PNC Exam 4 ACTUAL UPDATED Exam
Questions and CORRECT Answers
What cells in the body store excess glucose as glycogen? - CORRECT ANSWER - Liver
and muscle cells
Glucagon stimulates the breakdown of: - CORRECT ANSWER - glycogen to glucose thus
increasing blood glucose levels
What is the "honeymoon period" when referring to diabetes? - CORRECT ANSWER -
After insulin therapy is started for a DM1 patient, the patient will need very little injected insulin
for 3-12 months because beta cells are still producing some insulin
Persons with a first degree relative with DM2 are __ times more likely to develop DM2 -
CORRECT ANSWER - 10x
What are the common manifestation of DM1? - CORRECT ANSWER - Polyuria,
ploydipsia, polyphagia
What are the common manifestation of DM2? - CORRECT ANSWER - Fatigue, recurrent
infections, yeast infections, prolong wound healing, vision problems
What are the 4 diagnostic tests for DM? - CORRECT ANSWER - 1. Hemoglobin A1c of
6.5% or higher
2. Fasting plasma glucose (FPG) test of 126 mg/dl or greater (no caloric intake for at least at 8
hours)
3. 2 hour plasma glucose level of 200 mg/dL or greater during an OGTT, using glucose load of
75 g
4. In a person with classic symptoms or hyperglycemic crisis, a random plasma glucose level of
200 mg/dL or greater
, What does A1C measure? What is the goal for diabetics with a A1C? - CORRECT
ANSWER - Measure the amount of glycosylated hemoglobin as a percentage of total
hemoglobin. ADA recommends a goal of 7% or less, American College of Endocrinology
recommends 6.5% or less
What test for DM is not required to be retested to confirm diagnosis? - CORRECT
ANSWER - If a patient is displaying classic symptoms (PPP) and has a BGL of 200
mg/dL or greater
What are the "ABCs of Diabetes"? - CORRECT ANSWER - A1C
Blood Pressure
Cholesterol
What are the 3 major types of glucose lowering agents? - CORRECT ANSWER - 1.
insulin
2. oral agents
3. non-insulin injectable agents
What is onset, peak, duration, and timing for: rapid acting insulin - CORRECT
ANSWER - Onset: 10-30 min
Peak: 30min-3hr
Duration: 3-5hr
Timing: 15" before meals (must check blood sugar)
What is onset, peak, duration, , and timing for: short acting insulin - CORRECT
ANSWER - Onset: 30min-1hr
Peak: 2-5hr
Duration: 5-8hr
Timing: 30"
Questions and CORRECT Answers
What cells in the body store excess glucose as glycogen? - CORRECT ANSWER - Liver
and muscle cells
Glucagon stimulates the breakdown of: - CORRECT ANSWER - glycogen to glucose thus
increasing blood glucose levels
What is the "honeymoon period" when referring to diabetes? - CORRECT ANSWER -
After insulin therapy is started for a DM1 patient, the patient will need very little injected insulin
for 3-12 months because beta cells are still producing some insulin
Persons with a first degree relative with DM2 are __ times more likely to develop DM2 -
CORRECT ANSWER - 10x
What are the common manifestation of DM1? - CORRECT ANSWER - Polyuria,
ploydipsia, polyphagia
What are the common manifestation of DM2? - CORRECT ANSWER - Fatigue, recurrent
infections, yeast infections, prolong wound healing, vision problems
What are the 4 diagnostic tests for DM? - CORRECT ANSWER - 1. Hemoglobin A1c of
6.5% or higher
2. Fasting plasma glucose (FPG) test of 126 mg/dl or greater (no caloric intake for at least at 8
hours)
3. 2 hour plasma glucose level of 200 mg/dL or greater during an OGTT, using glucose load of
75 g
4. In a person with classic symptoms or hyperglycemic crisis, a random plasma glucose level of
200 mg/dL or greater
, What does A1C measure? What is the goal for diabetics with a A1C? - CORRECT
ANSWER - Measure the amount of glycosylated hemoglobin as a percentage of total
hemoglobin. ADA recommends a goal of 7% or less, American College of Endocrinology
recommends 6.5% or less
What test for DM is not required to be retested to confirm diagnosis? - CORRECT
ANSWER - If a patient is displaying classic symptoms (PPP) and has a BGL of 200
mg/dL or greater
What are the "ABCs of Diabetes"? - CORRECT ANSWER - A1C
Blood Pressure
Cholesterol
What are the 3 major types of glucose lowering agents? - CORRECT ANSWER - 1.
insulin
2. oral agents
3. non-insulin injectable agents
What is onset, peak, duration, and timing for: rapid acting insulin - CORRECT
ANSWER - Onset: 10-30 min
Peak: 30min-3hr
Duration: 3-5hr
Timing: 15" before meals (must check blood sugar)
What is onset, peak, duration, , and timing for: short acting insulin - CORRECT
ANSWER - Onset: 30min-1hr
Peak: 2-5hr
Duration: 5-8hr
Timing: 30"
