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3ий курс / English / Engl вопросы к занятию 14

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Diabetes mellitus (DM)

1. Absolute insulin deficiency is typical for:

1. Type 1 DM

2. Type 2 DM

2. Choose sign that is not typical for type 2 DM:

  1. The cause is relative insulin deficiency

  2. Low risk of ketoacydosis

  3. Rapid development of symptoms

  4. Overweight and obesity are common

3. Choose correct diagnostic criteria for DM:

1. Fasting glycemia in venous blood > 7,0 mmol/l

2. Fasting glycemia in venous blood > 5,6 mmol/l

4. Choose microvascular complications of DM:

1. Diabetic nephropathy

2. Retinopathy

3. Peripheral arterial disease

4. Correct answers 1-3

5. Correct answers 2,3

5. Match the characteristics of carbohydrate metabolism (1-4) and the results of glucose tolerance test (А-D):

1. Impaired fasting glucose

2. Normal range

3. Impaired glucose tolerance

4. Diabetes mellitus

A. Fasting glucose 7,4 mmol/l, 2 hours after intake of 75 mg of glucose - 11,4 mmol/l

B. Fasting glucose 6,5 mmol/l, 2 hours after intake of 75 mg of glucose - 7,1 mmol/l

C. Fasting glucose 6,0 mmol/l, 2 hours after intake of 75 mg of glucose - 8,4 mmol/l

D. Fasting glucose 5,6 mmol/l, 2 hours after intake of 75 mg of glucose - 7,4 mmol/l

6. The level of glycosylated hemoglobin (HbA1c) indicates:

1. The carbohydrate metabolism within the last 2-3 months

2. The carbohydrate metabolism within the last 2-3 years

7. Type 2 DM results in very high rate of silent myocardial ischemia.

1. True

2. False

8. Choose the complications of type 2 DM:

1. Ketoacydotic coma

2. Myocardial infarction

3. Stroke

4. Liver cirrhosis

9. 65-year old male with DM presented with weakness, tremor of the extremities and moist skin after a long walk. What condition possibly occurred?

_______________________________________________________________________

10. Patient with type 2 DM was admitted in coma with acetone smell, Kussmaul breathing, glycemia of 35 mmol/l and metabolic acidosis (рН 7,2). Choose the complication of diabetes:

  1. Hypoglycemic coma

  2. Ketoacidotic coma

  3. Hyperosmolar coma

  4. Lactat-acidosis

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