JEMDSA JEMDSA Journal of Endocrinology, Metabolism and Diabetes of South Africa
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JEMDSA 2021 Volume 26 Number 3
MDB015/279/01/2021
1. Vit B12 deficiency in patients with diabetes is associated with the following, except which one?
a. Long-term metformin use b. Concomitant use of PPIs c. Older age
d. Higher incidence of neuropathy e. Higher incidence in women
2. Low vitamin D levels are associated with the following changes indicating severe retinopathy, except which one?
a. Increased disorganisation of retinal inner layer b. Increased ellipsoid zone disruption
c. Decreased cube average thickness d. Increased central subfield thickness e. Altered retinal pigment epithelium
3. In patients with diabetes living in an HIV endemic area, increased adult height is associated with the following, except which one?
a. Higher HbAic levels
b. Higher diastolic blood pressure c. Lower HDL-cholesterol levels d. Higher triglyceride levels e. Use of ARVs
4. In the International Diabetes Practices Study, insulin therapy was discontinued by patients for the following reasons, except which one?
a. Fear of hypoglycaemia b. Fear of weight gain c. Fear of cancer risk d. Associated high costs e. Impact on social life
5. In South Africa, compliance to diabetes dietary therapy is suboptimal for the following reasons, except which one?
a. Patient knowledge was very poor b. Food portions were too large c. Fruit and vegetable intake was low d. Starch consumption was excessive
e. Family eating culture was “counter-productive”
6. A recent SA study on the adequacy of down-referral reports (relevant clinical data) as patients transitioned to primary care clinics indicated the following – which one is incorrect?
a. Medication was indicated in 80%
b. Glucose control (HbAic level) was indicated in 70%
c. Foot complications were indicated in 3%
d. Renal status was indicated in 15%
e. Hand writing was illegible in 40%
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