FITZGERALD PHARMACOLOGY MIDTERM / LATEST
FITZGERALD PHARMACOLOGY MIDTERM PRACTICE
EXAM (MOST TESTED QUESTIONS FROM PAST EXAMS)
LATEST UPDATES |GUARANTEED PASS A+ (REVISED
EXAM
Generally, testing for T2DM in asymptomatic undiagnosed individuals older than 45
yo should be conducted every:
A. year
B. 3 years
C. 5 years
D. 10 years - ANSWER: B
You are seeing 17 yo Cynthia. As part of the visit, you consider her risk factors for
T2DM would likely include all of the following except:
A. obesity
B. Native American ancestry
C. family history of T1DM
D. personal history of polycystic ovary syndrome - ANSWER: C
Criteria for the diagnosis of T2DM include:
A. classic symptoms regardless of FPG
B. plasma glucose of 126 as a random measurement
C. a 2 hour glucose measurement of 156 after a 75g anhydrous glucose load
D. plasma glucose of 126 after an 8 hour fast on more than one occasion - ANSWER:
D
The mechanism of action of pioglitazone is as:
A. an insulin production enhancer
B. a reduce or pancreatic glucose output
C. an insulin sensitizer
D. a facilitator of renal glucose excretion - ANSWER: C
Which of the following should be the goal measurement in treating a person with
DM and HTN?
A. BP less than 140/90
B. HA1C of 7 or greater
C. TG 200-300
D. HDL 35-40 - ANSWER: A
,In caring for a patient with DM, microalbuminuria measurement should be obtained:
A. annually if urine protein is present
B. periodically in relationship to glycemia control
C. yearly
D. with each office visit related to DM - ANSWER: C
The mechanism of action of sulfonylureas is as:
A. an antagonist of insulin receptor site activity
B. a product that enhances insulin release
C. a facilitator of renal glucose excretion
D. an agent that can reduce hepatic glucose production - ANSWER: B
When caring for a patient with DM, HTN, and persistent proteinuria, the NP
prioritizes the choice of antiHTN and prescribes:
A. furosemide
B. methyldopa
C. fosinopril
D. nifedipnie - ANSWER: C
Clinical presentation of T1DM usually includes all of the following except:
A. report of recent unintended weight gain
B. ketosis
C. thirst
D. polyphagia - ANSWER: A
Which of the following should be periodically monitored with the use of a biguanide?
A. creatinine kinase CK
B. alkaline phosphatase ALP
C. alanine aminiotransferase ALT
D. creatinine Cr - ANSWER: D
Which of the following should be periodically monitored with the use of a
thiazolidinedione?
A. CK
B. ALP
C. ALT
D. Cr - ANSWER: C
All of the following are risks for lactic acidosis in individuals taking metformin except:
A. presence of chronic renal insufficiency
, B. acute dehydration
C. radiographic contrast dye use
D. history of allergic reaction to sulfonamides - ANSWER: D
Secondary causes of hyperglycemia potentially include the use of all of the following
medications except:
A. high dose niacin
B. systemic corticosteroids
C. high dose thiazide diuretics
D. low dose angiotensin receptor blockers - ANSWER: D
HA1C best provides information on glucose control over the past:
A. 1-29 days
B. 21-47 days
C. 48-63 days
D. 64-90 days - ANSWER: D
Which of the following statements is not true concerning the effects of exercise and
IR?
A. Approximately 80% of the body's insulin mediated glucose uptake occurs in
skeletal muscle
B. With regular aerobic exercise, IR is reduced by approximately 40%.
C. The IR reducing effects of exercise persist for 48 hours after activity
D. Hyperglycemia can occur as a result of aerobic exercise - ANSWER: D
With an 8 am dose of Lispro, followed by inadequate dietary intake or excessive
energy use, at approximately what time would hypoglycemia occur? - ANSWER:
8:30-9:30 am
With an 8 am dose of the Regular insulin followed by inadequate dietary intake or
excessive energy use, at approximately what time would hypoglycemia occur? -
ANSWER: 10 - 11 am
With an 8 am dose of the NPH insulin, followed by inadequate dietary intake or
excessive energy use, at approximately what time would hypoglycemia occur? -
ANSWER: 2 - 10pm
With an 8 am dose of the insulin glargine, followed by inadequate dietary intake or
excessive energy use, at approximately what time would hypoglycemia occur? -
ANSWER: would not
The megltinides analogues are particularly helpful adjuncts in T2DM care to minimize
the risk of:
FITZGERALD PHARMACOLOGY MIDTERM PRACTICE
EXAM (MOST TESTED QUESTIONS FROM PAST EXAMS)
LATEST UPDATES |GUARANTEED PASS A+ (REVISED
EXAM
Generally, testing for T2DM in asymptomatic undiagnosed individuals older than 45
yo should be conducted every:
A. year
B. 3 years
C. 5 years
D. 10 years - ANSWER: B
You are seeing 17 yo Cynthia. As part of the visit, you consider her risk factors for
T2DM would likely include all of the following except:
A. obesity
B. Native American ancestry
C. family history of T1DM
D. personal history of polycystic ovary syndrome - ANSWER: C
Criteria for the diagnosis of T2DM include:
A. classic symptoms regardless of FPG
B. plasma glucose of 126 as a random measurement
C. a 2 hour glucose measurement of 156 after a 75g anhydrous glucose load
D. plasma glucose of 126 after an 8 hour fast on more than one occasion - ANSWER:
D
The mechanism of action of pioglitazone is as:
A. an insulin production enhancer
B. a reduce or pancreatic glucose output
C. an insulin sensitizer
D. a facilitator of renal glucose excretion - ANSWER: C
Which of the following should be the goal measurement in treating a person with
DM and HTN?
A. BP less than 140/90
B. HA1C of 7 or greater
C. TG 200-300
D. HDL 35-40 - ANSWER: A
,In caring for a patient with DM, microalbuminuria measurement should be obtained:
A. annually if urine protein is present
B. periodically in relationship to glycemia control
C. yearly
D. with each office visit related to DM - ANSWER: C
The mechanism of action of sulfonylureas is as:
A. an antagonist of insulin receptor site activity
B. a product that enhances insulin release
C. a facilitator of renal glucose excretion
D. an agent that can reduce hepatic glucose production - ANSWER: B
When caring for a patient with DM, HTN, and persistent proteinuria, the NP
prioritizes the choice of antiHTN and prescribes:
A. furosemide
B. methyldopa
C. fosinopril
D. nifedipnie - ANSWER: C
Clinical presentation of T1DM usually includes all of the following except:
A. report of recent unintended weight gain
B. ketosis
C. thirst
D. polyphagia - ANSWER: A
Which of the following should be periodically monitored with the use of a biguanide?
A. creatinine kinase CK
B. alkaline phosphatase ALP
C. alanine aminiotransferase ALT
D. creatinine Cr - ANSWER: D
Which of the following should be periodically monitored with the use of a
thiazolidinedione?
A. CK
B. ALP
C. ALT
D. Cr - ANSWER: C
All of the following are risks for lactic acidosis in individuals taking metformin except:
A. presence of chronic renal insufficiency
, B. acute dehydration
C. radiographic contrast dye use
D. history of allergic reaction to sulfonamides - ANSWER: D
Secondary causes of hyperglycemia potentially include the use of all of the following
medications except:
A. high dose niacin
B. systemic corticosteroids
C. high dose thiazide diuretics
D. low dose angiotensin receptor blockers - ANSWER: D
HA1C best provides information on glucose control over the past:
A. 1-29 days
B. 21-47 days
C. 48-63 days
D. 64-90 days - ANSWER: D
Which of the following statements is not true concerning the effects of exercise and
IR?
A. Approximately 80% of the body's insulin mediated glucose uptake occurs in
skeletal muscle
B. With regular aerobic exercise, IR is reduced by approximately 40%.
C. The IR reducing effects of exercise persist for 48 hours after activity
D. Hyperglycemia can occur as a result of aerobic exercise - ANSWER: D
With an 8 am dose of Lispro, followed by inadequate dietary intake or excessive
energy use, at approximately what time would hypoglycemia occur? - ANSWER:
8:30-9:30 am
With an 8 am dose of the Regular insulin followed by inadequate dietary intake or
excessive energy use, at approximately what time would hypoglycemia occur? -
ANSWER: 10 - 11 am
With an 8 am dose of the NPH insulin, followed by inadequate dietary intake or
excessive energy use, at approximately what time would hypoglycemia occur? -
ANSWER: 2 - 10pm
With an 8 am dose of the insulin glargine, followed by inadequate dietary intake or
excessive energy use, at approximately what time would hypoglycemia occur? -
ANSWER: would not
The megltinides analogues are particularly helpful adjuncts in T2DM care to minimize
the risk of:
