Metabolic Syndrome Nursing | Biologix Solutions

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Metabolic Syndrome

Question 1:

Which of the following characteristics is included in the criteria for diagnosing metabolic syndrome?

A) An elevated waist circumference

B) An elevated HDL

C) An elevated LDL

D) An elevated serum creatinine

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Metabolic Syndrome

Question 2:

Which of the following would meet the cutoff point in determining if a patient has metabolic syndrome?

A) An HDL = 55 mg/dl in a female patient

B) A blood pressure of 125/83 mmg Hg in a male patient

C) A fasting blood glucose = 89 mg/dl in a female patient

D) A waist circumference of 102 cm in a middle-eastern female

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Metabolic Syndrome

Question 3:

According to estimates from the American Heart Association, more than ______ of U.S. children and adolescents aged 12–19 have metabolic syndrome?

A) 25%

B) 9%

C) 2%

D) 55%

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Metabolic Syndrome

Question 4:

Which of the following is NOT considered a risk factor for metabolic syndrome?

A) Genetic predisposition

B) Pancreatitis

C) Lipodystrophy

D) Cholesterol gallstones

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Metabolic Syndrome

Question 5:

The major underlying pathophysiology of the metabolic syndrome is insulin resistance.

A) True

B) False

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Metabolic Syndrome

Question 6:

Which of the following reduces appetite, promotes energy expenditure, and enhances insulin sensitivity?

A) Leptin

B) Glucose

C) Adiponectin

D) Free fatty acids

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Metabolic Syndrome

Question 7:

Insulin increases the activity of the sympathetic nervous system which can lead to an increase in blood pressure.

A) True

B) False

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Metabolic Syndrome

Question 8:

Which of the following is true about the association of hyperuricemia with metabolic syndrome?

A) The incidence of hyperuricemia in males is much lower than that in females

B) Hyperuricemia can directly cause hyperglycemia

C) Elevated serum triglycerides is markedly associated with hyperuricemia

D) Hyperuricemia has direct effects on blood vessel vasoconstriction

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Metabolic Syndrome

Question 9:

Which of the following is a pathway through which obstructive sleep apnea is thought to be related to metabolic syndrome?

A) Obstructive sleep apnea is associated with alterations in the dopamine pathway that may promote metabolic syndrome.

B) The hypoxia associated with obstructive sleep apnea triggers an oxidative stress that may promote development of metabolic syndrome.

C) Multiple inflammatory mediators are decreased in patients with obstructive sleep apnea and may play a role in the development of metabolic syndrome.

D) Continuous positive airway pressure treatment decreases blood pressure in patients with obstructive sleep apnea.

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Metabolic Syndrome

Question 10:

How many kcal per day should a patient restrict in order to lose 1 pound per week?

A) 500 kcal

B) 1000 kcal

C) 1500 kcal

D) 2000 kcal

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Metabolic Syndrome

Question 11:

Which of the following drugs is a reversible inhibitor of gastric and pancreatic lipases, thus inhibiting absorption of dietary fats by 30%?

A) Contrave

B) Saxenda

C) Orlistat

D) Qsymia

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Metabolic Syndrome

Question 12:

Which of the following drugs can increase the risk of suicidal thinking and behavior in children, adolescents, and young adults (18 to 24 years of age) with major depressive disorder and other psychiatric disorders?

A) Contrave

B) Metformin

C) Saxenda

D) Empagliflozin

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Metabolic Syndrome

Question 13:

What is the proposed mechanism by which statins may aggravate insulin resistance?

A) Statins decrease the production of metabolites which down regulate insulin-responsive glucose transporter thereby decreasing glucose uptake

B) Statins interfere with the release of insulin from the pancreas

C) Statins release free radicals that lead to oxidative stress and inflammation linked to insulin resistance

D) Statins lower Vitamin D levels leading to insulin resistance

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Metabolic Syndrome

Question 14:

Why are RAS antagonists considered important components in treating hypertension in patient with metabolic syndrome?

A) Angiotensin II inhibits insulin signaling and produces oxidative stress

B) Angiotensin II inhibits glucose uptake by peripheral cells

C) Angiotensin II inhibits the pancreas from releasing insulin

D) Angiotnesin II inhibits the production of glycogen

15 / 20

Metabolic Syndrome

Question 15:

Metformin is contraindicated in which of the following patients?

A) A patient with a BMI = 33

B) A patient who has stable heart failure

C) A patient with a GFR <30 mL/minute/1.73 m2

D) A patient who has pancreatic cancer

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Metabolic Syndrome

Question 16:

Which of the following has been associated with hepatic failure?

A) Pioglitazone

B) Cilostazol

C) Enalapril

D) Exenatide

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Metabolic Syndrome

Question 17:

Which of the following can cause a genitourinary fungal infection?

A) Rosiglitazone

B) Canagliflozin

C) Gemfibrozil

D) Atorvastatin

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Metabolic Syndrome

Question 18:

Which of the following should a pharmacist be aware of when monitoring patients on Cilostazol?

A) Cilostazol can cause irreversible thrombocytopenia

B) Cilostazol is contraindicated in patients with heart failure

C) Cilostazol should be taken with meals

D) Cilostazol can cause bradycardia

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Metabolic Syndrome

Question 19:

Which of the following GLP-1 agonist has been approved by the US FDA as an anti-obesity drug as well as a diabetic agent?

A) Exenatide

B) Liraglutide

C) Lixisenatide

D) Semaglutide

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Metabolic Syndrome

Question 20:

Which of the following is a long term cardiovascular consequence of metabolic syndrome?

A) decreased heart rate

B) decreased blood volume

C) increased vascular resistance

D) decreased cardiac output

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