On a population level, differences can be observed between the body composition of people with and people without a disturbed glucose tolerance. Question: Which of the following options describes the body composition of overweight people with a disturbed glucose tolerance compared to that of healthy people without overweight?
- A. More adipose tissue and similar muscle mass
- B. More adipose tissue and less muscle mass
- C. More adipose tissue and more muscle mass
- D. More adipose tissue and less muscle mass, including a change in the ratio of different types of muscle fibres
Correct Answer: B
Rationale: Glucose tolerance tanks overweight pile fat, lose muscle, not same or more, no fibre shift specifics. Nurses see this, a chronic lean loss.
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Which of the following statements is INCORRECT? The treatment of diabetes in traditional Chinese medicine involves
- A. Formula for Diabetes (Xiaoke Fang) for the Upper Type: Heat in the Lung which consumes Body Fluid
- B. Jade Maid Decoction (Yunu Jiang) for the Middle Type: excessive Heat in the Stomach
- C. Six Ingredients Rehmannia Pill (Liuwei Dihuang Wan) for the Lower Type: excessive of Kidney Yin and excessive of Yin and Yang
- D. Yam (Dioscorea opposita)
Correct Answer: C
Rationale: Traditional Chinese diabetes care Upper, Middle, Lower types nails Lung heat, Stomach fire, but Kidney's Yin deficiency, not excess Yin-Yang, flops. Xiaoke Fang, Yunu Jiang fit; Liuwei Dihuang Wan balances, doesn't overdo; yam's a lone root, not typed. Clinicians spot this, a chronic TCM misstep.
Which statement about carcinogenesis is accurate?
- A. An initiated cell will always become clinical cancer.
- B. Cancer becomes a health problem once it is 1 cm in size.
- C. Normal hormones and proteins do not promote cancer growth.
- D. Tumor cells need to develop their own blood supply.
Correct Answer: D
Rationale: Carcinogenesis is the multi-step process by which normal cells transform into cancer cells, involving initiation, promotion, and progression. A key aspect of this process is angiogenesis, where tumor cells induce the formation of new blood vessels to supply nutrients and oxygen, enabling their growth beyond a minimal size. This is a critical step, as without a blood supply, tumors cannot sustain themselves or expand significantly. The statement that an initiated cell always becomes cancer is inaccurate because initiation alone is not sufficient; it requires promoters to progress. Similarly, the idea that cancer only becomes a problem at 1 cm oversimplifies the issue tumors can pose health risks earlier depending on location and type, though 1 cm is a detectable size. Normal hormones and proteins, like estrogen or growth factors, can indeed act as promoters in carcinogenesis, contradicting that option. Thus, the need for a tumor to develop its own blood supply is the most accurate statement, reflecting a fundamental biological requirement for cancer progression, which nurses must recognize when caring for oncology patients.
The thickening of the glomerular basal membrane in an early stage of diabetes mellitus is a consequence of which mechanism?
- A. AGE deposition
- B. Proteinuria
- C. Inflammation
- D. All mechanisms mentioned above
Correct Answer: A
Rationale: Early diabetic kidney AGEs glue GBM thick, not protein spill or inflammation yet. Nurses catch this, a chronic sugar scar.
Strategies to overcome barriers and challenges faced in insulin therapy include the following EXCEPT:
- A. Close supervision for the patient's first jab
- B. Threaten patient into adherence with insulin therapy
- C. Engage patient from the start
- D. Offer the least painful options currently available in the market
Correct Answer: B
Rationale: Insulin wins guide first shots, engage early, ease pain, set sharp goals; threats flop, breed resentment. Nurses coach this chronic game, not bully.
Which of these does not need treatment of the sexual partner?
- A. trichomonas vaginalis
- B. bacterial vaginosis
- C. candida
- D. chlamydia
Correct Answer: B
Rationale: BV vaginal flora shift, not partner-fed; trich, chlamydia, gonorrhea, candida swap. Nurses skip this chronic duo fix.
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