Metropolitan Medical Center

College of Medicine
Department of Community and Family Medicine
Clerkship

Name: SANTOS, Maureen Kate M. Date: September 14, 2020

MCQ.

_D_1. Vascular Types of Headaches are:

A. Migraine D. All of the Above
B. Cluster E. None of the Above
C. Tension
_D_2. This/these type/s of headaches are known to be affecting the CNS.
A. Migraine D. All of the Above
B. Cluster E. None of the Above
C. Tension
_C_3 These/this can be cured by the use of coffee, identify it.
A. Migraine D. All of the Above
B. Cluster E. None of the Above
C. Tension
_B_4. This/these type/s of headaches are known to occur at the same time of the day, identify it.
A. Migraine D. All of the Above
B. Cluster E. None of the Above
C. Tension
_A_5. Headache/s related with menstruation is/are known as?
A. Migraine D. All of the Above
B. Cluster E. None of the Above
C. Tension
_E_6. What disease/s is/are not related?
A. Diabetes Mellitus D. Obesity
B. Hypertension E. None of the Above
C. Dyslipidemia
_E_7. What disease/s may present with normal values?
A. Diabetes Mellitus D. Obesity
B. Hypertension E. None of the Above
C. Dyslipidemia
_D_8. What disease/s is/are maybe treated with Orlistat?
A. Diabetes Mellitus D. Obesity
B. Hypertension E. None of the Above
C. Dyslipidemia
_A_9. What disease/s may present with glaucoma?
A. Diabetes Mellitus D. Obesity
B. Hypertension E. None of the Above
C. Dyslipidemia
_D_10. What disease/s is/are proned to develop Cancers?
A. Diabetes Mellitus D. Obesity
B. Hypertension E. None of the Above
C. Dyslipidemia
II. Essay (40 pts.)
1. Of the following diseases, Diabetes Mellitus, Obesity and Hypertension what medication may be
used to address at least two diseases? Explain your answer.

Metformin can address both diabetes mellitus and obesity. This is an oral anti-hyperglycemic agent used
for first-line treatment of type II diabetes mellitus that acts through expanding both hepatic and
peripheral insulin sensitivity in the liver by inhibiting basal hepatic glucose production, and by increasing
glucose uptake in skeletal muscles and adipocytes. It is useful in preventing diabetes and improving
insulin resistance in conditions such as polycystic ovary syndrome. Its use was linked with weight loss,
and is one of the best choice for overweight and obese individuals at high risk for diabetes, as well as for
hypertension, hyperlipidemia, cardiovascular disease, osteoarthritis, and several other conditions.
Patients treated with metformin experienced about a one-unit reduction in BMI at the end of treatment,
as well as the fasting insulin levels, and fasting glucose levels. A study from Diabetes Prevention Program
(DPP) showed that adults who are obese, but nondiabetic, with elevated fasting blood glucose, if
prescribed with metformin, can prevent the future development of type II diabetes mellitus.
However, there are no studies that specifically address the use of metformin for the prevention of
diabetes among adolescents.