Neuropathy Diabetic Neuropathy

Question 1

What is the most common form of diabetic neuropathy?

Accepted Answer

Distal symmetric polyneuropathy

Answer

Autonomic neuropathy

Answer

Proximal neuropathy

Answer

Focal mononeuropathy

Question 2

The stocking-glove pattern of sensory loss in diabetic neuropathy reflects damage to which fiber types first?

Accepted Answer

Small unmyelinated C fibers and Aδ fibers first

Answer

Large myelinated fibers only

Answer

Motor fibers only

Answer

Cranial nerve fibers

Question 3

Which HbA1c target is recommended to slow the progression of diabetic neuropathy in non-elderly adults with type 1 diabetes?

Accepted Answer

Below 7%

Answer

Below 9%

Answer

Below 8%

Answer

Below 6%

Question 4

Diabetic amyotrophy (proximal neuropathy) most characteristically presents with which symptom?

Accepted Answer

Severe unilateral thigh pain and weakness

Answer

Bilateral foot tingling

Answer

Foot drop

Answer

Loss of ankle reflexes only

Question 5

Which first-line medication is FDA-approved for painful diabetic peripheral neuropathy?

Accepted Answer

Pregabalin

Answer

Gabapentin

Answer

Amitriptyline

Answer

Carbamazepine

Question 6

In diabetic neuropathy, loss of the Achilles tendon reflex indicates damage to which nerve root level?

Accepted Answer

S1-S2

Answer

L2-L3

Answer

L4-L5

Answer

L1-L2