NAME: ............Theo................... YEAR 10 Pre-Diploma Biology QUESTIONS Diabetes questions 1. Diabetes is defined best as... A. B. C. D. 2: metabolic disease characterized by low blood sugar metabolic disease characterized by high blood sugar family of blood infections None of the above Diabetes can be cured with diet, exercise, and medication. True 3: False Which is not a symptom of diabetes? A. B. C. D. 4: Itchy skin Thirst Frequent urination Muscle pain Insulin is a natural hormone secreted by which organ or gland? A. B. C. D. 5: The kidneys The liver The pancreas The spleen People who are obese are more likely to develop type 2 diabetes. True 6: False Prediabetes is considered a reversible condition. True 7: False Type 2 diabetes can cause long-term damage in the... A. B. C. D. Kidneys Eyes Nerves All of the above Diabetes questions 8: Gestational diabetes occurs... A. B. C. D. 9: During pregnancy After a bout with shingles At birth After menopause People with diabetes are prone to ... A. B. C. D. 10: Acne (Pimples) Shingles Infections Migraine With type 1 diabetes, the body does not produce insulin. True 11: False When the body does not respond to the insulin it makes, this is called... A. B. C. D. 12: Type 1 diabetes Type 2 diabetes Both of the above None of the above A condition in which the kidneys are unable to conserve water is called... A. B. C. D. 13. Diabetes mellitus Diabetes insipidus Gestational diabetes Diabetic coma The risk factors for type 1 diabetes include all of the following except: A. B. C. D. Diet Genetic Autoimmune Environmental Diabetes questions 14. A. B. C. D. 15. Type 2 diabetes accounts for approximately what percentage of all cases of diabetes in adults? 55%-60% 35%-40% 90-95% 25-30% Risk factors for type 2 diabetes include all of the following except A. B. C. D. 16. Advanced age Obesity Smoking Physical inactivity What percentage of women with gestational diabetes is diagnosed with type 2 diabetes following pregnancy? A. B. C. D. 17. 25%-30% 5%-10% <5% 20%-25% Untreated diabetes may result in all of the following except: A. B. C. D. 18. Blindness Cardiovascular disease Kidney disease Tinnitus Prediabetes is associated with all of the following except: A. B. C. D. Increased risk of developing type 2 diabetes Impaired glucose tolerance Increased risk of heart disease and stroke Increased risk of developing type 1 diabetes Diabetes questions 19. Diabetics are at increased risk of heart disease if they also: A. B. C. D. 20. Smoke Have high HDL cholesterol levels Take aspirin Consume a high-fiber diet Blood sugar is well controlled when, during fast, glucose levels are: A. B. C. D. 21. Below 7% Between 12%-15% Less than 180 mg/dL Between 90 and 130 mg/dL Excessive thirst and volume of very dilute urine may be symptoms of: A. B. C. D. 22. Urinary tract infection Diabetes insipidus Viral gastroenteritis Hypoglycemia Among female children and adolescents, the first sign of type 1 diabetes may be: A. B. C. D. 23. Rapid weight gain Constipation Genital candidiasis Insomnia Which statement about diabetes is false? A. B. C. D. The U.S. prevalence of diabetes is decreasing Diabetes is the seventh leading cause of death in the United States Diabetes is the leading cause of blindness among persons age 20 to 74 Diabetes is the leading cause of kidney failure 24. The lifetime risk of developing diabetes for a male born in 2000 is: A. B. C. D. 1 in 5 1 in 3 2 in 5 1 in 2 Diabetes questions 25. Which of the following measures does not help to prevent diabetes complications? A. B. C. D. 26. Controlling blood glucose Controlling blood pressure and blood lipids Eliminating all carbohydrates from the diet Prompt detection of diabetic eye and kidney disease How do endocrine glands function when they are involved in homeostasis? A. B. C. D. 27. What are responsible for the lowering of blood glucose levels? A. B. C. D. 28. They release hormones directly into the blood system. They release hormones through ducts to where they are used. They release digestive enzymes from the pancreas. They cause positive feedback in the body’s structures. I. -cells in the pancreas II. Insulin molecules III. -cells in the pancreas II only I and II only II and III only I, II and III The diagram shows how the body regulates glucose levels in the blood. Glucose increase X released Glucose normal Y released What is Y? A. B. C. D. Amylase Insulin Glucagon Glycogen Glucose decrease Diabetes questions 29. Reduced risk of Type 2 diabetes has been associated with coffee consumption. A compound called C-peptide is found in the bloodstream when insulin is released. Increased C-peptide levels are associated with Type 2 diabetes. The following study investigated the effect of coffee consumption on blood plasma concentration of C-peptide in women. The subjects were grouped according to their weight and their level of coffee consumption. The study investigated both total coffee consumption (caffeinated and decaffeinated coffee) and consumption of caffeinated coffee. Key: 4.00 normal weight 3.37 overweight 3.60 3.34 3.23 3.50 3.00 C-peptide / ng ml –1 2.00 2.18 2.11 1.58 2.15 2.42 2.34 2.50 obese 1.66 1.97 1.65 1.54 1.45 1.50 1.00 0.50 <1 >4 0 2–3 1 Average consumption of total coffee in 1990 / cups per day 4.00 3.50 3.35 3.36 3.09 2.88 3.00 C-peptide / ng ml –1 2.50 2.25 2.22 1.96 2.00 2.07 2.25 1.80 1.50 1.50 1.50 1.52 1.54 0 <1 1 2–3 1.33 1.00 0.50 >4 Average consumption of total coffee in 1990 / cups per day [Source: Tianying Wu et al., Diabetes Care, (2005), 7, page 1390 Copyright © 2005 American Diabetes Association. From Diabetes Care, Vol. 28, 2005: 1390-1396. Reprinted with permission from The American Diabetes Association] Diabetes questions (a) Describe the relationship between C-peptide concentration and total coffee consumption. ....That there is a lower concentration of c peptide whe people drink more coffee, we know this because from the graph a person who drinks only one cup of coffee a day has a much higher concentration of c peptide than someone that drinks 4 or more…….. (2) (b) Compare the effect on C-peptide concentrations in women who drink more than 4 cups of caffeinated coffee per day with those who drink no caffeinated coffee. ............The concentration of c peptide is much lower on women that drink 4 cups a day compared to the ones who drink no coffee. We can see from the second graph that obese women who drink 4 or more cups of coffee per day have 0.84 less concentration of c peptide ……………… (2) (c) Using the data provided, suggest advice that could be given to women in order to reduce the incidence of Type 2 diabetes. ...............we could educate women about c peptide and diabetes type 2, and we could tell them to drink a cup or more of coffee with every meal to prevent diabetes type 2.................. (2) (Total 6 marks)