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1. Which of the following statistics related to diabetes prevalence is NOT accurate?

A. Type 2 diabetes is the most common form of diabetes in the world accounting for 90% to 95% of all diabetes cases B. Type 1 diabetes is the most common form of diabetes diagnosed worldwide C. It is estimated that 86 million Americans or 33% people in the U.S. have prediabetes D. Approximately one-quarter of Americans older than 60 years of age are estimated to have diabetes

2. Which of the following statements pertaining to the clinical presentation of type 1 diabetes is TRUE:

A. Most children diagnosed will present with DKA as an initial symptom B. At the time of type 1 diabetes diagnosis, a majority of beta cells are destroyed C. All children will present with weight loss as a symptom at diagnosis D. Type 1 diabetes is always diagnosed in children younger than 18 years of age

3. Mechanisms thought to contribute to the pathophysiology of type 1 diabetes include all of the following, EXCEPT:

A. Immune-mediated pancreatic beta cell destruction B. Progressive decline in insulin secretion due to destruction of beta cells C. Insulin resistance D. Environmental factors

4. Which of the following describes a patient with the greatest risk for developing type 1 diabetes?

A. A child that is genetically tested and found to be carrying the HLA allele DR3,DQB1*0201 B. An obese child of Native American descent C. An adult who has just found out that his uncle has type 1 diabetes D. An adult younger than 60 years of age

5. A slightly overweight patient presents to the emergency room (ER) with complaints of thirst and lethargy. He is subsequently diagnosed with type 2 diabetes based on a plasma glucose level > 200 mg/dL, 5 lb weight loss, and family history of heart disease. His primary care provider later performs autoimmunity testing after he does not respond to metformin and finds that he is positive for GAD65 autoantibody. Which clinical characteristics most strongly suggests Type 1 diabetes?

A. Glucose level > 200 mg/dL B. Family history of heart disease C. Positive for GAD65 autoantibody D. Lethargy as a symptom

6. Which of the following statements is correct regarding type 2 diabetes?

A. Type 2 diabetes is not linked to genetics B. Type 2 diabetes is always diagnosed in adults C. Patients diagnosed with type 2 diabetes are usually not overweight D. Type 2 diabetes rates are increasing in children and adolescents in the United States

7. Which of the following risk factors is most closely correlated with the development of type 2 diabetes:

A. Central obesity B. Having Caucasian ancestry C. Living further away from the equator D. Being exposed to an enterovirus

8. Classic symptoms of type 2 diabetes include all of the following, EXCEPT:

A. Slower infection/wound healing process B. Blurry vision or vision changes C. Ketonuria D. Fatigue

9. A child is diagnosed with type 1 diabetes at her primary care office. Diabetes is suspected because her mother has type 1 diabetes. Which of the following statements is accurate regarding type 1 diabetes?

A. Eating too much sugar and other dietary discretions likely caused the disease B. Oral agents are preferred initially prior to insulin initiation C. Because the provider diagnosed her early in the onset of the disease, the honeymoon phase may last up to 10 years D. She is at increased risk for type 1 diabetes because her mother also has the disease

10. Which of the following is NOT accurate regarding the pathogenesis of type 2 diabetes?

A. Insulin resistance and a progressive decline in beta cell function are major mechanisms of the disease B. Central obesity and Hispanic ethnicity increase the risk of the disease C. Family history does not contribute to risk for diabetes D. The development of the disease tends to be progressive in nature including decreased beta cell function, increased insulin resistance and increase hepatic glucose output occurring early in the course of disease (prediabetes)