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DKA/HHS

Quiz by Heather Powell

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43 questions
Show answers
  • Q1
    Which of the following is NOT true of Type 2 Diabetes Mellitus?
    Age of onset typically > 30 years
    Ketones are present at diagnosis
    Onset is gradual
    Insulin resistance is present
    30s
  • Q2
    Which of the following is NOT true of Type 1 Diabetes Mellitus?
    Immediate need for insulin therapy
    Onset is abrupt
    DKA is a commonly associated acute complication
    Symptoms are absent
    30s
  • Q3
    Which of the following is NOT a typical presentation of HHS?
    Plasma glucose > 600
    Arterial pH > 7.3
    Effective Serum Osmolality > 320 mOsm/kg
    Urine ketones
    30s
  • Q4
    Which of the following is NOT a typical presentation of DKA?
    Anion gap > 12
    Serum osmolality always > 320 mOsm/kg
    Urine ketones present
    pH < 7.3
    30s
  • Q5
    True or False: Severe DKA will present with lethargy and hypoventilation
    True
    False
    30s
  • Q6
    What is true of Kussmaul's breathing presentation?
    Fruity odor associated with acetone
    Retention of CO2
    Hypoventilation
    Musty odor associated with HCO3
    30s
  • Q7
    Which of the following is NOT a sign/symptom of DKA?
    Tachycardia
    Hypertension
    Abdominal pain/cramping
    Nausea/vomiting
    30s
  • Q8
    Which of the following ketone bodies predominates in severe DKA?
    Acetoacetate
    Acetone
    Beta-hydroxybutyrate
    30s
  • Q9
    Which of the following ketone bodies does a nitroprusside test NOT detect?
    Beta-hydroxybutyrate
    Acetone
    Acetoacetate
    30s
  • Q10
    True or false: The anion gap is elevated in DKA due to an increase production and accumulation of acetone?
    False
    True
    30s
  • Q11
    True or false: HHS onset typically occurs in hours to a day.
    True
    False
    30s
  • Q12
    Which of the following is NOT true of HHS presentation?
    Hypotension
    Profound hypervolemia
    Osmolarity > 320 mOsm/L
    Stupor/coma
    30s
  • Q13
    Which of the following is NOT a precipitating factor of DKA/HHS?
    ACE-Is
    Infection
    Pancreatitis
    Alcohol
    30s
  • Q14
    Which of the following drugs or drug classes is NOT associated with the development of DKA/HHS?
    Beta-blockers
    Excessive furosemide use
    Steroids
    Aspirin
    30s
  • Q15
    Which of the following situations in diabetes is NOT a precipitating factor in the development of DKA/HHS?
    New onset
    Omission or cessation of therapy
    Insulin overdose
    Pump failure
    30s

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