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3109 midterm 2

1.

delay the absorption of carbohydrate from the GI tract

Alpha-glucosidase inhibitors

2.

chest pain that results when the heart does not get enough oxygen

angina pectoris

3.

hardening of the arteries

arteriosclerosis

4.

narrowing of the arteries

atherosclerosis

5.

cirrhosis stages

1-Fatty Liver (increased fat synthesis and trapping of fat in liver)
Reversible
2- Alcoholic hepatitis (Inflammation of liver, occurs if alcohol consumption persists)
Reversible
3- Cirrhosis (Loss of functioning hepatocytes, as synthesis of proteins decreases)
Irreversable

6.

complication of cirrhosis

-Esophageal Varices
-Spontaneous bacterial peritonitis
-Encephalopathy (increase ammonia)
-Hepatocellular carcinoma

7.

coronary disease

Damage to the heart when insufficient blood flows through the vessels because they are blocked with fat or have become thick and hard; this harms the muscles of the heart.

8.

Which of the following strategies would not be paramount in controlling cardiovascular mortality in patients with type 2 diabetes?

Strict glycemic control

9.

A condition in which the body is unable to produce enough insulin, the hormone required for the metabolism of sugar

Diabetes

10.

Diagnosing Metabolic Syndrome

Waist Circumference: greater than 35 inches in women and 40 inches in men

Triglycerides: 150mg/dl or higher

Blood Pressure:
130/85mm/hg or higher

HDL: lower than 50mg/dl in women and 40mg/dl in men

11.

Diagnosis of diabetic ketoacidosis

Bicarbonate < 18 mmol/L

pH<7.3

Glycemia > 250 mg/dL

All of the options are correct.

*None of the options is correct

12.

enzyme assays

troponin
myoglobin
creatine kinase

13.

H1C

•Hemoglobin is found in red blood cells, which carry oxygen throughout your body. When your diabetes is not controlled (meaning that your blood sugar is too high), sugar builds up in your blood and combines with your hemoglobin, becoming "glycated

14.

hypertension (HTN)

elevated blood pressure persistently higher than 140/90 mm Hg

15.

hypertension treatment

Lifestyle (weight loss, diet, exercise, low alcohol)
Diuretics
Beta Blockers
Alpha blockers
ACE inhibitors
ARBs
Calcium Channel Blockers (CCB)
Vasodilators

16.

If your diabetes isn't under control, it can harm which body part?

eyes
kidneys
heart

17.

Liver functions

metabolic regulation, hematological regulation, bile production

18.

medical treatment for coronary disease

aspirin
Cholesterol-lowering drugs
Beta blockers to lower your heart rate and blood pressure
Nitroglycerin to control chest pain by clearing blockages in your coronary arteries and reducing your heart's demand for blood
Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) to lower your blood pressure

19.

metabolic syndrome

Cluster of disorders including:
High blood pressure
High insulin levels
Excess body weight
Abnormal cholesterol levels

20.

portal hypertension

the elevation of blood pressure within the portal venous system

21.

Skin problems in diabetics

Mycosis, Acanthosis Nigricans, Diabetic Dermatopathy, Infections in General.

*All of the above

22.

Symptoms of diabetes mellitus

Polyuria, Nocturia, Polydipsia,

*All options are correct

23.

Sulfonylureas, Repaglindine, Nateglindine

enhance endogenous insulin secretion

24.

surgical treatment for coronary disease

coronary artery, bypass surgery,
balloon angioplasty

25.

Thiazolidinediones (metfromin)

drugs that enhance insulin action in peripheral tissues

drugs that suppress endogenous glucose production

26.

Types of Hypertension

Primary: 90-95% of HTN cases. No specific identifiable cause and is therefore thought to be multifactorial.

Secondary: 5-10% of HTN cases. Have an identifiable cause such as parenchymal renal disease, renal artery stenosis, coarctation of the aorta, pheochromocytoma, Cushing's syndrome, hyperthyroidism, primary hyperaldosteronism, chronic steroid therapy, estrogen use, NSAID use, and sleep apnea.

27.

Uncontrolled diabetes causes damage to your body's blood vessels making them more prone to damage from atherosclerosis and hypertension.

True

28.

What is/are the most common cause(s) of chronic liver disease in the U.S.?

viruses