623 Adult - Endocrine/Metabolic - AG and FNP
Certification Exam 4th ed. Winland-Brown and Dunphy
Questions With Complete Solutions
a clt with diabetes c/o paresthesia. Which of the
following medications can cause sensory changes?
a. glipizide
b. sitagliptin (Januvia)
c. metformin
d. exenatide (Byetta) Correct Answers c.
metformin
a clt with Graves' disease is prescribed a beta-
adrenergic antagonist. Which of the following
comorbid conditions will be exacerbated with the
initiation of the propranolol (beta-blocker)?
a. tachycardia
b. hypertension
c. hyperlipidemia
d. asthma Correct Answers d. asthma
a clt with hyperthyroidism presents with a c/o a
gritty feeling in her eyes. over the past week, her
visual acuity has diminished, and her ability to see
colors has changed. She also has a feeling of
pressure behind her eyes. The next step for the NP
is to:
a. order a thyroid ultrasound
b. refer the clt for immediate eval by an
ophthalmologist
,c. order a total T4
d. prescribe a beta-adrenergic blocker Correct
Answers b. refer the clt for immediate eval by an
ophthalmologist
a clt with type 2 diabetes is on the maximum
doseage of 3 oral antidiabetic agents, and the
HbA1c remains at 8.5%. The NP initial basal insulin.
Which of the following would be an appropriate
order?
a. insulin glargine (lantus) 10units nightly
b. insulin detemir (levemir) 10units before each
meal
c. insulin aspart (novoLog) 10units before each
meal
d. regular insulin before each meal Correct
Answers a. insulin glargine (lantus) 10units nightly
a diabetic clt on a sulfonylurea and metformin with
anHbA1c of 6.5% is c/o episodes of low blood
sugar. Which of the following changes would be the
most appropriate?
a. decrease the dosage of metformin
b. discontinue the metformin
c. increase the carboyhydrate intake
d. decrease the sulfonylurea Correct Answers d.
decrease the sulfonylurea
a fetus with intrauterine growth retardation is
prone to hypoglycemia at birth because of:
,a. an imbalance in insulin-glucagon secretion
resulting from hyperinsulinemia from islet cell
hyperplasia
b. few carbon store in the form of glycogen and
body fat
c. an inborn error of metabolism: glycogen storage
disease
d. a complication of birth asphyxia Correct
Answers b. few carbon store in the form of
glycogen and body fat
a newly dx clt with diabetes who has an HbA1c
of7.5 is started on therapeutic lifestyle changes
and medical nutritional therapy. Which oral
antidiabetic agent is recommended as
monotherapy?
a. glipizide
b. sitagliptin (Januvia)
c. exenatide (Byetta)
d. metformin (glucophage) Correct Answers d.
metformin (glucophage)
ACE inhibitors are given to clts with diabetes who
have:
a. an elevated glycohemoglobin level
b. insulin sensitivity
c. persistent proteinuria
d. an elevated serum creatinine level Correct
Answers c. persistent proteinuria
, after an oral cholecystogram, Sam c/o burning on
urination. This is because of:
a. a mild rx to the contrast medium
b. biliary obstruction
c. contraction of the gallbladder
d. the presence of dye in the urine Correct
Answers d. the presence of dye in the urine
after establishing clinical and biochemical
euthryroidism after a thyroidectomy, you should
perform a measurement of the serum thyroid-
stimulating hormone (TSH) level every:
a. 3 months
b. 6 months
c. one year
d. two years Correct Answers c. one year
an elderly clt presents with atrial fibrillation. Which
of the following lab tests is important in forming
the dx?
a. CBC
b. CRP
c. CMP
d. TSH Correct Answers d. TSH
an elderly clt with hyperthyroidism may present
with atypical sxs. Which of the following
manifestations are commonly seen in the elderly
with hyperthyroidism?
a. adrenergic findings such as tachycardia
Certification Exam 4th ed. Winland-Brown and Dunphy
Questions With Complete Solutions
a clt with diabetes c/o paresthesia. Which of the
following medications can cause sensory changes?
a. glipizide
b. sitagliptin (Januvia)
c. metformin
d. exenatide (Byetta) Correct Answers c.
metformin
a clt with Graves' disease is prescribed a beta-
adrenergic antagonist. Which of the following
comorbid conditions will be exacerbated with the
initiation of the propranolol (beta-blocker)?
a. tachycardia
b. hypertension
c. hyperlipidemia
d. asthma Correct Answers d. asthma
a clt with hyperthyroidism presents with a c/o a
gritty feeling in her eyes. over the past week, her
visual acuity has diminished, and her ability to see
colors has changed. She also has a feeling of
pressure behind her eyes. The next step for the NP
is to:
a. order a thyroid ultrasound
b. refer the clt for immediate eval by an
ophthalmologist
,c. order a total T4
d. prescribe a beta-adrenergic blocker Correct
Answers b. refer the clt for immediate eval by an
ophthalmologist
a clt with type 2 diabetes is on the maximum
doseage of 3 oral antidiabetic agents, and the
HbA1c remains at 8.5%. The NP initial basal insulin.
Which of the following would be an appropriate
order?
a. insulin glargine (lantus) 10units nightly
b. insulin detemir (levemir) 10units before each
meal
c. insulin aspart (novoLog) 10units before each
meal
d. regular insulin before each meal Correct
Answers a. insulin glargine (lantus) 10units nightly
a diabetic clt on a sulfonylurea and metformin with
anHbA1c of 6.5% is c/o episodes of low blood
sugar. Which of the following changes would be the
most appropriate?
a. decrease the dosage of metformin
b. discontinue the metformin
c. increase the carboyhydrate intake
d. decrease the sulfonylurea Correct Answers d.
decrease the sulfonylurea
a fetus with intrauterine growth retardation is
prone to hypoglycemia at birth because of:
,a. an imbalance in insulin-glucagon secretion
resulting from hyperinsulinemia from islet cell
hyperplasia
b. few carbon store in the form of glycogen and
body fat
c. an inborn error of metabolism: glycogen storage
disease
d. a complication of birth asphyxia Correct
Answers b. few carbon store in the form of
glycogen and body fat
a newly dx clt with diabetes who has an HbA1c
of7.5 is started on therapeutic lifestyle changes
and medical nutritional therapy. Which oral
antidiabetic agent is recommended as
monotherapy?
a. glipizide
b. sitagliptin (Januvia)
c. exenatide (Byetta)
d. metformin (glucophage) Correct Answers d.
metformin (glucophage)
ACE inhibitors are given to clts with diabetes who
have:
a. an elevated glycohemoglobin level
b. insulin sensitivity
c. persistent proteinuria
d. an elevated serum creatinine level Correct
Answers c. persistent proteinuria
, after an oral cholecystogram, Sam c/o burning on
urination. This is because of:
a. a mild rx to the contrast medium
b. biliary obstruction
c. contraction of the gallbladder
d. the presence of dye in the urine Correct
Answers d. the presence of dye in the urine
after establishing clinical and biochemical
euthryroidism after a thyroidectomy, you should
perform a measurement of the serum thyroid-
stimulating hormone (TSH) level every:
a. 3 months
b. 6 months
c. one year
d. two years Correct Answers c. one year
an elderly clt presents with atrial fibrillation. Which
of the following lab tests is important in forming
the dx?
a. CBC
b. CRP
c. CMP
d. TSH Correct Answers d. TSH
an elderly clt with hyperthyroidism may present
with atypical sxs. Which of the following
manifestations are commonly seen in the elderly
with hyperthyroidism?
a. adrenergic findings such as tachycardia
