NURS 5461 STUDY EXAMS GUIDE QUESTIONS
AND ANSWERS SURE A+
✔✔Beta blocked worsen... - ✔✔Insulin resistance and decrease glucose uptake which
will increase triglycerides
✔✔Amylin - ✔✔Deficient in Type 1 DM
✔✔Keytones - ✔✔Present in type 1 DM
✔✔Diabetes drugs that wont decrease BG - ✔✔Bihuanide, DPP4 inhibitors, GLP1
agonist, A-glucosidae inhibitors
✔✔DPP4 inhibitor - ✔✔Sitaglipin. "Gliptins"
✔✔Diabetes drugs that lower BG - ✔✔SGLT2 inhibitors, sulfonylureas
✔✔SGLT2 inhibitors - ✔✔Canagliflozin
Dapagliflozin
Empagliflozin
DKA WARNING /FUNGLE WARNING/ OSTEOPOROSIS
✔✔A1C X 3 - 6 , add a 0 - ✔✔Glucose average over 3 months
✔✔B12 deficiency anemia - ✔✔Macrocytic. Pts will have neurological issues.
Methylmalonic acid and homocysteine will be elevated
✔✔Primary thyroid disorders - ✔✔dysfunction of the thyroid gland
, ✔✔Effects of hypothyroidism - ✔✔Increased cholesterol & weight gain. Puts pt at risk
for CV disease
✔✔Untreated hypothyroidism - ✔✔myxedema coma and B12/folate deficiency anemia
✔✔endemic goiter - ✔✔Results from dietary iodine deficiency
✔✔Subclinical hypothyroidism - ✔✔- ELEVATED TSH + NORMAL T3 + T4
✔✔Primary hypothyroidism - ✔✔elevated TSH, low T3 and T4
✔✔Myxedema coma - ✔✔extreme hypothyroidism(abrupt med cessation), rare with a
high mortality rate = decreased cardiac output leads to decreased tissue perfusion
which leads to brain and organ depletion leading to multi-organ failure
✔✔Treatment for manic symptoms in dementia - ✔✔DIVALPROEX SODIUM
(DEPAKOTE) 1ST
Or
carbamazapine
lamotrigine
lithium
✔✔Normal TSH levels - ✔✔0.4-4
✔✔secondary hypothyroidism - ✔✔results when the pituitary gland is dysfunctional and
does not secrete TSH - TSH maybe high, low, or normal.
✔✔treat hypothyroidism with - ✔✔levothyroxine - follow up in 6-8
✔✔Amiodarone - ✔✔Can induce hypothyroid
✔✔hyperthyroid - ✔✔Too much T3 & T4 - can cause cardiac issues and osteoporosis
✔✔Hashimoto's thyroiditis - ✔✔an autoimmune disorder that attacks the thyroid gland
causing hypothyroidism
✔✔Graves disease - ✔✔an autoimmune disorder that is caused by hyperthyroidism and
is characterized by goiter and/or exophthalmos - increased iodine uptake.
✔✔subclinical hypethyroid - ✔✔TSH low <.4 and T3/T4 are normal.
✔✔hyperthyroid levels - ✔✔low TSH, high T4
AND ANSWERS SURE A+
✔✔Beta blocked worsen... - ✔✔Insulin resistance and decrease glucose uptake which
will increase triglycerides
✔✔Amylin - ✔✔Deficient in Type 1 DM
✔✔Keytones - ✔✔Present in type 1 DM
✔✔Diabetes drugs that wont decrease BG - ✔✔Bihuanide, DPP4 inhibitors, GLP1
agonist, A-glucosidae inhibitors
✔✔DPP4 inhibitor - ✔✔Sitaglipin. "Gliptins"
✔✔Diabetes drugs that lower BG - ✔✔SGLT2 inhibitors, sulfonylureas
✔✔SGLT2 inhibitors - ✔✔Canagliflozin
Dapagliflozin
Empagliflozin
DKA WARNING /FUNGLE WARNING/ OSTEOPOROSIS
✔✔A1C X 3 - 6 , add a 0 - ✔✔Glucose average over 3 months
✔✔B12 deficiency anemia - ✔✔Macrocytic. Pts will have neurological issues.
Methylmalonic acid and homocysteine will be elevated
✔✔Primary thyroid disorders - ✔✔dysfunction of the thyroid gland
, ✔✔Effects of hypothyroidism - ✔✔Increased cholesterol & weight gain. Puts pt at risk
for CV disease
✔✔Untreated hypothyroidism - ✔✔myxedema coma and B12/folate deficiency anemia
✔✔endemic goiter - ✔✔Results from dietary iodine deficiency
✔✔Subclinical hypothyroidism - ✔✔- ELEVATED TSH + NORMAL T3 + T4
✔✔Primary hypothyroidism - ✔✔elevated TSH, low T3 and T4
✔✔Myxedema coma - ✔✔extreme hypothyroidism(abrupt med cessation), rare with a
high mortality rate = decreased cardiac output leads to decreased tissue perfusion
which leads to brain and organ depletion leading to multi-organ failure
✔✔Treatment for manic symptoms in dementia - ✔✔DIVALPROEX SODIUM
(DEPAKOTE) 1ST
Or
carbamazapine
lamotrigine
lithium
✔✔Normal TSH levels - ✔✔0.4-4
✔✔secondary hypothyroidism - ✔✔results when the pituitary gland is dysfunctional and
does not secrete TSH - TSH maybe high, low, or normal.
✔✔treat hypothyroidism with - ✔✔levothyroxine - follow up in 6-8
✔✔Amiodarone - ✔✔Can induce hypothyroid
✔✔hyperthyroid - ✔✔Too much T3 & T4 - can cause cardiac issues and osteoporosis
✔✔Hashimoto's thyroiditis - ✔✔an autoimmune disorder that attacks the thyroid gland
causing hypothyroidism
✔✔Graves disease - ✔✔an autoimmune disorder that is caused by hyperthyroidism and
is characterized by goiter and/or exophthalmos - increased iodine uptake.
✔✔subclinical hypethyroid - ✔✔TSH low <.4 and T3/T4 are normal.
✔✔hyperthyroid levels - ✔✔low TSH, high T4
