Description : What are the acute complications of diabetes mellitus?
Last Answer : Keto acidosis, hyperosmolar non-ketotic coma, lactic acidosis.
Description : Urinary water loss is increased in (A) Diabetes mellitus (B) Diabetes insipidus (C) Chronic glomerulonephritis (D) All of these
Last Answer : Answer : D
Description : Oliguria can occur in (A) Diabetes mellitus (B) Diabetes insipidus (C) Acute glomerulonephritis (D) Chronic glomerulonephritis
Last Answer : Answer : A
Description : Specific gravity of urine is decreased in (A) Diabetes mellitus (B) Acute glomerulonephritis (C) Diarrhoea (D) Chronic glomerulonephritis
Last Answer : B
Description : Specific gravity of urine increases in (A) Diabetes mellitus (B) Chronic glomerulonephritis (C) Compulsive polydypsia (D) Hypercalcemia
Last Answer : A
Description : Which of the following statements about the presence of gallstones in diabetes patients is/are correct? A. Gallstones occur with the same frequency in diabetes patients as in the ... have prompt elective cholecystectomy, to avoid the complications of acute cholecystitis and gallbladder necrosis.
Last Answer : Answer: E DISCUSSION: Gallstones have been found to be very prevalent in patients with type II (non-insulin-dependent) diabetes mellitus, perhaps related to the dyslipoproteinemia in ... added mortality associated with it. There is no causal relationship between diabetes and pancreatic cancer
Description : Which of the following factors can be associated with impaired wound healing? a. Chemotherapy b. Chronic steroid use c. Peripheral vascular disease d. Radiation therapy e. Diabetes mellitus
Last Answer : Answer: a, b, c, d, e Bone marrow suppression, a common consequence of chemotherapy, is detrimental to wound healing. Quantitative and qualitative lymphocyte and monocyte deficiency impairs cellular ... be a primary cause of impaired healing, and may be also a cofactor with other conditions
Description : Which of the following is/are not associated with increased likelihood of infection after major elective surgery? A. Age over 70 years. B. Chronic malnutrition. C. Controlled diabetes mellitus. D. Long-term steroid use. E. Infection at a remote body site.
Last Answer : Answer: C DISCUSSION: Controlled diabetes mellitus has been shown repeatedly not to be associated with increased likelihood of incisional infection provided one avoids operations on body parts ... site-are well-recognized adverse predictive factors and are identified in tables within the chapter
Description : Rank the clinical scenarios in order of greatest likelihood of serious postoperative pulmonary complications. A. Transabdominal hysterectomy in an obese woman that requires 3 hours of anesthesia time. B. Right ... smoker. E. Modified radical mastectomy in a 58-year-old woman who is obese.
Last Answer : Answer: BDCAE DISCUSSION: If one considers the constellation of risk factors for pulmonary complications that is provided in tabular form in the accompanying chapter, one should ... is associated with relatively little postoperative pain, and provides free and unrestricted respiratory function
Description : Which phase of the trajectory model of chronic illness is characterized by the gradual or rapid decline in the trajectory despite efforts to halt the disorder? a) Dying The dying phase ... symptoms worsen or the disability progresses despite attempts to control the course through proper management.
Last Answer : a) Dying The dying phase is characterized by stoppage of life-maintaining functions.
Description : Which phase of the trajectory model of chronic illness is characterized by reactivation of the illness? a) Unstable The unstable phase is characterized by development of complications or reactivation of the ... comeback phase is the period in the trajectory marked by recovery after an acute period.
Last Answer : a) Unstable The unstable phase is characterized by development of complications or reactivation of the illness.
Description : In which phase of the trajectory model of chronic illness are the symptoms under control and managed? a) Stable The stable phase indicates that the symptoms and disability are under ... symptoms worsen or the disability progresses despite attempts to control the course through proper management.
Last Answer : a) Stable The stable phase indicates that the symptoms and disability are under control or managed.
Description : Hypermagnesemia may be observed in (A) Hyperparathyroidism (B) Diabetes mellitus (C) Kwashiorkar (D) Primary aldosteronism
Last Answer : Answer : B
Description : Deficiency of magnesium may occur with (A) Alcoholism (B) Diabetes mellitus (C) Hypothyroidism (D) Advanced renal failure
Description : Alloxan can experimentally induce diabetes mellitus due to (A) Stimulation of α cells of the islets of langerhans (B) Necrosis of the β cells of the islets (C) Potentiation of insulinase activity (D) Epinephrine like action
Description : Hypoglycaemic coma can occur (A) In untreated diabetes mellitus (B) In starvation (C) After overdose of oral hypoglycaemic drugs (D) After overdose of insulin
Description : Diabetes mellitus can occur due to all of the following except (A) Deficient insulin secretion (B) Tumour of β−cells (C) Decrease in number of insulin receptors (D) Formation of insulin antibodies
Description : The rate of HMP shunt reactions is (A) Increased by Insulin (B) Increased in diabetes mellitus (C) Increased by glucagons (D) Increased in starvation
Description : Hypocholesterolemia is found in (A) Thyrotoxicosis (B) Diabetes mellitus (C) Obstructive jaundice (D) Nephrotic syndrome
Description : Ketosis is associated with the disease: (A) Nephritis (B) Diabetes mellitus (C) Edema (D) Coronary artery diseases
Description : Serum lipase level increases in (A) Paget’s disease (B) Gaucher’s disease (C) Acute pancreatitis (D) Diabetes mellitus
Last Answer : Answer : C
Description : Uremia occurs in (A) Cirrohsis of liver (B) Nephritis (C) Diabetes mellitus (D) Coronary thrombosis
Description : The essential fatty acids retard (A) Atherosclerosis (B) Diabetes mellitus (C) Nepritis (D) Oedema
Description : Which of the following condition is characterized by ketonuria but without glycosuria? (A) Diabetes mellitus (B) Diabetes insipidus (C) Prolonged starvation (D) Addison’s disease
Description : The β-lipoprotein fraction increases in severe (A) Diabetes Mellitus (B) Uremia (C) Nephritis (D) Muscular dystrophy
Description : Hypocholesterolaemia can occur in (A) Hyperthyroidism (B) Nephrotic syndrome (C) Obstructive jaundice (D) Diabetes mellitus FATS AND FATTY ACID METABOLISM 89
Description : All the following statements about ketone bodies are true except (A) Their synthesis increases in diabetes mellitus (B) They are synthesized in mitchondria (C) They can deplete the alkali reserve (D) They can be oxidized in the liver
Description : Obesity generally reflects excess intake of energy and is often associated with the development of (A) Nervousness (B) Non-insulin dependent diabetes mellitus (C) Hepatitis (D) Colon cancer
Description : Uremia occurs in (A) Cirrhosis of the liver(B) Nephritis (C) Diabetes mellitus (D) Coronary thrombosis
Description : In one of the following the quality of the protein synthesized is affected: (A) Diabetes mellitus (B) Gont (C) Multiple myeloma (D) Primaquine sensitivity
Description : Bence Jones proteins may be excreted in urine of patients suffering from (A) Tuberculosis (B) Diabetes mellitus (C) Multiple myeloma (D) Hyperthyroidism
Description : The following metabolic abnormalities occur in Diabetes mellitus except (A) Increased plasma FFA (B) Increased pyruvate carboxylase activate (C) Decreased lipogenesis (D) Decreased gluconeogenesis
Description : The absorption of glucose in the digestive tract (A) Occurs in the small intestine (B) Is stimulated by the hormone Glucagon (C) Occurs more rapidly than the absorption of any other sugar (D) Is impaired in cases of diabetes mellitus
Description : Two conditions in which gluconeogenesis is increased are (A) Diabetes mellitus and atherosclerosis (B) Fed condition and thyrotoxicosis (C) Diabetes mellitus and Starvation (D) Alcohol intake and cigarette smoking
Last Answer : C
Description : Physiological glycosuria is met with in (A) Renal glycosuria (B) Alimentary glycosuria (C) Diabetes Mellitus (D) Alloxan diabetes
Description : Gluconeogenesis is increased in the following condition: (A) Diabetes insipidus (B) Diabetes Mellitus (C) Hypothyroidism (D) Liver diseases
Description : Glucose tolerance is decreased in (A) Diabetes mellitus (B) Hypopituitarisme (C) Addison’s disease (D) Hypothyroidism
Description : Glucose tolerance is increased in (A) Diabetes mellitus (B) Adrenalectomy (C) Acromegaly (D) Thyrotoxicosis
Description : Specific gravity of urine is raised in all of the following except (A) Diabetes mellitus (B) Diabetes insipidus (C) Dehydration (D) Acute glomerulonephritis
Last Answer : D
Description : Polyuria can occur in (A) Diabetes mellitus (B) Diarrhoea (C) Acute glomerulonephritis (D) High fever
Description : Restriction of salt intake is generally recommended in (A) Diabetes mellitus (B) Hypertension (C) Cirrhosis of liver (D) Peptic ulcer
Description : Obesity increases the risk of (A) Hypertension (B) Diabetes mellitus (C) Cardiovascular disease (D) All of these
Description : Renal threshold for glucose is decreased in (A) Diabetes mellitus (B) Insulinoma (C) Renal glycosuria (D) Alimentary glycosuria
Description : An 16-year-old man presents with polyuria and polydipsia. Which of the following may confirm the diagnosis of diabetes mellitus? 1) A random plasma glucose of >7.5 mmol/L 2) A finding of 3+ ketonuria 3) An HbA1c of 7.0% 4) A fasting plasma glucose of 7.5 mmol/L 5) An abnormal glucose tolerance test
Last Answer : Answers-4 The diagnosis is usually relatively easy to confirm in a symptomatic subject. A random glucose of >11.1 mmol/L or a fasting glucose of >7.0 mmol/L would be regarded as ... haemoglobin (HbA1c) is also highly suggestive but not diagnostic. A glucose tolerance test is rarely needed.
Description : Which of the following conditions may be detectable by growth monitoring? 1) Hyperthyroidism 2) Hypothyroidism 3) Pseudohypoparathyroidism 4) XYY Syndrome 5) Insulin dependent diabetes mellitus
Last Answer : Answers-2
Description : A 16 year old male with a day history of malaise, weakness and vomiting. He was diagnosed with Insulin dependent diabetes mellitus 3 years prviously. Which ONE of the following supports a diagnosis of ... serum glucose 14 mmol/l 4) Decreased appetite in the past few days 5) Shallow respirations
Last Answer : Answers-2 a-An unusual but recognised feature particularly in children. However does not support a diagnosis of DKA. b-Suggests metabolic acidosis. c-'Normoglycaemic DKA' can occur and a glucose ... anorexia. e-Respiratory compensation leads to rapid deep (Kussmaul's) breathing. (Dr Mike Mulcahy)
Description : In diabetes mellitus, non-esterified fatty acid level in blood is increased, why?
Last Answer : Insulin inhibits hormone sensitive lipase, in diabetes, this inhibition is removed, so, more lipolysis is taking place.
Description : What is the cause for cataract in diabetes mellitus?
Last Answer : Early development of cataract of lens is due to the increased rate of sorbitol formation, caused by the hyperglycemia.
Description : What is the reason for polyphagia in diabetes mellitus?
Last Answer : To compensate the loss of glucose and protein, patient takes more food.
Description : What is the reason for weight loss in diabetes mellitus?
Last Answer : The loss and ineffective utilisation of glucose leads to breakdown of fat and protein.ˇThis would lead to loss of weight.