Diabetes Test Quiz

A 52-year-old male patient, who is physically inactive and has a BMI of 27 kg/m2, presents to your clinic. He is asymptomatic but mentions that his elder brother was diagnosed with type 2 diabetes. According to the American Diabetes Association (ADA) guidelines, how often should this patient be screened for type 2 diabetes?

A. Once a year
B. Every two years
C. Every three years
D. Every five years

A patient with no classic symptoms of hyperglycemia presents with a Hemoglobin A1c (HbA1c) level of 6.3%. According to the American Diabetes Association (ADA) guidelines, how should this patient be classified?

A. Normal glucose tolerance
B. High risk of developing diabetes
C. Pre-diabetes
D. Diabetes

A 40-year-old woman presents with symptoms of polyuria, polydipsia, and excessive fatigue. A random plasma glucose test shows a glucose level of 205 mg/dL. According to the American Diabetes Association (ADA) guidelines, how can this patient's condition be diagnosed?

A. The patient needs another test for confirmation.
B. The patient has pre-diabetes.
C. The patient has diabetes.
D. The patient needs an oral glucose tolerance test (OGTT) for diagnosis.

A 45-year-old Asian male patient with a BMI of 24 kg/m2 comes to your clinic for a routine check-up. His mother has type 2 diabetes and he does not exercise regularly. He is asymptomatic and is not on any medication. How often should he be screened for type 2 diabetes according to the ADA guidelines?

A. Every year
B. Every two years
C. Every three years
D. Every five years

A 32-year-old woman presents to your clinic for pre-conception counseling. She is obese with a BMI of 30 kg/m2 and has a history of delivering a baby weighing >9 lb. What should be your next step regarding diabetes screening for this patient?

A. Perform an OGTT immediately
B. Test her for diabetes at the first prenatal visit
C. Perform an HbA1c test now and repeat it annually
D. Advise her to lose weight and re-evaluate her after 3 months

A 28-year-old woman is pregnant with her first child. She is overweight, and her mother has type 2 diabetes. At what point in her pregnancy should she be screened for gestational diabetes according to the ADA guidelines?

A. At the initial prenatal visit
B. At 12 weeks gestation
C. Between 24-28 weeks gestation
D. Immediately after delivery

A 25-year-old pregnant woman with a history of delivering a baby weighing >9 lb in her first pregnancy comes to your clinic at 12 weeks gestation. She has a BMI of 30 kg/m2. How should her risk of developing gestational diabetes be assessed and when should testing be performed?

A. She is at low risk, and should be tested at 24-28 weeks gestation.
B. She is at average risk, and should be tested at 24-28 weeks gestation.
C. She is at high risk, and should be tested as soon as feasible and repeated at 24-28 weeks if earlier testing normal.
D. She does not require any testing.

A pregnant woman is diagnosed with gestational diabetes using the “two-step” approach. Her fasting plasma glucose level is 105 mg/dl, one-hour level is 190 mg/dl, two-hour level is 160 mg/dl, and three-hour level is 145 mg/dl. Which diagnostic criteria were used to diagnose her condition?

A. Carpenter/Coustan criteria
B. National Diabetes Data Group criteria
C. IADPSG criteria
D. ADA criteria

A 35-year-old woman who had gestational diabetes during her pregnancy comes to your clinic 10 weeks after delivery. She has a BMI of 25 kg/m2. What is the recommended approach for postpartum testing for this patient?

A. Perform a two-hour 75-gram OGTT immediately and retest every year.
B. Perform a two-hour 75-gram OGTT immediately and retest at least every 3 years.
C. No testing is needed if the patient has no symptoms.
D. Perform a two-hour 75-gram OGTT at one year postpartum and retest every year.

What is the recommended annual screening method for diabetes in individuals over the age of 10 with cystic fibrosis?

A. HbA1c test
B. Fructosamine test
C. Fasting glucose test
D. 2-hour 75 gm Oral Glucose Tolerance Test (OGTT)

What is the gold standard procedure for measuring insulin resistance?

A. Oral Glucose Tolerance Test (OGTT)
B. Hyperinsulinemic euglycemic insulin clamp procedure
C. Insulinogenic Index
D. Whole-Body Insulin Sensitivity Index

What is the function of c-peptide testing in patients with diabetes?

A. To measure glucose levels
B. To examine insulin secretory reserve
C. To assess glucose effectiveness
D. To detect the presence of pancreatic autoantibodies

A 58-year-old woman with type 2 diabetes mellitus presents to your clinic for her regular checkup. She was diagnosed 3 years ago and is currently on Metformin. According to the ADA, how often should her HbA1c levels be checked to monitor glycemic control?

A. Every month
B. Every 3 to 6 months
C. Every 6 to 12 months
D. Every 12 to 24 months

A 35-year-old African-American man with type 1 diabetes mellitus, currently on insulin therapy, comes to your clinic. What is the recommended target HbA1c level for him according to the American Diabetes Association (ADA)?

A. <5%
B. <6.5%
C. <7%
D. <8%

A 70-year-old woman with a history of CKD stage 4 and newly diagnosed diabetes comes to your clinic. She is not yet on any medication. Which assay might not provide an accurate measure of her hyperglycemia?

A. HbA1c
B. Fructosamine
C. Glycated Albumin
D. 1,5-anhydroglucitol (1,5-AG)

A 55-year-old patient with a history of Roux-en-Y gastric bypass surgery presents with symptoms of confusion, sweating, and palpitations. His plasma glucose level is found to be 50 mg/dl. Which of the following is a likely cause of his hypoglycemia?

A. Critical illness
B. Overdose of insulin
C. Post-bariatric surgery hypoglycemia
D. Non-islet cell tumor

A 42-year-old patient has been experiencing symptoms of hypoglycemia. He is scheduled for a prolonged fast to determine the cause. What is one of the main purposes of this test?

A. To measure his metabolic rate
B. To diagnose hypoglycemia as the cause of his symptoms
C. To test his tolerance to hunger
D. To assess his response to insulin

A 60-year-old patient with diabetes uses continuous glucose monitoring (CGM) to manage his condition. Which of the following benefits is most associated with the use of CGM?

A. It provides real-time feedback on glucose levels
B. It eliminates the need for insulin injections
C. It reduces the risk of diabetes-related complications
D. It promotes weight loss

A 30-year-old woman presents with symptoms of confusion, sweating, and palpitations. She has a plasma glucose level of 50 mg/dl. Her insulin, C-peptide, and proinsulin levels are all high and there are no oral hypoglycemic medications detected. What is the likely cause of her hypoglycemia?

A. Exogenous insulin administration
B. Endogenous insulin overproduction
C. Oral hypoglycemic drug-induced hypoglycemia
D. Non-insulinoma pancreatogenous hypoglycemia

A 40-year-old man is undergoing a prolonged fast to determine the cause of his hypoglycemia symptoms. He is diagnosed after 48 hours. What is the likely cause of his hypoglycemia?

A. Insulinoma
B. Non-insulinoma pancreatogenous hypoglycemia
C. Oral hypoglycemic drug-induced hypoglycemia
D. Exogenous insulin administration

A 35-year-old woman is experiencing hypoglycemia symptoms several hours after meals. Which diagnostic test would be most suitable for her condition?

A. OGTT
B. Mixed meal test
C. Prolonged fast
D. Glucagon tolerance test

A 45-year-old woman with an inconclusive prolonged fast result is undergoing a glucagon tolerance test. She has a high insulin response with values exceeding 200 uU/ml within 20 minutes of the glucagon injection. What is the most probable diagnosis?

A. Insulinoma
B. Malnutrition
C. Hepatic disease
D. Non-islet cell tumors

A 60-year-old man with hepatic disease is undergoing a glucagon tolerance test. What kind of response might be expected?

A. Hyperglycemic response to glucagon
B. Decreased insulin response
C. Normal insulin response
D. No change in plasma glucose levels

A 52-year-old man with acromegaly is undergoing a glucagon tolerance test. What kind of response might be expected?

A. Decreased insulin response
B. Normal insulin response
C. Exaggerated peak insulin response
D. No change in plasma glucose levels

A 30-year-old Japanese woman is suspected to have autoimmune hypoglycemia. She has high insulin levels, but her C-peptide levels are not suppressed. What is the most probable cause of her hypoglycemia?

A. Insulinoma
B. Exogenous insulin administration
C. Autoimmune hypoglycemia due to insulin antibodies
D. Autoimmune hypoglycemia due to insulin receptor antibodies

A 45-year-old woman with a BMI of 27 kg/m2 is undergoing a c-peptide suppression test. What percentage decrease in c-peptide at 60 minutes would be considered abnormal?

A. Less than 50%
B. Less than 61%
C. Less than 70%
D. Less than 80%

A 35-year-old man with hypoglycemia is suspected of having an insulinoma. However, his c-peptide levels remain normal after a c-peptide suppression test. What can be inferred from these results?

A. The patient does not have an insulinoma.
B. The patient may still have an insulinoma.
C. The patient has autoimmune hypoglycemia.
D. The patient is administering insulin exogenously.

Diabetes Test Quiz

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