QMA STATE EXAM Complete
Questions with Correct Answers and
Detailed Rationales - Latest Update
2026.
SECTION 1: ENDOCRINE SYSTEM & DIABETES
1. Symptoms of hypoglycemia include:
CORRECT ANSWER:
Drowsiness, perspiration, pallor, confusion, and tremors
RATIONALE:
Hypoglycemia occurs when blood glucose levels are too low. The brain and body respond with
confusion, sweating, shaking, and weakness.
2. Which of the following is not oral hypoglycemia medication?
CORRECT ANSWER:
Synthroid
RATIONALE:
Synthroid (levothyroxine) is a thyroid hormone replacement medication used for
hypothyroidism, not diabetes.
3. The endocrine system is composed of a vast network of ducts and glands that secrete
hormones and other secretions to regulate body function. True or False?
CORRECT ANSWER:
True
RATIONALE:
The endocrine system contains glands that release hormones directly into the bloodstream to
control body functions.
,4. Which organs produce insulin?
CORRECT ANSWER:
Pancreas
RATIONALE:
The beta cells of the pancreas produce insulin, which helps glucose enter body cells.
5. Byproducts of the breakdown of fat and protein when the body is in a hyperglycemic state
are called:
CORRECT ANSWER:
Ketones
RATIONALE:
When glucose cannot be used properly, the body breaks down fat for energy, producing
ketones.
6. Type 1 diabetes is known as NIDDM. True or False?
CORRECT ANSWER:
False
RATIONALE:
Type 1 diabetes is IDDM (Insulin Dependent Diabetes Mellitus).
Type 2 diabetes is known as NIDDM (Non-Insulin Dependent Diabetes Mellitus).
7. Which form of diabetes is the most common type?
CORRECT ANSWER:
Type II Diabetes
RATIONALE:
Type 2 diabetes is the most common form and is often related to insulin resistance.
8. Adverse effects of Glucophage (Metformin) are:
, CORRECT ANSWER:
Renal impairment, skin rash, headache, nausea, and vomiting
RATIONALE:
Metformin can affect kidney function and commonly causes gastrointestinal upset.
9. Hyperglycemia is a result of too much insulin and not enough carbohydrates. True or False?
CORRECT ANSWER:
False
RATIONALE:
Too much insulin causes hypoglycemia.
Hyperglycemia occurs when blood sugar is too high due to insufficient insulin or excess glucose.
10. Mrs. Smith is 87 years old and is hard of hearing, a diabetic has hypothyroidism and
constant pain. The doctor may have which medication as part of her regimen to treat her
hypothyroidism?
CORRECT ANSWER:
Levothyroxine
RATIONALE:
Levothyroxine replaces thyroid hormone in patients with hypothyroidism.
11. Adverse effects of Levothyroxine are:
CORRECT ANSWER:
• Heart palpitations
• Tremors
• Weight gain
• Nervousness
• Insomnia
, RATIONALE:
Too much thyroid hormone can increase metabolism and stimulate the cardiovascular and
nervous systems.
12. Steroid medications can mask the signs of other infections. True or False?
CORRECT ANSWER:
True
RATIONALE:
Steroids suppress the immune system and may hide infection symptoms.
13. It is okay to abruptly stop taking steroid medicine. True or False?
CORRECT ANSWER:
False
RATIONALE:
Steroids must be tapered slowly because sudden withdrawal can cause adrenal insufficiency.
SECTION 2: COMMON MEDICATION CLASSIFICATIONS
14. Analgesics:
CORRECT ANSWER:
Drugs that relieve pain
RATIONALE:
Analgesics include:
• Non-narcotic analgesics for mild pain
• Narcotic analgesics for severe pain
15. Antacids:
CORRECT ANSWER:
Drugs that relieve indigestion and heartburn by neutralizing stomach acid
Questions with Correct Answers and
Detailed Rationales - Latest Update
2026.
SECTION 1: ENDOCRINE SYSTEM & DIABETES
1. Symptoms of hypoglycemia include:
CORRECT ANSWER:
Drowsiness, perspiration, pallor, confusion, and tremors
RATIONALE:
Hypoglycemia occurs when blood glucose levels are too low. The brain and body respond with
confusion, sweating, shaking, and weakness.
2. Which of the following is not oral hypoglycemia medication?
CORRECT ANSWER:
Synthroid
RATIONALE:
Synthroid (levothyroxine) is a thyroid hormone replacement medication used for
hypothyroidism, not diabetes.
3. The endocrine system is composed of a vast network of ducts and glands that secrete
hormones and other secretions to regulate body function. True or False?
CORRECT ANSWER:
True
RATIONALE:
The endocrine system contains glands that release hormones directly into the bloodstream to
control body functions.
,4. Which organs produce insulin?
CORRECT ANSWER:
Pancreas
RATIONALE:
The beta cells of the pancreas produce insulin, which helps glucose enter body cells.
5. Byproducts of the breakdown of fat and protein when the body is in a hyperglycemic state
are called:
CORRECT ANSWER:
Ketones
RATIONALE:
When glucose cannot be used properly, the body breaks down fat for energy, producing
ketones.
6. Type 1 diabetes is known as NIDDM. True or False?
CORRECT ANSWER:
False
RATIONALE:
Type 1 diabetes is IDDM (Insulin Dependent Diabetes Mellitus).
Type 2 diabetes is known as NIDDM (Non-Insulin Dependent Diabetes Mellitus).
7. Which form of diabetes is the most common type?
CORRECT ANSWER:
Type II Diabetes
RATIONALE:
Type 2 diabetes is the most common form and is often related to insulin resistance.
8. Adverse effects of Glucophage (Metformin) are:
, CORRECT ANSWER:
Renal impairment, skin rash, headache, nausea, and vomiting
RATIONALE:
Metformin can affect kidney function and commonly causes gastrointestinal upset.
9. Hyperglycemia is a result of too much insulin and not enough carbohydrates. True or False?
CORRECT ANSWER:
False
RATIONALE:
Too much insulin causes hypoglycemia.
Hyperglycemia occurs when blood sugar is too high due to insufficient insulin or excess glucose.
10. Mrs. Smith is 87 years old and is hard of hearing, a diabetic has hypothyroidism and
constant pain. The doctor may have which medication as part of her regimen to treat her
hypothyroidism?
CORRECT ANSWER:
Levothyroxine
RATIONALE:
Levothyroxine replaces thyroid hormone in patients with hypothyroidism.
11. Adverse effects of Levothyroxine are:
CORRECT ANSWER:
• Heart palpitations
• Tremors
• Weight gain
• Nervousness
• Insomnia
, RATIONALE:
Too much thyroid hormone can increase metabolism and stimulate the cardiovascular and
nervous systems.
12. Steroid medications can mask the signs of other infections. True or False?
CORRECT ANSWER:
True
RATIONALE:
Steroids suppress the immune system and may hide infection symptoms.
13. It is okay to abruptly stop taking steroid medicine. True or False?
CORRECT ANSWER:
False
RATIONALE:
Steroids must be tapered slowly because sudden withdrawal can cause adrenal insufficiency.
SECTION 2: COMMON MEDICATION CLASSIFICATIONS
14. Analgesics:
CORRECT ANSWER:
Drugs that relieve pain
RATIONALE:
Analgesics include:
• Non-narcotic analgesics for mild pain
• Narcotic analgesics for severe pain
15. Antacids:
CORRECT ANSWER:
Drugs that relieve indigestion and heartburn by neutralizing stomach acid
