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1. According to the 2011 National Diabetes Fact Sheet, about ________ young people in the US under age 20 had diabetes in 2010.
A. 305,000
B. 265,000
C. 215,000
D. 155,000
2. Recognizing that the antibodies GAD-65, ICA, IAA and IA-2 are present in children and adolescents months to years before the onset of diabetes has formed the basis for trials predicting who will develop diabetes and for recruiting high risk youth and adults for prevention trials.
A. True
B. False
3. Each of the following is an accurate statement about the onset and symptoms of Type 2 Diabetes EXCEPT?
A. The first stage in the development of type 2 diabetes is often insulin resistance, requiring increasing amounts of insulin to be produced by the pancreas to control blood glucose levels
B. In children and adolescents, Type 2 diabetes usually develops quickly and with obvious symptoms
C. Symptoms of type 2 diabetes may include fatigue, excess thirst, nausea, or frequent urination
D. Extreme elevation of the blood glucose level associated with severe dehydration and coma may occur with type 2 diabetes
4. Children and adolescents who meet the criteria for diabetes risk should be tested every two years beginning at age 12.
A. True
B. False
5. Gestational diabetes occurs in 5 percent to 15 percent of pregnancies and women who have had gestational diabetes have a 25 to 50 percent chance of developing diabetes in the next 10 to 20 years.
A. True
B. False
6. Some youth may have elements of both type 1 and type 2 diabetes, and this "hybrid" diabetes may be treated with insulin injections and oral diabetes medications to improve insulin resistance.
A. True
B. False
7. Most children younger than _________ of age have a form of "hypoglycemic unawareness" where they lack the cognitive capacity to recognize and respond to hypoglycemic symptoms and may be at greater risk for hypoglycemia.
A. 9 to 10
B. 8 to 9
C. 7 to 8
D. 6 to 7
8. For children with type 1 diabetes, the initial examination should be shortly after diagnosis, while with type 2, the first ophthalmologic examination should be obtained once the child is 10 years of age or older and has had diabetes for 3 to 5 years.
A. True
B. False
9. According to the American Diabetes Association's Standards of Medical Care, quarterly examinations for young people with diabetes should include:
A. An evaluation of nutrition therapy
B. An ophthalmologic examination
C. An assessment of psychosocial adjustment
D. A thyroid function test
10. All continuous glucose sensing systems for young people and adults with type 1 diabetes include:
A. A sensor that is placed underneath the skin to measure interstitial glucose
B. A small transmitter worn on the body that connects to the sensor
C. A hand-held cell-phone sized receiver that displays the current glucose levels and trends
D. All of the above
11. Adolescence is a time when peer acceptance is important, risk-taking behaviors common, and rebellion against authority may occur, so although they may have the motor and cognitive skills to perform all diabetes-related tasks and determine proper insulin doses, they must be supervised in their diabetes tasks and allowed gradual independence.
A. True
B. False
12. The school nurse should take the lead in diabetes management by developing an Individualized Health Care Plan that incorporates physician orders, parent requests, and is tailored to the specific developmental, physical, cognitive, and ______ ability of the child.
A. Skill
B. Social
C. Behavioral
D. None of the above
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