Pathophys cycle 3- 2022 + some extra
Obesity and Diabetes Quiz
Test your knowledge on obesity, diabetes, and related metabolic disorders with our comprehensive quiz! This quiz consists of 43 questions that cover various aspects of pathophysiology, complications, and genetic factors associated with obesity and diabetes.
- Understand the risk factors for obesity and diabetes
- Learn about complications and management strategies
- Enhance your knowledge of metabolic syndrome
Indicate common causes of obesity: Select one or more:
Different psychological factors
Diet high in simple carbohydrates
Low frequency of eating
Physical inactivity
What does central obesity lead to? Select one or more:
Orthostatic hypotension
Hyperinsulinemia
Glycogen release
Diabetic foot
Indicate these states that are not metabolic syndrome components: Select one or more:
Chronic diarrhea
growth retardation issues
Nephrolithiasis
hyperuricemia
What genetic factors contribute to obesity? Select one or more:
Mutations in gene of Leptin
Mutations in gene of Lipofuscin
Mutations in gene of Neutrophil Gelatinase-Associated Lipocalin-2
Mutations in gene of Leptin Receptor
What are the complications of obesity? Select one or more:
Urine bladder stones
Ischemic heart disease
Decreased life expectancy if disease is not treated with a diet
Hyperventilation
Indicate incorrect statements related to Celiac Disease: Select one or more:
It increases concentration of Insulin hormone in peripheral blood
It is related with the chance of developing another autoimmune disorder
Can be triggered by a protein called glucagon
Gluten is found in grains, like wheat, barley and rye
What are genetic risks that may induce the type 2 Diabetes Mellitus? – indicate correct answer: Select one or more:
Race or ethnicity-related genes
Multiple genes involved in insulin resistance
Not HLA genes
genetic risk does not increase if a parent or sibling has type 2 Diabetes
What are the symptoms of Phenylketonuria? Select one or more:
increased thirst
Blurred vision
Weight loss even with increased appetite
Mouse-like urine odor
What environmental triggers are potentially linked to type 1 Diabetes Mellitus etiopathogenesis? Select one or more:
Bacteria in gut altered in infancy
Exposure to enteroviruses and other viral pathogens
Food preservatives with nitrogen
Chemicals from polluted air, soil, and water
Late complications of Diabetes Mellitus typically may disturb the function of: Select one or more:
Small blood vessels
Endothelial cells in large blood vessels
Eyes
kidneys
What does insulin resistance stimulate? Select one or more: ****
It stimulates the release of glucose, which can cause hyperglycemia
it stimulates the uptake of glucose, which can cause hypoglycemia
It stimulates the release of insulin, which can cause hyperinsulinemia
It stimulates the release of glucagon, which can cause hyperglycemia
What are the nutritional causes of the secondary hyperlipoproteinemia? Select one or more:
Excessive intake of salt and pepper
Alcohol consumption
Excessive intake of carbohydrates
High-fat diet
Classical symptoms of Diabetes Mellitus are: Select one or more:
Polyuria
Weight loss
Headache
Polydipsia
Biological actions of Insulin – indicate its correct biological action: Select one or more:
In adipose tissue decreases protein synthesis
In the liver increases lipogenesis
In muscles decreases its long-term effects such as mitogenesis
In the liver stimulates glycogen synthesis
What are the conditions to diagnose prediabetes in humans: Select one or more:
The state called “brain fog” with lack of ability to think clearly
The state called “diarrhea associated with unexplained mood changes”
The state called “impaired fasting glucose”
The state called “impaired glucose tolerance”
Acute life-threatening complications of Diabetes Mellitus are: Select one or more:
Severe acute respiratory syndrome
Disseminated intravascular acute coagulation
Hyperosmolar coma
Ketoacidosis
Mechanism of Insulin Secretion – indicate incorrect statements: Select one or more:
Glucose enters glycolysis and Krebs’ cycle (citric acid cycle) to produce more ATP in the cell cytoplasm
. Depolarization of membrane causes influx of Ca+2 into cell for movement of vesicles with insulin
ATP generation inhibits K+ gated channel receptor and less K+ leaves beta cell
Glut-4: transports glucose into beta cell
What causes the increased plasma concentration of triglycerides? Select one or more:
High carbohydrate diet
Alcohol and high-calorie foods
Lack of gluten toleration
Cerebellar impairment
Who belongs to the group of increased risk of DM development and need to be tested with OGTT? Select one or more:
People with stomach aches
People with cardiovascular diseases
People with TG > 250 mg/dL in their blood
Women with Klebsiella Infection and Urinary Tract Infection
What are the potential symptoms of Celiac Disease? Select one or more:
Iron deficiency anemia
Weight loss with fatigue and excessive bloating
Flower-like urine odor due to yeast infections
Increased frequency of loose, watery stools
A 3-year old light-skinned child has a developmental delay characterized by mental retardation and inability to walk. The child's urine has a distinctly «mousy» odour. On physical examination there is no lymphadenopathy or hepatosplenomegaly. Genetics mutations involving which of following substances are most likely to be present in this child?
A1- antitrypsin
Glucose-6- phosphatase
Sphingomyelinase
D) Phenylalanine hydroxylase
Metabolic syndrome can be diagnosed when the following criteria are met:
Waist diameter; 98 cm, fasting glucose level = 98 mg/dL, TG: 180 mg/dL, HDL: 50 mg/dL, BP: 140/85 mm/hg
Waist diameter: 95 cm, fasting glucose level: 112 mg/dL, TG:120 mg/dL, HDL: 60 mg/dL, BP: 120/80 mm hg
Waist diameter: 100 cm, fasting glucose level: 120/mg/dL, TG: 165 mg/dL, HDL, 55 mg/dL, BP: 125/80 mm hg
Waist diameter: 79 cm , fasting glucose level: 98 mg/dL, tg: 120 mg/dL, HDL: 50 mg/dL, BP: 140/85 mm hg
Point true statements about familial hypercholesterolemia:
In monogenic FH most common mutation affect apoE and LPL genes
One of the symptoms are tendon xanthomas
C. Monogenic FH is more common than polygenic (polygenic is more common)
D. Patients are characterized by high levels of LDL (> 200 mg/dL)
Tangier disease is characterized by:
Reduced levels of HDL
Increased levels of total cholesterol
Autosomal recessive type of inheritance
Presence of cholesterol deposits, especially visible in the tonsils
Point correct statement about obesity:
Waist hip ratio > 1 indicate androidal obesity type
Hypertrophic obesity is characterised by adipocytes volume increase
In gynoidal obesity the excess fat tissue accumulates mostly around hips + thighs
It is indicated by BMI > 25
Endothelial dysfunction leads to:
Increased relaxation of smooth muscle cells in blood vessel walls
Accumulation of low density lipoproteins in lesion site
Decreased risk of CVDs
Impaired bioavailability of Nitric oxide
Choose factors associated with developing endothelial dysfunctions: ***
Stress
Smoking cigarettes
Immune response
Menopausa
Prediabetes should be diagnosed:
IFG with normal glucose tolerance is present
Casual blood glucose > or same 200 mg/dL (11.1 mmol/L ) with typical symptoms
Fasting glucose 100-125 mg/dL (7,0 mmol/L) and or result of OGTT: 140-199 mg /dL (7.8-11 mmol/L)
In 120 minutes of OGTT blood glucose >200 mg/dL
Characteristic features of type 2 diabetes include:
Presence of antibodies against glutamic acid decarboxylase
Lack of circulating antibodies to islet cells
High risk of acute complication in form of ketoacidosis
Impaired beta cell function
Chronic diabetes complication:
Occur as a consequence of non-enzymatic glycosylation
Involve micro and macroangiopathy
Pathogenesis involve RAGE activation
Can manifest as nonketotic hyperosmolar coma
Choose correct sentence about celiac disease:
Gluten is deamidated before entering lamina propria -
Histopathology examination usually reveals crypt hyperplasia and lymphocyte infiltration
Only t cells and APC are involved in the pathogenesis of celiac disease
Symptoms include diarrhea with fat grains
Phenylketonuria:
Symptoms do not include mental retardation
Majority of patients present with a mutation in PKU gene
Very sweet smell of urine
Hyperphenyloalaninemia occur
Choose correct sentences:
Characteristic features of homocystinuria are homogentisic acids deposits
Ochronosis is present in alkaptonuria
Skeletal abnormalities are often seen in homocystinuria, but they never affect chest
Maple syrup disease is a disorder of branched chain amino acids
Tyrosinemia type 1:
Defect in tyrosine aminotransferase
High concentration of tyrosine crystals
Ulcers on palms and soles
Liver and kidney damage
Symptoms of alkaptonuria:
Mental Retardation
Arthritis
Melanogenesis inhibition
Black-ink colour red urine
Silent celiac disease: **
Ataxia, Migraine, joint pain
Serological test (+)
Histopathological → biopsy → villi
Diarrhea, constipation, bloating
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