9-13

1. An absolute lack of circulation insulin is
characteristic of which condition?
◦
◦
◦
◦
A. hypoglycemia
B. Type I diabetes
C. Type 2 diabetes
D. none of the above
9-13

1. An absolute lack of circulation insulin is
characteristic of which condition?
◦
◦
◦
◦
A. hypoglycemia
B. Type I diabetes
C. Type 2 diabetes
D. none of the above
9-13

2. A result of 115 mg/dL on a fasting plasma
glucose test would indicate
◦
◦
◦
◦
A. prediabetes
B. Type 1 diabetes
C. Type 2 diabetes
D. none of the above
9-13

2. A result of 115 mg/dL on a fasting plasma
glucose test would indicate
◦
◦
◦
◦
A. prediabetes
B. Type 1 diabetes
C. Type 2 diabetes
D. none of the above
9-13

3. What causes the gangrene that is often
associated with diabetic patients?
◦
◦
◦
◦
A. diabetic retinopathy
B. diabetic nephropathy
C. microangiopathic changes
D. none of the above
9-13

3. What causes the gangrene that is often
associated with diabetic patients?
◦
◦
◦
◦
A. diabetic retinopathy
B. diabetic nephropathy
C. microangiopathic changes
D. none of the above
9-13

4. All of the following are oral complications
associated with diabetes except one. Which
one is the exception?
◦
◦
◦
◦
A. periodontal disease
B. xerostomia
C. candidiasis
D. squamous cell carcinoma
9-13

4. All of the following are oral complications
associated with diabetes except one. Which
one is the exception?
◦
◦
◦
◦
A. periodontal disease
B. xerostomia
C. candidiasis
D. squamous cell carcinoma
9-13

5. Which diabetic emergency is associated
with the following symptoms: tachypnea,
Kussmaul’s breathing, nausea, blurred vision,
fruity odor on the breath?
◦ A. diabetic ketoacidosis
◦ B. hyperosmolar hyperglycemic nonketotic
syndrome
◦ C. hypoglycemia
◦ D. gestational diabetes
9-13

5. Which diabetic emergency is associated
with the following symptoms: tachypnea,
Kussmaul’s breathing, nausea, blurred vision,
fruity odor on the breath?
◦ A. diabetic ketoacidosis
◦ B. hyperosmolar hyperglycemic nonketotic
syndrome
◦ C. hypoglycemia
◦ D. gestational diabetes
9-13

6. What is the needed treatment for the
emergency in the condition cited in question
5?
◦ A. Administration of insulin
◦ B. Administration of oral glucose
◦ C. Immediate surgery to repair their defective
pancreas
◦ D. Reduction in the amount of insulin the patient is
using
9-13

6. What is the needed treatment for the
emergency in the condition cited in question
5?
◦ A. Administration of insulin
◦ B. Administration of oral glucose
◦ C. Immediate surgery to repair their defective
pancreas
◦ D. Reduction in the amount of insulin the patient is
using
9-13

7. The test used to measure a diabetic’s
average glucose level over the past three
months is
◦
◦
◦
◦
A. fasting plasma glucose test
B. oral glucose tolerance test
C. HbA1c test
D. none of the above
9-13

7. The test used to measure a diabetic’s
average glucose level over the past three
months is
◦
◦
◦
◦
A. fasting plasma glucose test
B. oral glucose tolerance test
C. HbA1c test
D. none of the above
9-13

8. All of the following are symptoms of
hypoglycemia in a diabetic patient except
one. Which one is the exception?
◦
◦
◦
◦
A. confusion
B. profuse sweating
C. aggressive behavior
D. cyanosis
9-13

8. All of the following are symptoms of
hypoglycemia in a diabetic patient except
one. Which one is the exception?
◦
◦
◦
◦
A. confusion
B. profuse sweating
C. aggressive behavior
D. cyanosis
9-13

9. What is the diabetic emergency that is
often seen in institutionalized individuals
◦
◦
◦
◦
A. hyperosmolar hyperglycemic state
B. diabetic ketoacidodis
C. diabetic nephropathy
D. gestational diabetes
9-13

9. What is the diabetic emergency that is
often seen in institutionalized individuals
◦
◦
◦
◦
A. hyperosmolar hyperglycemic state
B. diabetic ketoacidodis
C. diabetic nephropathy
D. gestational diabetes
9-13

10. All of the following are medications often
prescribed for Type 2 diabetic except one.
Which one is the exception?
◦
◦
◦
◦
A. glucagon (Glucagon)
B. metformin (Glucophage)
C. rosiglitazone (Avandia)
D. tolbutamide (Ornase)
9-13

10. All of the following are medications often
prescribed for Type 2 diabetic except one.
Which one is the exception?
◦
◦
◦
◦
A. glucagon (Glucagon)
B. metformin (Glucophage)
C. rosiglitazone (Avandia)
D. tolbutamide (Ornase)
9-13

1. All of the following are causes of primary
adrenal insufficiency except one. Which one is
the exception?
◦
◦
◦
◦
A. AIDS
B. autoimmune disease
C. tuberculosis
D. diabetes
9-13

1. All of the following are causes of primary
adrenal insufficiency except one. Which one is
the exception?
◦
◦
◦
◦
A. AIDS
B. autoimmune disease
C. tuberculosis
D. diabetes
9-13

2. Which of the following is a sign of adrenal
crisis?
◦
◦
◦
◦
A. hypotension
B. bradycardia
C. dry skin
D. chest pain
9-13

2. Which of the following is a sign of adrenal
crisis?
◦
◦
◦
◦
A. hypotension
B. bradycardia
C. dry skin
D. chest pain
9-13

3. A patient suffering from adrenal crisis is in
need of
◦
◦
◦
◦
A. thyroxine
B. glucocorticoids
C. glucose
D. none of the above
9-13

3. A patient suffering from adrenal crisis is in
need of
◦
◦
◦
◦
A. thyroxine
B. glucocorticoids
C. glucose
D. none of the above
9-13

4. Which is the most important vital sign to
monitor in a patient suspected of adrenal
crisis?
◦
◦
◦
◦
A. pulse
B. respiration
C. blood pressure
D. temperature
9-13

4. Which is the most important vital sign to
monitor in a patient suspected of adrenal
crisis?
◦
◦
◦
◦
A. pulse
B. respiration
C. blood pressure
D. temperature
9-13

5. The dental office is a very stressful
situation for your midafternoon patient who
is taking corticosteroids. The likelihood of
adrenal crisis is increased because stress
increases the need for cortisol and patients
who suffer from adrenal insufficiency are
unable to produce additional cortisol.
◦
◦
◦
◦
A. The 1st phrase is true, the 2nd false
B. The 1st phrase is false, the 2nd true
C. Both phrases are true
D. Both phrases are false
9-13

5. The dental office is a very stressful
situation for your midafternoon patient who
is taking corticosteroids. The likelihood of
adrenal crisis is increased because stress
increases the need for cortisol and patients
who suffer from adrenal insufficiency are
unable to produce additional cortisol.
◦
◦
◦
◦
A. The 1st phrase is true, the 2nd false
B. The 1st phrase is false, the 2nd true
C. Both phrases are true
D. Both phrases are false
9-13

6. Your dental-phobic patient with a history
of lupus erythematosus who takes
corticosteroids daily is scheduled for a dental
extraction. What treatment modifications
should be made?
◦ A. No modifications are necessary
◦ B. Have the patient double his dosage of
corticosteroid an hour before the appointment.
◦ C. Contact his physician for appropriate treatment
modification.
◦ D. None of the above.
9-13

6. Your dental-phobic patient with a history
of lupus erythematosus who takes
corticosteroids daily is scheduled for a dental
extraction. What treatment modifications
should be made?
◦ A. No modifications are necessary
◦ B. Have the patient double his dosage of
corticosteroid an hour before the appointment.
◦ C. Contact his physician for appropriate treatment
modification.
◦ D. None of the above.
9-13

7. What is the most common medication
prescribed for patients with adrenal
insuffieciency?
◦
◦
◦
◦
A.
B.
C.
D.
Hydrocortisone
Thyroxine
Epinephrine
Cephalexin
9-13





7. What is the most common medication
prescribed for patients with adrenal
insuffieciency?
A. Hydrocortisone
B. Thyroxine
C. Epinephrine
D. Cephalexin
9-13

8. All of the following are likely to trigger an
adrenal crisis in patients who suffer from
adrenal insufficiency except one. Which one
is the exception?
◦
◦
◦
◦
A.
B.
C.
D.
Infection
Stress
Flu
Weight loss
9-13





8. All of the following are likely to trigger an
adrenal crisis in patients who suffer from
adrenal insufficiency except one. Which one
is the exception?
A. Infection
B. Stress
C. Flu
D. Weight loss
9-13

1. The most accepted method for treating
hyperthyroidism is
◦
◦
◦
◦
A. surgery
B. ablation therapy
C. antithyroid medication
D. beta blockers
9-13

1. The most accepted method for treating
hyperthyroidism is
◦
◦
◦
◦
A. surgery
B. ablation therapy
C. antithyroid medication
D. beta blockers
9-13

2. Which of the following is a sign of thyroid
storm?
◦
◦
◦
◦
A. fever
B. macroglossia
C. bradycardia
D. hypoventilation
9-13

2. Which of the following is a sign of thyroid
storm?
◦
◦
◦
◦
A. fever
B. macroglossia
C. bradycardia
D. hypoventilation
9-13

3. All of the following are strategies for
managing thyroid storm except one. Which
one is the exception?
◦ A. wrapping in blankets to increase body
temperature
◦ B. administering oxygen 4-6 L/min
◦ C. administering acetaminophen
◦ D. administering beta blockers
9-13

3. All of the following are strategies for
managing thyroid storm except one. Which
one is the exception?
◦ A. wrapping in blankets to increase body
temperature
◦ B. administering oxygen 4-6 L/min
◦ C. administering acetaminophen
◦ D. administering beta blockers
9-13

4. Hypothyroidism is characterized by
◦
◦
◦
◦
A. weight loss
B. cold intolerance
C. diarrhea
D. low cholesterol
9-13

4. Hypothyroidism is characterized by
◦
◦
◦
◦
A. weight loss
B. cold intolerance
C. diarrhea
D. low cholesterol
9-13

5. The emergent condition arising from
severe hypothyroidism is
◦
◦
◦
◦
A. thyroid storm
B. thyrotoxicosis
C. myxedema coma
D. diabetic ketoacidosis
9-13

5. The emergent condition arising from
severe hypothyroidism is
◦
◦
◦
◦
A. thyroid storm
B. thyrotoxicosis
C. myxedema coma
D. diabetic ketoacidosis
9-13

6. The most common medication a patient
would take for hypothyroidism is
◦
◦
◦
◦
A. levothyroxine
B. beta blocker such as vasotec
C. acetaminophen
D. none of the above
9-13

6. The most common medication a patient
would take for hypothyroidism is
◦
◦
◦
◦
A. levothyroxine
B. beta blocker such as vasotec
C. acetaminophen
D. none of the above
9-13

7. All of the following are treatment
management strategies for myxedema coma
except
◦
◦
◦
◦
A. slowly rewarming the patient
B. administering IV levothyroxine
C. administering IV corticosteroids
D. administering sedatives and tranquilizers
9-13

7. All of the following are treatment
management strategies for myxedema coma
except
◦
◦
◦
◦
A. slowly rewarming the patient
B. administering IV levothyroxine
C. administering IV corticosteroids
D. administering sedatives and tranquilizers
9-13

8. The hereditary autoimmune disease
whereby the individual has an increased level
of thyroid hormone production is known as
◦
◦
◦
◦
A.
B.
C.
D.
Myxedema coma
Grave’s disease
Hashimoto’s disease
euthyroid
9-13





8. The hereditary autoimmune disease
whereby the individual has an increased level
of thyroid hormone production is known as
A. Myxedema coma
B. Grave’s disease
C. Hashimoto’s disease
D. euthyroid
9-13