GNRS 5669 UTMB FNP 1 Combined Endocrine Questions
With Complete Solutions
A client with DM complains of paresthesias. Which
of the following medications can cause sensory
changes?
a. glipizide
b. sitagliptin (Januvia)
c. metformin
d. exenatide (byetta) Correct Answers c (can
cause megaloblastic anemia d/t impaired
absorption of vitamin B12.)
A hypoglycemic reaction.
a. the Somogyi phenomenon
b. insulin shock
c. diabetic ketoacidosis
d. the dawn phenomenon. Correct Answers b
A measure of fasting plasma glucose is a measure
of:
a. basal insulin production and basal insulin
utilization in a fasting state
b. the body's response to a carb load Correct
Answers a
A measure of OGTT is a measure of:
a. basal insulin production and basal insulin
utilization in a fasting state
,b. the body's response to a carb load Correct
Answers b (this goes first)
A possible serious adverse effect of exenatide
(Byetta) therapy is:
a. urticaria
b. pancreatitis
c. cholecystitis
d. reactive airway disease Correct Answers b
A stepwise approach to prescribing insulin:
First Step Targets:
a. fasting
b. postprandial
c. hs
d. premeal
blood sugars Correct Answers a
A stepwise approach to prescribing insulin:
Start with basal HS insulin at __ units or 0.2
units/kg.
Can increase dose by __ units q 3 days until FPG is
70-130. Correct Answers 10 2 (have other
information that says 3)
A stepwise approach to prescribing insulin:
Step 2:
Target:
a. fasting
b. postprandial
,c. hs
d. premeal Correct Answers d
A stepwise approach to prescribing insulin:
Step 3:
Target:
a. fasting
b. postprandial
c. hs
d. premeal Correct Answers b
A type 1 diabetic patient is on regular insulin and
NPH insulin (not premixed, but separate) injected
BID. The first dose is injected before breakfast and
the second dose is injected at bedtime. The blood
sugar results from the patient's diary (fasting,
before lunch, dinner, and bedtime) show that the
lunchtime values are higher than normal. Which
insulin dose should be increased or decreased?
A. Regular
b. NPH Correct Answers b (regular insulin peaks
between breakfast and lunch with most gone by
lunchtime. NPH peaks between 6-14 hours and will
cover the postprandial spike after lunch.)
AACE targets for glucose control:
A1C <=_____
Fasting <_____
Peak postprandial (1-2 hours post meal) <______
Correct Answers 6.5
, 110
140
ACE inhibitors are given to clients with DM who
have:
a. an elevated glycohemoglobin level
b. insulin sensitivity
c. persistent proteinuria
d. an elevated serum creatinine level Correct
Answers c (renoprotective)
ADA goal for bedtime glycemic control is __-__.
Correct Answers 90 150
ADA recommendations for nonpregnant adult
diabetics:
A1c <___% (exception exist) Correct Answers 7
ADA recommendations for nonpregnant adult
diabetics:
Preprandial capillary plasma glucose (fasting) __-__
mg/dL Correct Answers 70 130
ADA targets for glucose control:
A1C <_____
Fasting ___-___
Peak postprandial (1-2 hours post meal) <______
Correct Answers 7
70 130
180
With Complete Solutions
A client with DM complains of paresthesias. Which
of the following medications can cause sensory
changes?
a. glipizide
b. sitagliptin (Januvia)
c. metformin
d. exenatide (byetta) Correct Answers c (can
cause megaloblastic anemia d/t impaired
absorption of vitamin B12.)
A hypoglycemic reaction.
a. the Somogyi phenomenon
b. insulin shock
c. diabetic ketoacidosis
d. the dawn phenomenon. Correct Answers b
A measure of fasting plasma glucose is a measure
of:
a. basal insulin production and basal insulin
utilization in a fasting state
b. the body's response to a carb load Correct
Answers a
A measure of OGTT is a measure of:
a. basal insulin production and basal insulin
utilization in a fasting state
,b. the body's response to a carb load Correct
Answers b (this goes first)
A possible serious adverse effect of exenatide
(Byetta) therapy is:
a. urticaria
b. pancreatitis
c. cholecystitis
d. reactive airway disease Correct Answers b
A stepwise approach to prescribing insulin:
First Step Targets:
a. fasting
b. postprandial
c. hs
d. premeal
blood sugars Correct Answers a
A stepwise approach to prescribing insulin:
Start with basal HS insulin at __ units or 0.2
units/kg.
Can increase dose by __ units q 3 days until FPG is
70-130. Correct Answers 10 2 (have other
information that says 3)
A stepwise approach to prescribing insulin:
Step 2:
Target:
a. fasting
b. postprandial
,c. hs
d. premeal Correct Answers d
A stepwise approach to prescribing insulin:
Step 3:
Target:
a. fasting
b. postprandial
c. hs
d. premeal Correct Answers b
A type 1 diabetic patient is on regular insulin and
NPH insulin (not premixed, but separate) injected
BID. The first dose is injected before breakfast and
the second dose is injected at bedtime. The blood
sugar results from the patient's diary (fasting,
before lunch, dinner, and bedtime) show that the
lunchtime values are higher than normal. Which
insulin dose should be increased or decreased?
A. Regular
b. NPH Correct Answers b (regular insulin peaks
between breakfast and lunch with most gone by
lunchtime. NPH peaks between 6-14 hours and will
cover the postprandial spike after lunch.)
AACE targets for glucose control:
A1C <=_____
Fasting <_____
Peak postprandial (1-2 hours post meal) <______
Correct Answers 6.5
, 110
140
ACE inhibitors are given to clients with DM who
have:
a. an elevated glycohemoglobin level
b. insulin sensitivity
c. persistent proteinuria
d. an elevated serum creatinine level Correct
Answers c (renoprotective)
ADA goal for bedtime glycemic control is __-__.
Correct Answers 90 150
ADA recommendations for nonpregnant adult
diabetics:
A1c <___% (exception exist) Correct Answers 7
ADA recommendations for nonpregnant adult
diabetics:
Preprandial capillary plasma glucose (fasting) __-__
mg/dL Correct Answers 70 130
ADA targets for glucose control:
A1C <_____
Fasting ___-___
Peak postprandial (1-2 hours post meal) <______
Correct Answers 7
70 130
180
