PN 2006 MIDTERM EXAM SCRIPT 2026
COMPLETE QUESTIONS AND ANSWERS
◉ Humulin R/Novolin Toronto.
Answer: give 30-45 min AC meals
30 min onset
2-3 hour peak
6.5 hour duration
◉ bolus insulins.
Answer: Rapid and short acting insulins (Novorapid, Humalog,
Humulin R)
◉ Humulin N/Novolin NPH.
Answer: given once or BID, often at bedtime
intermediate, cloudy
1-3 hour onset
5-8 hour peak
18 hour duration
◉ Insulin Detemir (Levemir).
,Answer: can be given BID, usually at bedtime
long-acting, clear
90 min onset
N/A peak
16-24 hour duration
◉ Insulin Glargine (Lantus).
Answer: given at bedtime
long-acting, clear
90 min onset
N/A peak
up to 24 hour duration
◉ Humulin 30/70.
Answer: given 30-45 min AC meals
(30) rapid, (70) intermediate
pre-mixed, cloudy
rapid and intermediate onset, peak and duration
◉ heparin.
Answer: SC injection given in the abdomen, avoid umbilicus, keep
sites 1 inch apart
, 90 degree angle
◉ PTT lab value while on heparin.
Answer: 60-70 seconds
◉ INR while on heparin.
Answer: 2.0-3.0
◉ hypoglycemic protocol.
Answer: 20mg of glucose
check BG after 15 min
if under 4mmol repeat oral tx up to three times
when above 4mmol administer protein and carb snack
◉ hypoglycemic protocol when unable to take oral tx.
Answer: glucagon 1mg SC/IM
check BG after 15min
may repeat glucagon twice after initial dose
◉ tools for when to have a palliative approach.
Answer: GSF PIG
SPICT
COMPLETE QUESTIONS AND ANSWERS
◉ Humulin R/Novolin Toronto.
Answer: give 30-45 min AC meals
30 min onset
2-3 hour peak
6.5 hour duration
◉ bolus insulins.
Answer: Rapid and short acting insulins (Novorapid, Humalog,
Humulin R)
◉ Humulin N/Novolin NPH.
Answer: given once or BID, often at bedtime
intermediate, cloudy
1-3 hour onset
5-8 hour peak
18 hour duration
◉ Insulin Detemir (Levemir).
,Answer: can be given BID, usually at bedtime
long-acting, clear
90 min onset
N/A peak
16-24 hour duration
◉ Insulin Glargine (Lantus).
Answer: given at bedtime
long-acting, clear
90 min onset
N/A peak
up to 24 hour duration
◉ Humulin 30/70.
Answer: given 30-45 min AC meals
(30) rapid, (70) intermediate
pre-mixed, cloudy
rapid and intermediate onset, peak and duration
◉ heparin.
Answer: SC injection given in the abdomen, avoid umbilicus, keep
sites 1 inch apart
, 90 degree angle
◉ PTT lab value while on heparin.
Answer: 60-70 seconds
◉ INR while on heparin.
Answer: 2.0-3.0
◉ hypoglycemic protocol.
Answer: 20mg of glucose
check BG after 15 min
if under 4mmol repeat oral tx up to three times
when above 4mmol administer protein and carb snack
◉ hypoglycemic protocol when unable to take oral tx.
Answer: glucagon 1mg SC/IM
check BG after 15min
may repeat glucagon twice after initial dose
◉ tools for when to have a palliative approach.
Answer: GSF PIG
SPICT