1.
What Oral Antidiabetic stimulates beta cells to secrete more insulin and increase receptor sites in the tissue?
Correct Answer
C. Sulfonylureas
Explanation
Sulfonylureas are a type of oral antidiabetic medication that stimulates beta cells in the pancreas to secrete more insulin. This helps to increase the amount of insulin in the body, which in turn helps to lower blood sugar levels. Additionally, sulfonylureas also increase the number of insulin receptor sites in the tissues, making the body more sensitive to insulin. Overall, sulfonylureas help to improve insulin production and utilization in individuals with diabetes.
2.
What Oral Antidiabetic stimulates beta cells to secrete more insulin and increase receptor sites in the tissue?
Correct Answer
C. Sulfonylureas
Explanation
Sulfonylureas are a type of oral antidiabetic medication that stimulate beta cells in the pancreas to secrete more insulin. They also increase the number of receptor sites for insulin in the tissue. This helps to lower blood sugar levels in individuals with type 2 diabetes.
3.
What Hyperglycemic medication increases blood glucose within 5 - 20 minutes?
Correct Answer
A. Glucagon
Explanation
Glucagon is a hyperglycemic medication that increases blood glucose levels within 5-20 minutes. It works by stimulating the liver to convert stored glycogen into glucose, which is then released into the bloodstream. This medication is commonly used in emergency situations to treat severe hypoglycemia (low blood sugar) when the patient is unable to consume carbohydrates orally.
4.
What Hyperglycemic medication increases blood glucose within 5 - 20 minutes?
Correct Answer
A. Glucagon
Explanation
Glucagon is a hyperglycemic medication that increases blood glucose levels within 5 - 20 minutes. It works by stimulating the liver to convert stored glycogen into glucose, which is then released into the bloodstream. This medication is commonly used in emergency situations to treat severe hypoglycemia or low blood sugar levels. Unlike other medications listed, such as Glucovance, Glybride, Glimepride, and Glipizide, which are antidiabetic drugs that lower blood glucose levels, Glucagon has the opposite effect and raises blood glucose levels quickly.
5.
Oral Diabetic Medication has the following side effects:
Diarrhea, Stomach upset, and Lactic acidosis?
Correct Answer
D. Metformin
Explanation
Metformin is the correct answer because it is an oral diabetic medication that can cause side effects such as diarrhea, stomach upset, and lactic acidosis. Lactic acidosis is a rare but serious side effect that can occur when there is a buildup of lactic acid in the body. It is important for individuals taking metformin to be aware of these potential side effects and to seek medical attention if they experience any symptoms.
6.
Oral Diabetic Medication has the following side effects:
Diarrhea, Stomach upset, and Lactic acidosis?
Correct Answer
D. Metformin
Explanation
Metformin is an oral diabetic medication that is commonly prescribed to manage blood sugar levels in individuals with type 2 diabetes. One of the possible side effects of metformin is diarrhea, which may occur due to the medication's effect on the gastrointestinal system. Stomach upset is another potential side effect of metformin, which can cause symptoms such as nausea, vomiting, or abdominal discomfort. Lactic acidosis is a rare but serious side effect of metformin, characterized by the buildup of lactic acid in the body. It is important to monitor for symptoms of lactic acidosis, such as weakness, fatigue, muscle pain, or difficulty breathing, and seek medical attention if they occur.
7.
Which of the following medications are first-generation Sulfonylureas?
Correct Answer(s)
A. Dymelor
B. Orinase
D. Tolinase
E. Diabinese
Explanation
The first-generation Sulfonylureas are Dymelor, Orinase, Tolinase, and Diabinese. These medications are used to treat type 2 diabetes by stimulating the pancreas to produce more insulin. They work by binding to specific receptors on the beta cells in the pancreas, which triggers the release of insulin. These drugs are considered first-generation because they were the first class of oral antidiabetic medications developed. They have been used for many years and have proven to be effective in controlling blood sugar levels in some patients. Acarbose, on the other hand, is not a Sulfonylurea but belongs to a different class of antidiabetic medications called alpha-glucosidase inhibitors.
8.
- Which of the following drugs are first-generation Sulfonylureas?
Correct Answer(s)
A. Dymelor
B. Orinase
D. Tolinase
E. Diabinese
Explanation
The first-generation Sulfonylureas are Dymelor, Orinase, Tolinase, and Diabinese. These drugs belong to a class of medications used to treat type 2 diabetes by stimulating the pancreas to produce more insulin. They work by binding to specific receptors on the beta cells in the pancreas, which triggers the release of insulin. These drugs have been used for many years and are considered the older generation of Sulfonylureas. Acarbose, on the other hand, is not a Sulfonylurea but belongs to a different class of medications called alpha-glucosidase inhibitors, which work by slowing down the digestion of carbohydrates in the small intestine.
9.
What Oral Medication should not be taken with Dairy products?
Correct Answer
B. Metformin
Explanation
Metformin is an oral medication that is commonly prescribed to manage type 2 diabetes. It belongs to a class of drugs called biguanides. The reason why Metformin should not be taken with dairy products is because calcium-rich foods, such as milk and cheese, can interfere with the absorption of the medication. Calcium can bind to Metformin in the digestive tract, reducing its effectiveness. Therefore, it is recommended to avoid consuming dairy products at the same time as taking Metformin to ensure optimal absorption and effectiveness of the medication.
10.
Oral Medication should not be taken with Dairy products?
Correct Answer
B. Metformin
Explanation
Metformin is a type of oral medication used to treat diabetes. It works by reducing glucose production in the liver and improving insulin sensitivity. Taking metformin with dairy products can decrease its effectiveness because calcium in dairy can interfere with the absorption of the medication. Therefore, it is recommended to avoid consuming dairy products while taking metformin to ensure optimal effectiveness of the medication.
11.
What Combination of drugs are used to make Glucovance? Also, include the classification of drugs?
Correct Answer(s)
A. Glyuride
C. Sulfonylureas
D. Metformin
E. Biguanides
Explanation
Glucovance is a combination drug that contains glyburide and metformin. Glyburide belongs to the class of drugs called sulfonylureas, which work by stimulating the pancreas to release more insulin and reducing the amount of glucose produced by the liver. Metformin belongs to the class of drugs called biguanides, which work by reducing the amount of glucose produced by the liver and improving the body's response to insulin. Therefore, the combination of glyburide, a sulfonylurea, and metformin, a biguanide, in Glucovance helps to control blood sugar levels in people with type 2 diabetes.
12.
What Combination of drugs are used to make Glucovance? Also, include the classification of drugs?
Correct Answer(s)
A. Glyuride
C. Sulfonylureas
D. Metformin
E. Biguanides
Explanation
Glucovance is a combination medication used to treat type 2 diabetes. It contains the drugs Glyburide and Metformin. Glyburide belongs to the class of drugs called sulfonylureas, which work by stimulating the pancreas to produce more insulin. Metformin belongs to the class of drugs called biguanides, which work by reducing glucose production in the liver and improving insulin sensitivity. Therefore, Glucovance combines the effects of both these classes of drugs to effectively manage blood sugar levels in patients with type 2 diabetes.
13.
What drug increases blood sugar by stimulating glycogenolysis (glycogen breakdown) in the liver?
Correct Answer
E. Glucagon
Explanation
Glucagon is a hormone that increases blood sugar levels by stimulating glycogenolysis in the liver. Glycogenolysis is the breakdown of glycogen into glucose, which is then released into the bloodstream. This process helps to raise blood sugar levels when they are low, such as during periods of fasting or exercise. Glimpride, Glyburide, Acarbose, and Miglitol do not have this specific effect on blood sugar levels.
14.
What drug increases blood sugar by stimulating glycogenolysis (glycogen breakdown) in the liver?
Correct Answer
E. Glucagon
Explanation
Glucagon is a hormone that increases blood sugar levels by stimulating glycogenolysis in the liver. When blood sugar levels are low, glucagon is released and it signals the liver to break down stored glycogen into glucose, which is then released into the bloodstream. This process helps to raise blood sugar levels and maintain a stable glucose balance in the body. Glimpride, Glyburide, Acarbose, and Miglitol are not drugs that stimulate glycogenolysis in the liver.
15.
What decreases the rate of liver glucose production, augments glucose uptake by tissues, and lowers lipids?
Correct Answer
D. Metformin
Explanation
Metformin decreases the rate of liver glucose production, augments glucose uptake by tissues, and lowers lipids. It is commonly used to treat type 2 diabetes by improving insulin sensitivity and reducing the amount of glucose produced by the liver. Additionally, Metformin can also lower lipid levels, such as cholesterol and triglycerides, which are often elevated in individuals with diabetes. This medication helps to regulate blood sugar levels and improve overall glycemic control.
16.
What decreases the rate of liver glucose production, augments glucose uptake by tissues, and lowers lipids?
Correct Answer
D. Metformin
Explanation
Metformin decreases the rate of liver glucose production by inhibiting gluconeogenesis and glycogenolysis, thereby reducing the amount of glucose released into the bloodstream. It also augments glucose uptake by tissues, primarily muscle cells, by increasing insulin sensitivity. Additionally, Metformin has been shown to lower lipids, including triglycerides and LDL cholesterol levels, which can be beneficial for individuals with dyslipidemia or metabolic syndrome.
17.
What following Oral Anti-diabetics list the side effects of hypoglycemia? (Classification listed)
Correct Answer(s)
B. Sulfonylureas
C. Meglitinides
Explanation
Sulfonylureas and meglitinides are both classes of oral anti-diabetic medications that can cause hypoglycemia as a side effect. Hypoglycemia is a condition characterized by low blood sugar levels, which can lead to symptoms such as dizziness, confusion, sweating, and weakness. These medications work by stimulating the release of insulin from the pancreas, which can sometimes result in excessive insulin production and a drop in blood sugar levels. Therefore, it is important for patients taking these medications to monitor their blood sugar levels regularly and be aware of the signs and symptoms of hypoglycemia.
18.
What following Oral Anti-diabetics list the side effects of hypoglycemia? (Classification listed)
Correct Answer(s)
B. Sulfonylureas
C. Meglitinides
Explanation
Sulfonylureas and meglitinides are both classes of oral anti-diabetic medications that can cause hypoglycemia as a side effect. Hypoglycemia is a condition characterized by low blood sugar levels, and it can lead to symptoms such as dizziness, confusion, sweating, and weakness. These medications work by stimulating the release of insulin from the pancreas, which can sometimes result in excessive insulin production and a subsequent drop in blood sugar levels. Therefore, patients taking sulfonylureas or meglitinides should be cautious and monitor their blood sugar levels regularly to prevent and manage hypoglycemia.
19.
What classification may cause weight gain?
Correct Answer(s)
B. Thiazolidinediones
C. Meglitinides
D. Sulfonylureas
Explanation
Thiazolidinediones, meglitinides, and sulfonylureas are all classes of medications used to treat diabetes. These medications work by increasing insulin production or improving insulin sensitivity in the body. One common side effect of these medications is weight gain. This can be attributed to various factors such as increased appetite, fluid retention, or changes in metabolism. Therefore, if a person is taking any of these medications, they may experience weight gain as a potential side effect.
20.
What classification may cause weight gain?
Correct Answer(s)
B. Thiazolidinediones
C. Meglitinides
D. Sulfonylureas
Explanation
Thiazolidinediones, meglitinides, and sulfonylureas are all classifications of medications used to treat diabetes. These medications work by increasing insulin sensitivity or stimulating insulin production, which can lead to weight gain as a side effect. Thiazolidinediones, in particular, are known to cause fluid retention and increase fat storage, resulting in weight gain. Meglitinides and sulfonylureas can also cause weight gain by stimulating the release of insulin, which can promote fat deposition. Therefore, these three classifications of medications may cause weight gain in individuals taking them for diabetes management.
21.
What is the max dose of Metformin in mg/d?
Correct Answer
B. 2500
Explanation
The maximum dose of Metformin in milligrams per day is 2500.
22.
What is the max dose of Metformin in mg/d?
Correct Answer
B. 2500
Explanation
The maximum dose of Metformin in milligrams per day is 2500.
23.
What classification of OAD (Oral Anti-diabetic) medication delays the absorption of carbohydrates from the GI TRACT?
Correct Answer
C. AlpHa- Glucosidase
Explanation
Alpha-Glucosidase inhibitors are a classification of OAD medication that delays the absorption of carbohydrates from the gastrointestinal (GI) tract. These medications work by inhibiting the enzyme alpha-glucosidase, which is responsible for breaking down complex carbohydrates into simple sugars. By slowing down the digestion of carbohydrates, alpha-glucosidase inhibitors help to control blood sugar levels after meals. This class of medication is commonly used in the treatment of type 2 diabetes.
24.
What classification of OAD (Oral Anti-diabetic) medication delays the absorption of carbohydrates from the GI TRACT?
Correct Answer
C. AlpHa- Glucosidase
Explanation
Alpha-Glucosidase inhibitors are a classification of OAD medication that delays the absorption of carbohydrates from the gastrointestinal (GI) tract. These medications work by inhibiting the enzyme alpha-glucosidase, which is responsible for breaking down carbohydrates into glucose. By inhibiting this enzyme, alpha-glucosidase inhibitors slow down the digestion and absorption of carbohydrates, leading to a slower and more controlled rise in blood sugar levels after meals. This helps to manage blood sugar levels in individuals with diabetes.
25.
Alpha-Glucosidase should ONLY BE GIVEN WITH MEALS, choose the generic names of the drugs that belong to this category.
Correct Answer(s)
B. Acarbose (precose)
E. Miglitol (glyset)
Explanation
Acarbose (Precose) and Miglitol (Glyset) are the correct generic names of the drugs that belong to the category of Alpha-Glucosidase inhibitors. These medications work by slowing down the digestion and absorption of carbohydrates in the intestines. By doing so, they help to control blood sugar levels after meals. Therefore, it is important to take these drugs with meals to optimize their effectiveness in managing diabetes. Pioglitazone (Actos), Repaglinide (Prandin), and Rosiglitazone (Avandia) are not Alpha-Glucosidase inhibitors and are not indicated to be taken specifically with meals.
26.
Alpha-Glucosidase should ONLY BE GIVEN WITH MEALS, choose the generic names of the drugs that belong to this category.
Correct Answer(s)
B. Acarbose (precose)
E. Miglitol (glyset)
Explanation
Acarbose (Precose) and Miglitol (Glyset) are both alpha-glucosidase inhibitors. These drugs work by slowing down the digestion and absorption of carbohydrates in the small intestine. By inhibiting the alpha-glucosidase enzyme, they help to control blood sugar levels after meals. Therefore, it is important to take these medications with meals to ensure their effectiveness. Pioglitazone (Actos), Repaglinide (Prandin), and Rosiglitazone (Avandia) are not alpha-glucosidase inhibitors and do not require mealtime administration.
27.
What increased glucose uptake in muscle, decreases glucose production in the liver?
Correct Answer
B. Thiazolidinediones
Explanation
Thiazolidinediones increase glucose uptake in muscle by activating a receptor called PPAR-gamma, which increases the expression of genes involved in glucose transport and metabolism. At the same time, these drugs decrease glucose production in the liver by inhibiting the enzyme responsible for gluconeogenesis, the process by which the liver produces glucose. Therefore, Thiazolidinediones have a dual effect on glucose metabolism, promoting glucose uptake in muscle and reducing glucose production in the liver.
28.
What increased glucose uptake in muscle, decreases glucose production in the liver?
Correct Answer
E. Biguanides
Explanation
Biguanides (specifically metformin) are a class of medications that increase glucose uptake in muscle and decrease glucose production in the liver. Metformin enhances insulin sensitivity in muscle tissue, promoting glucose uptake, and reduces hepatic gluconeogenesis, thereby decreasing glucose output from the liver .
29.
Choose the correct Thiazolidinediones drugs.
Correct Answer(s)
A. Rosiglitazone (avandia)
E. Pioglitazone (Actos)
Explanation
The correct Thiazolidinediones drugs are Rosiglitazone (avandia) and Pioglitazone (Actos). These drugs are used to treat type 2 diabetes by improving the body's response to insulin. Raganlitazone (acandia), Nateglinide (starlix), and Repaglinide (Prandin) are not Thiazolidinediones drugs.
30.
What are the side effects of Meglitinides?
Correct Answer(s)
B. Weight gain
C. Hypoglycemia
Explanation
Meglitinides are a type of medication used to treat diabetes by stimulating the release of insulin. Weight gain is a known side effect of meglitinides as they can cause an increase in appetite and promote fat storage. Hypoglycemia, or low blood sugar, is another side effect of meglitinides as they can cause a rapid decrease in blood glucose levels. Therefore, weight gain and hypoglycemia are the potential side effects of meglitinides.
31.
What are the Side effects of Thiazolidnedions?
Correct Answer(s)
B. Edema
D. Weight gain
Explanation
Thiazolidinediones are a class of medications used to treat type 2 diabetes. Edema, or fluid retention, is a known side effect of these drugs. This occurs because thiazolidinediones can cause the body to retain water, leading to swelling in the legs, ankles, and feet. Additionally, weight gain is another common side effect of these medications. Thiazolidinediones can cause an increase in fat storage and fluid retention, leading to weight gain over time.
32.
What stimulates rapid and short-lived release of insulin from the pancreas?
Correct Answer
A. Meglitinides
Explanation
Meglitinides stimulate a rapid and short-lived release of insulin from the pancreas. These drugs work by binding to the ATP-sensitive potassium channels on the beta cells of the pancreas, leading to an influx of calcium ions and subsequent release of insulin. This mechanism of action allows for a quick response to elevated blood glucose levels, making meglitinides an effective treatment option for individuals with type 2 diabetes.
33.
What should not be used if liver or kidney dysfunction is present, works for 10 to 24 hours, and has a HIGHER hypoglycemic potency?
Correct Answer
E. Sulfonylureas
Explanation
Sulfonylureas should not be used if liver or kidney dysfunction is present because they are metabolized by the liver and excreted by the kidneys. They work for 10 to 24 hours, which means they have a longer duration of action compared to other options. Additionally, they have a higher hypoglycemic potency, meaning they are more likely to cause low blood sugar levels. Therefore, in patients with liver or kidney dysfunction, other medications with a shorter duration of action and lower hypoglycemic potency should be considered.
34.
What classification should be given within 15 min of a meal and no more than 30 min?
Correct Answer
B. Meglitnides
Explanation
Meglitinides are a class of oral antidiabetic drugs that are taken within 15 minutes of a meal and no more than 30 minutes. They work by stimulating the release of insulin from the pancreas, helping to lower blood sugar levels after meals. This classification is suitable for individuals who need a medication that acts quickly to control their blood sugar levels after eating.