Vet Education Webinar Series 2017

QUIZ:

Lecture – Customizing Care For The Diabetic Care with Dr Margie Scherk

Multiple choice questions:

1. A 9 year old, neutered male cat with diabetes is presented for poor control on insulin. Oral examination reveals calculus and gingivitis. You suspect also that

there are resorptive lesions as the cat appears painful when you touch his gums. The next best approach to improve this cat’s glycemic control is to:

a. increase his insulin dose

b. perform a blood glucose curve
c. initiate feeding a dental diet
d. anaesthetize to provide dental care
e. initiate a course of antibiotics

2. In general, when anaesthetizing a cat with diabetes:

a. Fast the cat for 12 hours and administer 2 units of insulin

b. Fast the cat for 4 hours and administer 2 units of insulin
c. Fast the cat for 12 hours and administer his full dose of insulin
d. Fast the cat for 4 hours and administer his full dose of insulin
e. Fast the cat for 12 hours and administer 1/2 of his dose of insulin
f. Fast the cat for 4 hours and administer 1/2 of his dose of insulin
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3. In order to make a diagnosis of diabetes, persistence of hyperglycemia must be verified. Which of the following is the best way to do this?

a. Measure a serum fructosamine

b. Repeat the blood glucose measurement
c. Repeat a urine glucose measurement
d. This is not necessary when both blood and urine glucose are elevated

4. The main goals of treating a cat with diabetes are to eliminate clinical signs and avoid insulin-induced hypoglycemia as well as complications associated with not

treating the condition.

a. True
b. False

5. Which of the following is the most important component for the initial management of the newly diagnosed diabetic cat?

a. Switch to feeding a low carbohydrate, high protein diet

b. Increase exercise and interaction
c. Monitor urine glucose daily
d. Initiate a weight loss program
e. Start twice daily insulin therapy

6. The purpose of performing a blood glucose curve is to determine:

a. Whether the insulin has been damaged

b. The dose, type and frequency of insulin needed
c. Client comprehension and compliance
d. Those cats for whom monitoring fructosamine is sufficient
e. How often and when spot-checking should be performed

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7. The nadir:

a. Predicts duration of insulin effect

b. Provides information to adjust frequency of insulin administration
c. Screens for Somogyi overswing
d. Helps identify time until, and degree of, maximum effect of the insulin

e. Occurs 4-6 hours after insulin administration

8. Identification of the glucose differential helps to:

a. Determine whether insulin type is appropriate for the individual

b. Identify the ideal frequency of insulin administration
c. Predict whether Somogyi overswing will occur
d. Establish how often BG curves should be performed
e. Define whether only monitoring fructosamine is adequate

9. Defining the duration of effect of insulin is required in order to:

a. Identify the time of day that urine glucose should be measured

b. Know how often and when spot-checking should be performed
c. Recommend the frequency of insulin administration
d. Prescribe feeding frequency
e. Determine how often fructosamine should be evaluated

10. The reason to measure the blood glucose every hour is to

a. Give staff practice performing BG measurements

b. Give the client a sense of involvement
c. Provide revenue for the practice

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 d. Improve accuracy determining time and level of nadir BG
e. Average out irregularities due to stress-induced BG values

11. The most common cause for Somogyi overswing is:

a. Insulin dose too low

b. Insulin dose too high
c. Concurrent pancreatitis
d. Concurrent inflammatory bowel disease
e. Inappropriate insulin handling
f. Too long of an interval between insulin doses

12. Which of the following is the preferred approach?

a. Minimize risk of hypoglycemia while tolerating periods of hyperglycemia

b. Minimizing periods of hyperglycemia while tolerating risk of hypoglycemia

____________________________________________ the end__________________________________________________

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 Answer Key
[You should be reading this AFTER you attempted the quiz]

1-d
2-f
3-a
4-a
5-e
6-a
7-e
8-a
9-c
10 - d
11 - b
12 - a

Event organized by VetEducation Pty Ltd

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