HYPERTENSION AND TYPE 2 DIABETES
ACTUAL TEST PAPER QUESTIONS AND
ANSWERS VERIFIED REVIEW
●● Treatment of diabetic ketoacidosis includes:
a. Fluids iv
b. Insulin iv
c. Potassium iv
d. Bicarbonates in severe cases (ph<6.9)
e. All above
Answer: e. All above
●● The progression of diabetic kidney disease can be prevented by:
a. treatment of hypertension.
b. better glycemic control.
c. smoking cessation.
d. limiting dietary protein intake.
e. all of the above
Answer: e. all of the above
●● A patient who is 48 years old, has a BMI of 30 kg/m2, blood glucose
in the 2nd hour of the OGTT of 175 mg%, and hypertension. Two of his
,brothers have diabetes, one of them had a stroke. Choose the best
treatment.
a. sulphonylourea
b. intensive modification of life style and sulphonylourea
c. insulin
d. intensive modification of life-style and consider starting metformin
e. combined sulphonylourea and metformin therapy
Answer: d. intensive modification of life-style and consider starting
metformin
●● Which of the following is not a risk factor for diabetic nephropathy?
a. hyperglycemia.
b. normotension.
c. dyslipidemia.
d. smoking tobacco.
e. family diabetic nephropathy.
Answer: b. normotension.
●● Factors accelerating the progression of diabetic nephropathy include
a. low sodium diet
b. normoglycemia.
c. low protein diet.
d. older age.
,e. female.
Answer: d. older age.
●● HbA1c target for pregnant women with diabetes is :
a. equal to or less than 6 %
b. equal to or less than 6.5 %
c. equal to or less than 7 %
d. equal to or less than 7.5 %
e. equal to or less than 8 %
Answer: a. equal to or less than 6 %
●● A 40-year-old patient diagnosed with type 1 diabetes mellitus
complains about an increased incidence of hypoglycemia, which led to a
reduction in insulin dose. The reason for this may be:
a. alcohol consumption
b. increased physical activity
c. lowered caloric load of meals
d. renal insufficiency
e. all of above
Answer: e. all of above
●● Diagnosis of diabetic kidney disease is based on:
a. increased urinary albumin excretion.
, b. increased leukocyte count in urine.
c. increased number of erythrocytes in urine.
d. presence of red blood cells.
e. the presence of leukocytes.
Answer: a. increased urinary albumin excretion.
●● First-line insulin therapy approach in type 2 diabetes is usually:
a. basal insulin only (usually with oral drugs)
b. basal insulin plus 1 (mealtime) rapid-acting insulin injection
c. pre-mixed insulin twice daily
d. basal-bolus therapy
e. insulin pump treatment
Answer: a. basal insulin only (usually with oral drugs)
●● Diabetes can be diagnosed if:
1) glycemia above 11,1mmol/l (200mg/dl) measured twice in blood
taken at any time of day
2) glycemia above 7mmol/l (126mg/dl) measured twice in a fasting
blood sample
3) glycemia above 11,1mmol.l (200mg/dl) in the blood sample 2 hours
after the oral 75g glucose tolerance test
4) glycemia above 7,8mmol (140mg/dl) measured twice in blood take at
any time of day
ACTUAL TEST PAPER QUESTIONS AND
ANSWERS VERIFIED REVIEW
●● Treatment of diabetic ketoacidosis includes:
a. Fluids iv
b. Insulin iv
c. Potassium iv
d. Bicarbonates in severe cases (ph<6.9)
e. All above
Answer: e. All above
●● The progression of diabetic kidney disease can be prevented by:
a. treatment of hypertension.
b. better glycemic control.
c. smoking cessation.
d. limiting dietary protein intake.
e. all of the above
Answer: e. all of the above
●● A patient who is 48 years old, has a BMI of 30 kg/m2, blood glucose
in the 2nd hour of the OGTT of 175 mg%, and hypertension. Two of his
,brothers have diabetes, one of them had a stroke. Choose the best
treatment.
a. sulphonylourea
b. intensive modification of life style and sulphonylourea
c. insulin
d. intensive modification of life-style and consider starting metformin
e. combined sulphonylourea and metformin therapy
Answer: d. intensive modification of life-style and consider starting
metformin
●● Which of the following is not a risk factor for diabetic nephropathy?
a. hyperglycemia.
b. normotension.
c. dyslipidemia.
d. smoking tobacco.
e. family diabetic nephropathy.
Answer: b. normotension.
●● Factors accelerating the progression of diabetic nephropathy include
a. low sodium diet
b. normoglycemia.
c. low protein diet.
d. older age.
,e. female.
Answer: d. older age.
●● HbA1c target for pregnant women with diabetes is :
a. equal to or less than 6 %
b. equal to or less than 6.5 %
c. equal to or less than 7 %
d. equal to or less than 7.5 %
e. equal to or less than 8 %
Answer: a. equal to or less than 6 %
●● A 40-year-old patient diagnosed with type 1 diabetes mellitus
complains about an increased incidence of hypoglycemia, which led to a
reduction in insulin dose. The reason for this may be:
a. alcohol consumption
b. increased physical activity
c. lowered caloric load of meals
d. renal insufficiency
e. all of above
Answer: e. all of above
●● Diagnosis of diabetic kidney disease is based on:
a. increased urinary albumin excretion.
, b. increased leukocyte count in urine.
c. increased number of erythrocytes in urine.
d. presence of red blood cells.
e. the presence of leukocytes.
Answer: a. increased urinary albumin excretion.
●● First-line insulin therapy approach in type 2 diabetes is usually:
a. basal insulin only (usually with oral drugs)
b. basal insulin plus 1 (mealtime) rapid-acting insulin injection
c. pre-mixed insulin twice daily
d. basal-bolus therapy
e. insulin pump treatment
Answer: a. basal insulin only (usually with oral drugs)
●● Diabetes can be diagnosed if:
1) glycemia above 11,1mmol/l (200mg/dl) measured twice in blood
taken at any time of day
2) glycemia above 7mmol/l (126mg/dl) measured twice in a fasting
blood sample
3) glycemia above 11,1mmol.l (200mg/dl) in the blood sample 2 hours
after the oral 75g glucose tolerance test
4) glycemia above 7,8mmol (140mg/dl) measured twice in blood take at
any time of day
