Diabetes mellitus

Q1. A male complaining of increasing tiredness despite adequate and balanced

nutritional intake was investigated and was found to be suffering from diabetes
mellitus. Which of the following features will be true in his case, if he was a
patient of type 2 diabetes?
A. He is likely to show presence of anti-GAD antibodies.
B. His serum insulin levels will be low from very beginning of the disease.
C. It is unlikely that any of his relatives will be suffering from diabetes.
D. His pancreatic islets will not show evidence of insulitis.

Ans …..
Q2. A 45-year-old man, who was on medication for a chronic disease, was
advised to have glycosylated hemoglobin estimation done, for the purpose of
monitoring response to treatment. From which of the following diseases, is he
likely to be suffering from?
A. Megaloblastic anemia.
B. Autoimmune hemolytic anemia
C. Iron deficiency anemia
D. Diabetes mellitus
Ans ……

Q3. A 10-year-old boy complaining of increased appetite despite having normal

body weight was found to be suffering from type 1 diabetes mellitus. During the
course of this disease, he is likely to show all of the following metabolic
alterations, EXCEPT
A. Increased serum glucose levels
B. Increased catabolism of muscle proteins.
C. Increased oxidation products of free fatty acids.
D. Increased liver glycogen levels
Ans …..
Q.4 A 46-year-old man, who was to undergo surgery for removal of dentigerous
cyst of left maxillary bone, was asked to have his blood sugar estimated as part of
routine preoperative workup. His report indicated, fasting blood glucose of 116 .0
mg/dl. Blood glucose level, 2 hours after 75-gram glucose load, is 174.0 mg/dl.
His present clinical state would be classified as:
A. Impaired fasting glucose
B. Diabetes mellitus
C. Impaired glucose tolerance
D. Impaired fasting glucose with impaired glucose tolerance.
Ans ……
Q.5 A 54-year-old-woman, who was to undergo surgery for squamous cell
carcinoma of tongue, was asked to have her blood sugar estimated as part of
routine preoperative workup. Her report indicated, fasting blood glucose of
156.0 mg/dl. Blood glucose level, 2 hours after 75-gram glucose load, is 192.0
mg/dl. Her present clinical state would be classified as:
A. Impaired glucose tolerance
B. Impaired fasting glucose and impaired glucose tolerance
C. Normal blood glucose levels
D. Diabetes mellitus.
Ans ….

Q.6 A 32-year-old-woman, whose second molar was to be removed for extensive

caries was advised to have her blood sugar estimated as part of routine
preoperative workup. She also has 4-months pregnancy. Her report indicated,
fasting blood glucose of 84.0 mg/dl. Blood glucose level, 2 hours after 100-gram
glucose load is 168.0 mg/dl. Her present clinical state would be classified as:
A. Impaired glucose tolerance
B. Normal fasting glucose and impaired glucose tolerance
C. Normal blood glucose levels
D. Gestational diabetes mellitus.
Ans ……
Q6. A male patient with history of frequent superficial infections was found to
fasting blood glucose level 156.0 mg/dl. Other positive investigative findings
included presence of anti-GAD antibodies. Most likely diagnosis in this patient is
A. Type 2 diabetes mellitus
B. Type 1 diabetes mellitus
C. Glucagonoma
D. Pheochromocytoma
Ans ……

Q7. A 46-year-old woman, whose grandmother was a diabetic, consulted a

physician, wanting to know if she is at increased risk of developing diabetes
mellitus. Which of the following factors adds to her risk of acquiring this disease?
A. Her serum triglyceride level of 180 mg/dl.
B. Her body weight of 52.0 kilograms.
C. Her regular participation in badminton tournaments
D. Her history of having delivered a baby of 9.0 pounds.
Ans …..

Q8. A 24-yer old man presented the physician with complaints of weight loss
and increasing tiredness. He was found to be hyperglycemic, but the clinician
was unable to decide the form of diabetes he was suffering from. Which of the
following tests would designate him as type 1 diabetic?
A. Fasting serum glucose level of 180 mg/dl
B. Presence of anti-islet cell antibodies
C. Low serum insulin levels.
D. Raised glycosylated hemoglobin levels.
Ans ….