1.
CHOOSE ALL OF THE SYMPTOMS FOR HYPERGLYCEMIA
Correct Answer(s)
G. CONFUSION
J. COMA
K. NAUSEA
L. INTENSE THIRST
M. KETOACIDOSIS
N. DRY FLUSHED SKIN
O. WEAK PULSE
Explanation
The symptoms listed in the answer are all associated with hyperglycemia. Confusion, coma, nausea, intense thirst, ketoacidosis, dry flushed skin, and weak pulse are all common symptoms of high blood sugar levels. These symptoms occur due to the body's inability to properly regulate glucose levels, leading to an excess of sugar in the bloodstream.
2.
CHOOSE ALL OF THE SYMPTOMS FOR HYPOGLYCEMIA
Correct Answer(s)
A. FAINTNESS
B. WEAKNESS
C. HUNGER
D. DIApHORESIS (SWEATING)
E. VISUAL DISTURBANCE
F. PALSY
G. CONFUSION
H. SEIZURES
I. PERSONALITY CHANGES
Explanation
The given symptoms are all associated with hypoglycemia, which is a condition characterized by low blood sugar levels. Faintness, weakness, hunger, diaphoresis (sweating), visual disturbance, palsies, confusion, seizures, personality changes are all common symptoms of hypoglycemia. These symptoms occur because the brain does not receive enough glucose, which is its main source of energy. Therefore, when blood sugar levels drop too low, these symptoms can occur.
3.
HEMOGLOBIN A1C RANGE FOR A NORMAL NONDIABETIC PATIENT IS
Correct Answer
A. 4%-5%
Explanation
The correct answer is 4%-5% because hemoglobin A1c (HbA1c) is a blood test that measures the average blood sugar levels over the past 2-3 months. A normal nondiabetic patient usually has an HbA1c level within the range of 4%-5%. This indicates good blood sugar control and a lower risk of developing diabetes. Higher HbA1c levels, such as 7% or more, are often seen in diabetic patients, indicating poor blood sugar control and an increased risk of complications. HbA1c levels between 8% and 12% are significantly elevated and may indicate uncontrolled diabetes.
4.
HEMOGLOBIN A1C TARGET FOR GOOD DIABETES CONTROL
Correct Answer
B. 7% OR LESS
Explanation
The correct answer is 7% or less. Hemoglobin A1c (HbA1c) is a measure of average blood sugar levels over the past 2-3 months. A target of 7% or less is considered good diabetes control because it indicates that blood sugar levels are well-managed and reduces the risk of long-term complications. Higher levels, such as between 8% and 12%, indicate poorer control and an increased risk of complications.
5.
HEMOGLOBIN A1C RANGE OF WHICH ACTION IS REQUIRED
Correct Answer
C. BETWEEN 8% AND 12%
Explanation
Hemoglobin A1c (HbA1c) is a test that measures the average blood sugar level over the past two to three months. The normal range for HbA1c is generally considered to be between 4% and 5%. A HbA1c level of 7% or less is typically recommended for individuals with diabetes to maintain good blood sugar control. However, if the HbA1c level falls between 8% and 12%, it indicates poor blood sugar control and action is required to bring it down to a healthier range.
6.
A 2 HOUR PLASMA GLUCOSE OF 200mg/dL or greater is a criteria used to diagnose diabetes
Correct Answer
A. True
Explanation
A 2-hour plasma glucose level of 200mg/dL or greater is a commonly used criteria to diagnose diabetes. This means that if a person's blood glucose level is measured at 200mg/dL or higher two hours after consuming a glucose-rich drink, it indicates that they have diabetes. This criteria is used in oral glucose tolerance tests, which are often performed to diagnose diabetes. Therefore, the statement is true.
7.
A diagnosis of diabetes should be cpnsidered when HbA1c values are 6.5% or greater
Correct Answer
A. True
Explanation
A diagnosis of diabetes should be considered when HbA1c values are 6.5% or greater. This means that if a person's HbA1c level is 6.5% or higher, it is likely that they have diabetes. HbA1c is a blood test that measures a person's average blood sugar levels over the past 2-3 months. A level of 6.5% or higher indicates that a person's blood sugar levels have been consistently elevated, which is a characteristic of diabetes. Therefore, the statement "True" is the correct answer.
8.
IT IS RECOMMENEDED THAT THE HbA1C SHOULD BE MEASUED IN DIABETES PATIENTS
Correct Answer
D. EVERY 3 OR 6 MONTHS
Explanation
It is recommended that the HbA1c should be measured in diabetes patients every 3 or 6 months. This is because HbA1c is a measure of average blood sugar levels over a period of time. Monitoring HbA1c every 3 or 6 months allows healthcare providers to assess the long-term control of blood sugar in diabetes patients. It helps in evaluating the effectiveness of treatment plans and making necessary adjustments to maintain optimal blood sugar levels. Monitoring HbA1c more frequently, such as every week or every other week, may not provide a comprehensive picture of long-term blood sugar control.
9.
CHOOSE ALL THE PRINCIPLES OF TESTING FOR GLUCOSE DISCUSSED IN CLASS
Correct Answer(s)
A. GLUCOSE OXIDASE (ENZYME) METHOD)
B. HEXOKINASE (ENZYME) METHOD
C. GLUCOSE DEHYDROGENASE (ENZYME) METHOD
D. ELECTROCHEMICAL/AMPEROMETRY
E. pHOTOMETRY
Explanation
The correct answer includes the principles of testing for glucose discussed in class. These principles are the Glucose Oxidase (enzyme) method, Hexokinase (enzyme) method, Glucose Dehydrogenase (enzyme) method, Electrochemical/Amperometry, and Photometry. These methods involve the use of specific enzymes to measure glucose levels, as well as electrochemical and photometric techniques. Glycogenometry and proteinometry are not principles of testing for glucose and therefore are not included in the correct answer.
10.
HbA1C IS ALSO CALLED
Correct Answer
B. GLYCATED HEMOGLOBIN
Explanation
HbA1C is also called glycated hemoglobin because it refers to the attachment of glucose molecules to hemoglobin in the blood. This process occurs over a period of time and is used as a measure of long-term blood sugar control in individuals with diabetes. By measuring the level of glycated hemoglobin, healthcare professionals can assess how well a person's blood sugar levels have been managed over the past few months. This information is crucial in determining the effectiveness of diabetes treatment and making necessary adjustments to maintain optimal blood sugar control.
11.
ARE THERE POCT GLUCOSE ANALYZERS THAT CAN INTERFACE WITH THE LIS SYSTEM?
Correct Answer
A. True
Explanation
Yes, there are POCT (Point-of-Care Testing) glucose analyzers that can interface with the LIS (Laboratory Information System) system. These analyzers are designed to provide glucose measurements at the point of care, such as in hospitals or clinics, and can transmit the results directly to the LIS system for seamless integration into the patient's electronic health record. This allows for efficient and accurate documentation of glucose levels, enabling healthcare providers to make informed decisions about patient care.
12.
ADA MEANS
Correct Answer
C. AMERICAN DIABETES ASSOCIATION
Explanation
The correct answer is AMERICAN DIABETES ASSOCIATION. This is an organization that aims to prevent and cure diabetes, as well as improve the lives of those affected by the disease. They provide resources, support, and education to individuals with diabetes and their families.
13.
OGTT MEANS
Correct Answer
ORAL GLUCOSE TOLERANCE TEST
Explanation
The correct answer is ORAL GLUCOSE TOLERANCE TEST. OGTT stands for Oral Glucose Tolerance Test, which is a medical test used to diagnose diabetes. It involves drinking a glucose solution and then measuring blood sugar levels at specific intervals. This test helps to determine how well the body is able to process glucose and can identify if a person has impaired glucose tolerance or diabetes.
14.
A 3 HOUR OGTT IS NO LONGER RECOMMENDED FOR USE IN DIAGNOSING HYPOGLYCEMIA BECAUSE OF ADVERSE EFFECTS
Correct Answer
A. True
Explanation
The statement is true because a 3-hour OGTT (Oral Glucose Tolerance Test) is no longer recommended for diagnosing hypoglycemia due to its adverse effects. The OGTT involves consuming a high amount of glucose and monitoring blood sugar levels over a period of time. However, this test can cause symptoms of hypoglycemia in individuals who do not have the condition, leading to unnecessary anxiety and potential harm. Therefore, alternative diagnostic methods are now recommended to avoid these adverse effects.
15.
HEMOGLOBIN A1C TESTS REFLECTS THE AVERAGE AMOUNT OF GLUCOSE IN THE BLOOD FOR
Correct Answer
D. 2-3 MONTH
Explanation
The correct answer is 2-3 MONTH. Hemoglobin A1C tests measure the average amount of glucose in the blood over a period of 2-3 months. This test is used to assess long-term blood sugar control in individuals with diabetes. By measuring the percentage of hemoglobin that is glycated (bound to glucose), the test provides an indication of a person's average blood glucose levels over the preceding 2-3 months. This is helpful in monitoring and managing diabetes and making treatment decisions.
16.
CHOOSE ALL THE HORMONES THAT ARE ANTAGONISTS TO INSULIN
Correct Answer(s)
A. GLUCAGON
B. EPINEpHRINE
C. GROWTH HORMONE
Explanation
Glucagon, epinephrine, and growth hormone are all hormones that act as antagonists to insulin. Insulin is responsible for lowering blood sugar levels by promoting the uptake and storage of glucose in cells. In contrast, glucagon, epinephrine, and growth hormone work to increase blood sugar levels. Glucagon stimulates the liver to release stored glucose, epinephrine triggers the breakdown of glycogen into glucose, and growth hormone reduces the uptake of glucose by cells. Therefore, these hormones oppose the actions of insulin and promote an increase in blood sugar levels.
17.
WHAT TYPES OF SPECIMENS ARE COLLECTED FOR BLOOD GLUCOSE TESTING?
Correct Answer(s)
A. WHOLE BLOOD
B. PLASMA
C. SERUM
Explanation
Blood glucose testing requires collecting different types of specimens, including whole blood, plasma, and serum. Whole blood refers to the blood sample that contains all its components, including red and white blood cells, platelets, and plasma. Plasma is the liquid portion of the blood that remains after the cells have been removed. Serum is the liquid portion of the blood that remains after the blood has clotted and the clot has been removed. All three types of specimens can be used for blood glucose testing, depending on the specific requirements of the test being performed.
18.
INORDER TO PERFORM AN ACCURATE HBA1C TEST, PATIENT HAS TO FAST FOR 8-10HOURS
Correct Answer
B. False
Explanation
The statement is false. In order to perform an accurate HbA1c test, the patient does not need to fast for 8-10 hours. Unlike other blood tests, HbA1c measures the average blood sugar levels over a period of 2-3 months and is not affected by short-term changes in diet or fasting. Therefore, fasting is not necessary for an accurate HbA1c test.
19.
IF SEPARATION OF SERUM FOR GLUCOSE TESTING WILL BE DELAYED, BLOOD CAN BE COLLECTED IN
Correct Answer
C. GRAY TOPPED TUBES BECAUSE THEY CONTAIN GLYCOLYTIC INHIBITOR
Explanation
Gray topped tubes are used for glucose testing because they contain a glycolytic inhibitor. Glycolytic inhibitors prevent the breakdown of glucose in the sample, allowing for accurate measurement of glucose levels. Delayed separation of serum can lead to the breakdown of glucose, resulting in inaccurate test results. Therefore, using gray topped tubes with a glycolytic inhibitor is the correct choice to ensure accurate glucose testing.
20.
CUVETTES FOR THE ACCUCHEK ANALYZER CAN BE USED FOR HEMOCUE
Correct Answer
B. False
Explanation
The statement is false because cuvettes designed for the AccuChek analyzer cannot be used for Hemocue. Cuvettes are specific to the analyzer they are designed for, and each analyzer has its own unique specifications and requirements. Therefore, it is not possible to interchange cuvettes between different analyzers.
21.
CALIBRATORS AND CONTROLS ARE NEVER USED ON GLUCOSE ANALYZERS
Correct Answer
B. False
Explanation
This statement is false. Calibrators and controls are commonly used on glucose analyzers. Calibrators are used to establish a reference point for the analyzer, ensuring accurate and reliable measurements of glucose levels. Controls, on the other hand, are used to monitor the performance of the analyzer and ensure that it is functioning properly. Both calibrators and controls are essential in maintaining the accuracy and quality of glucose analyzer results.
22.
GLUCOSE TESTING IS PERFORMED USING THE FOLLOWING OPERATION PRINCIPLES
Correct Answer(s)
A. pHOTOMETRY
B. AMPEROMETRY