CC Final Exam –Problem Sets And Accurate Solutions
Endocrine Stress Induced Hyperglycemia Correct Answer -
Hyperglycemia caused by mismanagement of sick days in critically ill patients
CC Needs Correct Answer - Critical care needs including ventilator
support, acute myocardial infarction (AMI), and cirrhosis
Diabetes Correct Answer - A condition characterized by high blood sugar
levels, either diagnosed or undiagnosed
Advancing Age Correct Answer - The process of getting older, which can
contribute to stress-induced hyperglycemia
Euglycemia Correct Answer - The normal blood sugar level range of 140-
180 during times of stress
DKA (Diabetic Ketoacidosis) Correct Answer - A life-threatening
complication of type 1 diabetes characterized by high blood sugar levels,
insulin deficiency, metabolic acidosis, and ketosis
HHS (Hyperosmolar Hyperglycemic State) Correct Answer - A life-
threatening complication of type 2 diabetes characterized by extremely high
blood sugar levels, dehydration, and altered mental status
Meds that cause DKA/HHS Correct Answer - Beta blockers and
glucocorticoids
First signs for DKA/HHS Correct Answer - Mental status change,
abdominal pain, nausea, and vomiting
DKA Treatment Correct Answer - Start 0.9% saline for volume
restoration, 0.45% saline for electrolyte imbalance, insulin administration,
and monitoring for fluid overload
HHS Treatment Correct Answer - Start 0.9% saline for volume
restoration, 0.45% saline for electrolyte imbalance, insulin administration,
and monitoring for fluid overload
, Switch to SubQ Correct Answer - Criteria for switching from intravenous
to subcutaneous insulin administration in DKA/HHS patients
Medications that affect blood glucose levels Correct Answer - Beta
blockers, glucocorticoids, and metformin
Hypoglycemia Correct Answer - Low blood sugar levels characterized by
cool, clammy skin and altered mental status
Hypoglycemia Treatment Correct Answer - Administration of 15g of
carbohydrates, glucagon if unconscious, and 50% dextrose
Acute Adrenal Insufficiency Correct Answer - A condition characterized
by low levels of glucocorticoids and mineralocorticoids, resulting in low blood
sugar, low sodium, hyperkalemia, acidosis, orthostatic hypotension, and
decreased urine output
Causes of Acute Adrenal Insufficiency Correct Answer - Primary causes
include damage to the adrenal gland, while secondary causes include
interference with hormone secretion
S&S of Acute Adrenal Insufficiency Correct Answer - Low blood sugar,
low sodium, hyperkalemia, acidosis, orthostatic hypotension, change in LOC,
and decreased urine output
Treatment of Acute Adrenal Insufficiency Correct Answer - Correction of
fluid and electrolyte imbalances, hormone replacement (hydrocortisone,
fludrocortisone), and correction of fluid and electrolyte imbalances
Interventions for Acute Adrenal Insufficiency Correct Answer -
Correction of fluid and electrolyte imbalances, hormonal replacement, and
monitoring for complications
Hyperthyroidism Correct Answer - A condition characterized by
excessive thyroid hormone production, causing symptoms such as
exophthalmos, goiter, high vitals, diarrhea, sweating, and weight loss
Endocrine Stress Induced Hyperglycemia Correct Answer -
Hyperglycemia caused by mismanagement of sick days in critically ill patients
CC Needs Correct Answer - Critical care needs including ventilator
support, acute myocardial infarction (AMI), and cirrhosis
Diabetes Correct Answer - A condition characterized by high blood sugar
levels, either diagnosed or undiagnosed
Advancing Age Correct Answer - The process of getting older, which can
contribute to stress-induced hyperglycemia
Euglycemia Correct Answer - The normal blood sugar level range of 140-
180 during times of stress
DKA (Diabetic Ketoacidosis) Correct Answer - A life-threatening
complication of type 1 diabetes characterized by high blood sugar levels,
insulin deficiency, metabolic acidosis, and ketosis
HHS (Hyperosmolar Hyperglycemic State) Correct Answer - A life-
threatening complication of type 2 diabetes characterized by extremely high
blood sugar levels, dehydration, and altered mental status
Meds that cause DKA/HHS Correct Answer - Beta blockers and
glucocorticoids
First signs for DKA/HHS Correct Answer - Mental status change,
abdominal pain, nausea, and vomiting
DKA Treatment Correct Answer - Start 0.9% saline for volume
restoration, 0.45% saline for electrolyte imbalance, insulin administration,
and monitoring for fluid overload
HHS Treatment Correct Answer - Start 0.9% saline for volume
restoration, 0.45% saline for electrolyte imbalance, insulin administration,
and monitoring for fluid overload
, Switch to SubQ Correct Answer - Criteria for switching from intravenous
to subcutaneous insulin administration in DKA/HHS patients
Medications that affect blood glucose levels Correct Answer - Beta
blockers, glucocorticoids, and metformin
Hypoglycemia Correct Answer - Low blood sugar levels characterized by
cool, clammy skin and altered mental status
Hypoglycemia Treatment Correct Answer - Administration of 15g of
carbohydrates, glucagon if unconscious, and 50% dextrose
Acute Adrenal Insufficiency Correct Answer - A condition characterized
by low levels of glucocorticoids and mineralocorticoids, resulting in low blood
sugar, low sodium, hyperkalemia, acidosis, orthostatic hypotension, and
decreased urine output
Causes of Acute Adrenal Insufficiency Correct Answer - Primary causes
include damage to the adrenal gland, while secondary causes include
interference with hormone secretion
S&S of Acute Adrenal Insufficiency Correct Answer - Low blood sugar,
low sodium, hyperkalemia, acidosis, orthostatic hypotension, change in LOC,
and decreased urine output
Treatment of Acute Adrenal Insufficiency Correct Answer - Correction of
fluid and electrolyte imbalances, hormone replacement (hydrocortisone,
fludrocortisone), and correction of fluid and electrolyte imbalances
Interventions for Acute Adrenal Insufficiency Correct Answer -
Correction of fluid and electrolyte imbalances, hormonal replacement, and
monitoring for complications
Hyperthyroidism Correct Answer - A condition characterized by
excessive thyroid hormone production, causing symptoms such as
exophthalmos, goiter, high vitals, diarrhea, sweating, and weight loss
