26. A diabetic person consumes excessive sugar relative to the effective insulin

Question

26. A diabetic person consumes excessive sugar relative to the effective insulin injected that day. Any of the following may apply to this case EXCEPT a ketosis b. lipogenesis c. acidosis d. fruity breath odor e. hyperventilation 27. All of the following are more typical correlations of Type I diabetes than Type II EXCEPT a. earlier age trend of onset b. insulitis c. history of viral infection d. ketosis prone e. all of the above correlate best with Type I 28. Which of the following serological results corelates best with type II disbetes? a. elevated hemoglobin A-1-C, triglycerides, and insulin b. elevated glucose, cortisol, and atrial natriurient factor c. hypoglycemia, hyperkalemia, and hypoinsulinemia d. hyperglycemia, hyponatremia, and hypolipidemia 29. Grave's disease correlates with any of the following EXCEPT a. LATS antibody b. exophthalmos c thyrotoxicosis d. bradycardia 30. What is primary diabetes insipidus? a. excess production of ADH b. insufficient production of ADH c. IDDM d. NIDDM 31. What is the source of erythropoietin? a. bone marrow b. adrenal medulla c. kidney d. liver e none of the above

Explanation / Answer

26. A ketosis [ As the person is receiving insulin, there will be no lipolysis. Ketosis is a process where ketone bodies are formed from lipid by the process of lipolysis. But as there is insulin dose, the cell will not suffer glucose scarcity so there will be no lipolysis and no ketosis, therefore. All other option s can be found due to excess glucose in the blood ]

27.e. all of the above correlated best with type 1 [ type 1 diabetes found at an earlier age, insulitis, viral infection are etiology of type 1 diabetes mellitus. Ketosis is more common in type 1 diabetes than type 2]

28. a) elevated hemoglobin A 1 C, triglycerides, and insulin [ this is best matched. type 2 diabetes is due to insulin resistance, so in order to overcome this resistance, the pancreas produces more insulin than normal. Increased triglycerides is an associated feature of type 2 diabetes and one of the reasons for insulin resistance. ]

29. Bradycardia [ in Grave's disease there is thyrotoxicosis, so there will be increased heart rate( tachycardia) not bradycardia ]

30. b. Insufficient production of ADH [ Primary diabetes insipidus is associated with a defect in the pituitary with low ADH production ]

31. c. Kidney [ Erythropoietin is produced by interstitial fibroblast of kidney ]

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