Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
28 Cards in this Set
- Front
- Back
|
Which of the following artificial sweeteners is not recommended for use in pregnancy and lactation?
A) Saccharin B) Cyclamate C) Sucralose D) Aspartame E) A and B |
E
|
|
|
Which of the following statements regarding depression in diabetes is true?
A) Co-mordid depression does not affect adherence to self management strategies or glycemic control. B) Co-Morbid depression has been associated with a lower rate of diabetes-related complications C)Depression is at least twice as common in individuals with type 2 diabetes than in the general population D) Mirtazapine is an appropriate initial choice of antidepressant in type 2 diabetes |
C
|
|
|
Which of the following is not a risk determinant of the metabolic syndrome using NCEP ATP III criteria?
A) FPG > 6.1 mmol/L B)BP > 140/90 mmHg C)TG > 1.7 mmol/L D) HDL-C < 1.3 mmol/L in women |
B
|
|
|
Which of the following is not an example of 15g of carbohydrate used to treat mild or moderate hypoglycemia?
A) 3 BD Glucose tablets B) 30 ml (2 tablespoons) of honey C) 175 ml (3/4 cup) of juice or regular soft drink D) 3 packets of table sugar dissolved in water |
B
|
|
|
Which of the following statements is true of the use of oral antihyperglycemic agents during pregnancy?
A) Women with type 2 diabetes who are planning pregnancy do not need to discontinue oral AHAs B) Women with type 2 diabetes who are planning pregnancy should discontinue sulfonylureas and attain glycemic targets using metformin C) Evidence is inadequate to warrant recommendation of the use of oral AHAs in pregnancy D) Women with type 2 diabetes who are planning pregnancy should attain glycemic targets using TZDs |
C
|
|
|
Which of the following waist circumference values have been shown to be associated with substantially increased health risks?
A)Men > 102 cm and women > 88 cm B) Men > or equal to 88 cm and women > or equal to 102 cm C) Men > or equal to 80 cm and women > or equal to 90 cm D) Men > or equal to 90 cm and women > or equal to 60 cm |
A
|
|
|
What is the optimal rate of weight loss for overweight and obese people with diabetes?
A) 1-2 kg per week B) 1-2 kg per month C) 2-4 kg per week D) 2-4 kg per month |
B
|
|
|
What is the most common lipid pattern in individuals with type 2 diabetes?
A) High HDL-C and hypertriglyceridemia and high LDL-C B) Normal HDL-C and hypertriglyceridemia and low LDL-C C)Low HDL-C and hypertriglyceridemia and lormal LDL-C D) Normal HDL-C and hypertriglyceridemia and high LDL-C |
C
|
|
|
What is the primary cause of death among people with type 1 or type 2 diabetes?
A) Renal failure B) Cardiovascular disease C) Cancer D) Accidental death |
B
|
|
|
Which of the following is the primary lipid target for adults at high risk for CVD?
A) LDL-C < 2.0 mmolL B) LDL-C < or equal to 2.5 mmol/L C) HDL-C > or equal to 1.0 mmol/L D) TC/HDL ratio < 4.0 |
A
|
|
|
What percentage of people with type 2 diabetes is overweight or obese?
A) 80% - 90% B) 40% - 50% C) 20% - 30% D) 50% - 60% |
A
|
|
|
When should all pregnant women be screened for GDM?
A) Between 24 and 28 weeks gestation B)At conception C)Between 10 and 12 weeks gestation D) Between 15 and 20 weeks gestation |
A
|
|
|
Which of the following are the recommended glycemic targets for women with GDM?
A. Preprandial < 7.0, 1-hour postprandial < 10.0, 2-hour postprandial < 8.0 B) Preprandial < 4.2, 1-hour postprandial < 6.4, 2-hour postprandial < 5.0 C) Preprandial < 8.5, 1-hour postprandial < 12.0, 2-hour postprandial < 10.4 D) Preprandial < 5.3, 1-hour postprandial < 7.8, 2-hour postprandial < 6.7 |
D
|
|
|
How can a process standard be evaluated?
A) By changes in clients' knowledge scores B)By a reduction in diabetes-related admissions C) By an increase in the interactive component of the classes D) By an improvement in diabetes control as measured by A1C |
C
|
|
|
Sean, a 42-year old married man with 2 children, has had type 2 diabetes for several years. Which one of the following interview questions would be most useful to assess the strengths of his social support system?
A) "How have your coped with health problems in the past?" B) "Are your family and friends knowledgeable about your diabetes management?" C) "Does your wife feel she must prepare different meals for you and your family?" D) "What do your family and friends do that you find helpful or not helpful in living with diabetes?" |
D
|
|
|
For clients from the Cree community who speak some English, which of the following printed materials would be most appropriate to teach nutrition principles?
A) A handwritten sample meal plan B) A copy of Just the Basics which has been translated into Cree C) A pamphlet written in Cree that lists some foods from Beyond the Basics D) A pamphlet containing some Cree text, with some common Cree foods |
D
|
|
|
An obese woman has type 2 diabetes, liver disease and coronary artery disease. Her physician would like to initiate insulin, but the client asks the diabetes educator if she could use metformin instead of insulin. What would be the most appropriate response?
A) "We should desk your physician if she would be willing to let you try metformin" B) "Insulin is recommended because metformin is not safe for people with liver disease" C) "Metformin is not advisable because it would make your heart problems worse" D) "You need insulin now to attain good blood glucose control, but later you can try metformin" |
B
|
|
|
Which of the following actions is advised to reduce the risk of cardiovascular disease in individuals with diabetes?
A) Ingest food containing hydrogenated vegetable oils B) Limit cholesterol to 400mg per day. C) Reduce combined saturated fat and trans fatty acids to less than 10% of energy intake. D) Increase the consumption of trans fatty acids |
C
|
|
|
Alicia is frustrated because Jessica, her 3-year old daughter, is screaming, crying and resisting her insulin injections. The procedure takes 15 minutes and upsets the entire family. What is the most appropriate response for the diabetes educator to make?
A) "Perform the injection as quickly as possible, restraining her gently if necessary" B) "Delay the injection for a couple of hours until Jessica settles down" C) "Try using a jet (needleless) injector to administer the insulin" D "Prior to each injection, calmly talk through the procedure with Jessica as she gives her favourite doll and injection" |
A
|
|
|
What is a risk factor for the development of neuropathy?
A) Duration of hyperglycaemia B) High blood pressure C) High cholesterol D) High triglycerides |
B
|
|
|
For what is a C-peptide a marker?
A) The amount of glucagon present B) The amount of exogenous insulin present C) The amount of endogenous insulin present D) The response of counterregulatory hormones to stress |
C
|
|
|
What is an essential component of a quality improvement program?
A) A clear statement of philosophy B) Evidence that clients are meeting program objectives C) Development of behavioural objectives for each teaching session D) A remedial plan addressing deficiencies in meeting established standards |
D
|
|
|
The diabetes educators are asked by local First Nations community members to provide "diabetes workshops". Before initiating the workshops, the diabetes educators arrange meetings with the community nurse and health representatives to learn more about the community, and to jointly plan the workshops and their evaluation. The planning meetings are indicators for which kind of standard?
A) Structure Standard B) Process Standard C) Outcome Standard D) Formative evaluation Standard |
A
|
|
|
The primary purpose of client assessment in diabetes education is to:
A) Categorize clients B) standardize instruction C) improve the quality of the education plan D) tailor diabetes education to each individual |
D
|
|
|
The natural history or development of type 1 diabetes is:
1. sudden and unpredictable 2. always recognizable by continued overt hyperglycaemia 3. associated with genetic predisposition and environmental trigger(s) 4. the result of a long phase of immune-mediated destruction of beta-cells A) 1,2 B) 3,4 C) 2,3 D) 1,4 |
D
|
|
|
Which of the following are abnormalities of type 2 diabetes?
1. Peripheral insulin resistance 2. Inhibited hepatic glucose production 3. Impaired pancreatic insulin secretion 4. Central storage of excessive body weight A) 1,3 B) 1,4 C) 2,3 D) 2,4 |
A
|
|
|
Of the following people, who have an increased risk of depression compared to the general population? People who:
1. have diabetes 2. have a long duration of diabetes 3. are older adults with diabetes 4. have diabetes complications without functional limitations A) 1,2 B) 2,4 C) 3,4 D) 1,3 |
D
|
|
|
When lispro insulin is compared to human regular insulin, lispro insulin:
A) has a similar effect on A1C B) causes an increase in hypoglycaemia, especially nocturnal hypoglycaemia. C) has inconsistent glucose lowering effects and plasma clearance after intravenous infusion D) has decreased absorption and compatibility when mixed with human N insulin |
A
|
