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PEDIATRICS OBJECTIVES FOR 5TH YR.doc
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Insulin deficit causes:

+gluconeogenesis

-using of glucose

-increase of glycogen synthesis

-absence of gluconeogenesis

-decrease of glycogen synthesis

?

Point the signs of anabolism of insulin in liver, muscles and fat tissue:

+lipogenesis

-glycogenolysis

-gluconeogenesis

-lipolysis

-ketogenesis

?

Contr- insular hormones include:

+glucagon

-calcitonin

-antidiuretic hormone

-parathormone

-thyrotropic hormone

?

Contr-insular hormones include everything, except the following:

-glucagon

-somatotropic hormone

-catecholamine

+parathormone

-glucocorticoids

?

Point the right statement:

+adrenalin furthers the decrease of insulin synthesis

-contr-insular hormones conduce utilization and elimination of glucose

-glucosuria occurs in case of decrease of glucagon and antidiuretic hormone level

-adrenalin conduces increase of insulin synthesis

-adrenalin furthers decrease of glucagon decay

?

Glucosuria occurs when the glucose level in serum is:

+>10,2 mkmol/l

->7,8 mkmol/l

-<20,5 mkmol/l

->25 mmol/l

-5 mmol/l

?

Hyperglycemia causes:

+ hyperosmolarity of plasma and urine

- hyperosmolarity of plasma and hyposmolarity of urine

- hyposmolarity of plasma and hyperosmolarity of urine

- hyposmolarity of plasma and urine

-hyposmolarity of plasma and liquor

?

Clinical symptoms of diabetes mellitus are:

+polyuria

-overweight

-skin pallor

-temperature increase

- skin itch

?

Diagnosis of diabetes mellitus is determined on the base of:

+glucosuria

-hypoglycemia

-disproteinemia

-acidosis

-leucocytosis

?

Point the symptoms that are typical for diabetes mellitus:

+loosing weight

-bad appetite

-fructosuria

-eczema

-anemia

?

Point signs of “violations of tolerance to glucose”:

+absence of hyperglycemia fasting

-hyperglycemia fasting

-glucosuria

-normal level of glucose in 2 hours after food

-increase of level of glucolazed hemoglobin

?

Point child’s need in insulin on the early stages of diabetes mellitus:

+0,5 UA/kg/day

-0,75-0,8 UA/kg/day

-0,75-1 UA/kg/day

-0,1-0,2 UA/kg/day

-5 UA/kg/day

?

Point the correlation of daily and night doses of insulin in case of diabetes mellitus:

+2:1

-1:2

-1:3

-3:1

-4:1

?

Point the daily need in insulin in case of developed diabetes mellitus:

+0,75-1,0 UA/kg

-0,5-0,75 UA/kg

-0,1-0,5 UA/kg

-1,5-2,0 UA/kg

-5-7 UA/kg

?

Point the insulin preparations of the short activity:

+SU-insulin

-homofan

-insulin Lente

-ultralente

-insulong

?

Point the insulin preparations of medium activity:

-homorap

-ultralente

-SU- insulin

+insulin Lente

-ultratard

?

What is the insulin preparation of prolonged activity:

+ultralente

-homorap

-insulin Lente

-SU-insulin

-insulong

?

Determine the regime of insulin injection:

+regime corresponds to physiologic insulin secretion

-insulin is injected in 30 min after every food taking

-regime of insulin injection is determined by the need in it

-insulin is injected in 60 min after every food taking

-regime of insulin injection does not have sense

?

The highest hyperglycemia is characteristic for:

+hyperosmolar coma

-ketoacidotic coma

-lactateacidotic coma

-hypoglycemic coma

-hepatic coma

?

Convulsions are the most typical for development of:

-hyperosmolar coma

-ketoacidotic coma

-lactateacidotic coma

+hypoglycemic coma

-hepatic coma

?

Presence of ketone bodies +++ in urine is characteristic for:

-hyperosmolar coma

+ketoacidotic coma

-lactateacidotic coma

-hypoglycemic coma

-hepatic coma

?

Gradual beginning and development of coma is characteristic for:

-hyperosmolar coma

+ketoacidotic coma

-lactateacidotic coma

-hypoglycemic coma

-hepatic coma

?

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