1. Criteria for the diagnosis of diabetes mellitus (World Health Organization) include all the following, EXCEPT:

A. Symptoms of diabetes plus random blood glucose concentration >200 mg/dL

B. Fasting plasma glucose >126 mg/dL

C. Two-hour plasma glucose> 200 mg/dL during an oral glucose tolerance testc

D. Fasting Plasma Glucose (FPG) < 5.6 mmol/L

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2. ______________ is contraindicated in patients with serum creatinine >1.5 mg/dL (men) >1.4 mg/dL (women), CHF, radiographic contrast studies, seriously ill patients, acidosis.

A. Metformin

B. Rosiglitazone

C. Pioglitazone

D. Insulin

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3. Insulim is a:

A. Protein

B. Fat    

C. Mineral

D. Carbohydrate

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4. Which is the most reliable indicator of therapeutic compliance of a diabetic client with a normal serum hemoglobin?

A. Fasting serum glucose

B. Glycosylated hemoglobin

C. Urine glucose and ketone levels

D. Routine serum chemistry profile

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5. A client with type 2 diabetes complains of nausea, vomiting, diaphoresis and headache. Which of the following nursing interventions should the nurse carry out first?

A. Withhold the client’s next insulin injection.

B. Test the client’s blood glucose level.

C. Administer Tylenol (acetaminophen) as ordered.

D. Offer fruit juice, gelatin and chicken bouillon.

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6. Glipizide acts by:

A. enhance GLP-1 action.

B. increase insulin sensitivity

c. stimulating insulin secretion by the beta cells

D. reducing glucose production

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7. The most serious complication of therapy for DM is;

A. weight gain

B. delayed wound healing

C. hypoglycemia

D. kidney failure

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8._______________, a polypeptide hormone produced by the alpha cells of the islets of Langerhans, increases plasma-glucose concentration by mobilising glycogen stored in the liver.

A. Insulin

B.

C.

D. Glucagon

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9. Diazoxide is indicated in the management of:

A. chronic hypoglycaemia

B. acute hypoglycaemia.

C. hyper-osmolar non-ketotic hyperglycemia

D. diabetic ketoacidosis

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10. ________ is indicated for the treatment of diabetic neuropathic pain.

A. Paroxetine

B. Duloxetine

C. Pethidine

D. Meperidine