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IDDM is an autoimmune disease that is characterized by the complete absence of insulin.

A) True
B) False

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Which of the following statements is NOT true of diabetes mellitus?


A) Type I diabetes mellitus seems to be a genetic abnormality requiring insulin administration.
B) Type II diabetes is the result of aging, improper diet, or genetic factors and may be treated with oral medications.
C) Drugs for diabetes mellitus include oral hypoglycemics, insulins, and drugs to affect glucose absorption.
D) The symptoms for both types of diabetes mellitus are always polyphagia, polydipsia, and polyuria, as well as weight loss.
E) Type II diabetes mellitus may be caused by insulin resistance.

F) D) and E)
G) C) and D)

Correct Answer

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Steroids increase the risk of toxic effects from digoxin and increase the risk of peptic ulcers when used with NSAIDs.

A) True
B) False

Correct Answer

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The site of insulin administration must be rotated with each injection.

A) True
B) False

Correct Answer

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Illness, trauma, and stress increase blood glucose levels and thus the need for more insulin.

A) True
B) False

Correct Answer

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With insulin-resistant diabetes mellitus, the body keeps secreting more and more insulin that is not used, until finally the pancreas ceases production.

A) True
B) False

Correct Answer

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Second-generation sulfonylureas are those found in use in this class and are administered once a day.

A) True
B) False

Correct Answer

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Antidiuretic hormone, also called vasopressin, promotes the excretion of water.

A) True
B) False

Correct Answer

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Steroids are relatively safe and have few drug interactions.

A) True
B) False

Correct Answer

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Hormones secreted by the pituitary gland include which of the following?


A) tropic hormones
B) neurohormones
C) oxytocin and ADH
D) a and c
E) all of the above

F) B) and D)
G) None of the above

Correct Answer

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Insulin preparations with precipitates should be shaken.

A) True
B) False

Correct Answer

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All of the following are true of Lantus insulin EXCEPT it


A) is cloudy
B) is the latest type of insulin introduced
C) may not be mixed with other types of insulin
D) should be administered once a day at bedtime
E) maintains a continuous hypoglycemic action over a 24-hour period and does not show a distinct peak

F) A) and D)
G) None of the above

Correct Answer

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Amylin GLP-1 analogues stimulate the secretion of insulin in the beta cells of the islets of Langerhans and the medication may promote regeneration of beta cells.

A) True
B) False

Correct Answer

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Match the following terms with their descriptions below. -Enlarged thyroid gland


A) goiter
B) osteoporosis
C) hypoglycemia
D) hyperglycemia
E) negative feedback

F) A) and B)
G) A) and C)

Correct Answer

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Glitazones such as Avandia and Actos interact with oral contraceptives, reducing the contraceptives' effectiveness by 30%.

A) True
B) False

Correct Answer

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Glucagon is used to treat hypoglycemia.

A) True
B) False

Correct Answer

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Antithyroid medications, used to treat hypersecretion of thyroid hormones, may cross the placenta, affecting the fetus, and may cause sore throat, bleeding, and myalgia.

A) True
B) False

Correct Answer

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Signs and symptoms of hyperglycemia/diabetic coma include all of the following EXCEPT


A) breath with a fruity odor
B) fast, weak pulse
C) dry skin
D) low blood pressure
E) no thirst

F) B) and C)
G) A) and D)

Correct Answer

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Insulin dosage is individualized to each patient's needs and physical condition.

A) True
B) False

Correct Answer

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Match the following terms with their descriptions below. -Decreased blood glucose level


A) goiter
B) osteoporosis
C) hypoglycemia
D) hyperglycemia
E) negative feedback

F) A) and D)
G) C) and D)

Correct Answer

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