulin sensitivity Answer: A) To guide insulin dose adjustments 16\. Which of the following is a recommended insulin adjustment for a patient with consistently high morning fasting glucose levels? \- A) Increase evening basal insulin dose \- B) Decrease evening basal insulin dose \- C) Increase morning rapid-acting insulin dose \- D) Skip breakfast Answer: A) Increase evening basal insulin dose 17\. Which of the following is the most common adverse effect of insulin therapy? \- A) Hypoglycemia \- B) Hyperglycemia \- C) Hypertension \- D) Hyperkalemia Answer: A) Hypoglycemia 18\. Which of the following is a key consideration in selecting an insulin regimen for a patient with Type 2 Diabetes? \- A) The patient's lifestyle and ability to monitor glucose levels \- B) The cost of insulin \- C) The patient's body mass index (BMI) \- D) The patient's gender Answer: A) The patient's lifestyle and ability to monitor glucose levels 19\. Which of the following is a typical characteristic of rapid-acting insulin? \- A) Onset within 15 minutes \- B) Duration of action up to 24 hours \- C) Given once daily \- D) Used only in insulin pumps Answer: A) Onset within 15 minutes 20\. Which of the following is a recommended strategy for managing nocturnal hypoglycemia in insulin-treated patients? \- A) Reducing the evening basal insulin dose \- B) Increasing the evening basal insulin dose \- C) Skipping dinner \- D) Increasing the dose of rapid-acting insulin Answer: A) Reducing the evening basal insulin dose Short Answer Questions: 1\. What is the purpose of the basal-bolus insulin regimen in managing diabetes? Answer: The basal-bolus insulin regimen is designed to mimic the body's natural insulin secretion, providing basal insulin throughout the day and bolus insulin at mealtimes to manage blood glucose levels effectively. 2\. Describe the key steps in managing insulin-induced hypoglycemia in a conscious patient. Answer: Key steps include consuming 15-20 grams of fast-acting carbohydrates (e.g., glucose tablets or juice), waiting 15 minutes, rechecking blood glucose levels, and repeating if necessary. Once glucose levels normalize, a longer-acting carbohydrate may be consumed to maintain glucose levels. 3\. Explain the significance of rotating insulin injection sites. Answer: Rotating insulin injection sites helps to prevent lipohypertrophy, a condition where fatty lumps develop under the skin, which can interfere with insulin absorption and lead to erratic blood glucose control. 4\. What are the benefits and drawbacks of using insulin pumps in diabetes management? Answer: Benefits include continuous insulin delivery, customizable basal rates, and reduced need for multiple daily injections. Drawbacks may include the cost, the need for regular monitoring and adjustments, and the risk of technical issues with the pump.