Case Study:
Mrs. Gomez & Gestational Diabetes

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Post-Test

1. Based on the evidence of the case presented, which of the following does this patient NOT have?

a. Type 2 diabetes
b. Hypothyroidism
c. History of gestational diabetes
d. Both a and c

Answer: d, see page 2 of the case study

2. What can we say about the prevalence of type 2 diabetes in this population?

a. The prevalence of type 2 diabetes in Mexican Americans over the age of 20 is about 10%.
b. Type 2 diabetes is 2-3 times higher in Latinos than in non-Latino white or African American populations.
c. The prevalence of metabolic syndrome in this population is greater than 30%.
d. All of the above are true.

Answer: d, see page 2 of the case study

3. Assuming Mrs. Gomez had gestational diabetes, what are the chances she would go on to develop type 2 diabetes over time?

a. Increases 10% each year after her pregnancy
b. Increases 20% each year after her pregnancy
c. Increases 30% each year after her pregnancy
d. Increases 40% each year after her pregnancy

Answer: a, see page 2 of the case study

4. What is the mortality/death risk over 10 years for a patient with an A1C of 9%?

a. >10%
b. >35%
c. >50%
d. >75%

Answer: c, see page 2 of the case study

5. Which of the following are aspects of the Hispanic/Latino culture that influence diabetes care in this population?

a. Family Orientation
b. Faith and Religion
c. Acculturation
d. All of the above

Answer: d, see page 4 of the case study

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