Advanced Pharmacology (HSP)
– Exam 3 Diabetes Management
& Insulin Therapy Review
Complete Questions Provided
with A+ Graded Rationales
Latest Updated 2026
John comes in with random glucose of 250? Does any further testing for DM need to be done?
Yes or No
No
SGLT-2 inhibitors should not be given if GFR <35.
True or False
True
What do you do if an individual has:
High FBG levels?
NPH dose needs to be increased
What do you do if an individual has:
Hyperglycemia after breakfast
The person has not received enough short-acting (SA) insulin or too many carbs or calories at
the meal.
What do you do if an individual has:
Hypoglycemia before lunch
Intermediate-acting insulin is peaking before their lunch has been eaten, or the patient is not
eating enough breakfast.
,What do you do if an individual has:
Hypoglycemia in the afternoon
It's from the peak and fail of intermediate acting insulin
What do you do if an individual has:
Hyperglycemia in the afternoon
Intermediate acting insulin needs to be increased or the size of lunch was too large
What do you do if an individual has:
Hyperglycemia after evening meal.
The dose of short acting insulin needs to be increased.
What do you do if an individual has:
Hypoglycemia overnight (2-3 am)
The afternoon dose of NPH is peaking and causing low BS. The patient needs less
intermediate acting insulin.
A 35-year-old is a T1DM since age 12. She takes NPH 10 units at breakfast, Novolog 6 units at
Breakfast and Lunch, 10 Units at supper, and 18 units NPH at HS.
• What is the total amount of NPH per day?
• What is the total amount of Novolog per day?
• If you wanted to start her on Glargine insulin, what would be the initial dose?
28 U
22 U
28 U unless you want to start at 80%, then 22 U
Which of the following medications cannot be used in gestational diabetes?
A. Insulin
B. Metformin
C. Glucotrol
C. Glucotrol
Jane has type 1 diabetes and is taking a beta-blocker. What does she need to be aware of?
A. Non cardioselective beta blockers do not affect glycogenolysis
, B. Non-cardioselective beta blockers increase glycogenolysis and help the body counteract a
fall in glucose.
C. Non cardioselective beta blockers impair glycogenolysis, and glycogenolysis is a means by
which the body can respond to and counteract a fall in blood glucose
D. Non-cardioselective beta blockers can make a patient more aware of hypoglycemia
C. Non cardioselective beta blockers impair glycogenolysis, and glycogenolysis is a means by
which the body can respond to and counteract a fall in blood glucose
Gina is taking Canagliflozin for her diabetes. The NP tells her this may increase her risk for:
A. Hypothyroidism
B. Hypoglycemia
C. Decreased urination
D. UTIs
D. UTIs
Optimally at what interval should the TSH be reassessed after a Levothyroxine dosage is
adjusted?
A. 4-6 weeks
B. 1-2 weeks
C. 6-8 weeks
D. 2-4 weeks
C. 6-8 weeks
Which of the following can induce thyroid dysfunction?
A. Amiodarone
B. Carvedilol
C. Fluoxetine
D. Sertraline
A. Amiodarone
Irma is an 80 year old with CAD. She has an elevated TSH with a low free T4. she weighs 80 kg.
What dosage of levothyroxine are you going to initiate?
A. 25-50 mcg
B. 50-75 mcg
– Exam 3 Diabetes Management
& Insulin Therapy Review
Complete Questions Provided
with A+ Graded Rationales
Latest Updated 2026
John comes in with random glucose of 250? Does any further testing for DM need to be done?
Yes or No
No
SGLT-2 inhibitors should not be given if GFR <35.
True or False
True
What do you do if an individual has:
High FBG levels?
NPH dose needs to be increased
What do you do if an individual has:
Hyperglycemia after breakfast
The person has not received enough short-acting (SA) insulin or too many carbs or calories at
the meal.
What do you do if an individual has:
Hypoglycemia before lunch
Intermediate-acting insulin is peaking before their lunch has been eaten, or the patient is not
eating enough breakfast.
,What do you do if an individual has:
Hypoglycemia in the afternoon
It's from the peak and fail of intermediate acting insulin
What do you do if an individual has:
Hyperglycemia in the afternoon
Intermediate acting insulin needs to be increased or the size of lunch was too large
What do you do if an individual has:
Hyperglycemia after evening meal.
The dose of short acting insulin needs to be increased.
What do you do if an individual has:
Hypoglycemia overnight (2-3 am)
The afternoon dose of NPH is peaking and causing low BS. The patient needs less
intermediate acting insulin.
A 35-year-old is a T1DM since age 12. She takes NPH 10 units at breakfast, Novolog 6 units at
Breakfast and Lunch, 10 Units at supper, and 18 units NPH at HS.
• What is the total amount of NPH per day?
• What is the total amount of Novolog per day?
• If you wanted to start her on Glargine insulin, what would be the initial dose?
28 U
22 U
28 U unless you want to start at 80%, then 22 U
Which of the following medications cannot be used in gestational diabetes?
A. Insulin
B. Metformin
C. Glucotrol
C. Glucotrol
Jane has type 1 diabetes and is taking a beta-blocker. What does she need to be aware of?
A. Non cardioselective beta blockers do not affect glycogenolysis
, B. Non-cardioselective beta blockers increase glycogenolysis and help the body counteract a
fall in glucose.
C. Non cardioselective beta blockers impair glycogenolysis, and glycogenolysis is a means by
which the body can respond to and counteract a fall in blood glucose
D. Non-cardioselective beta blockers can make a patient more aware of hypoglycemia
C. Non cardioselective beta blockers impair glycogenolysis, and glycogenolysis is a means by
which the body can respond to and counteract a fall in blood glucose
Gina is taking Canagliflozin for her diabetes. The NP tells her this may increase her risk for:
A. Hypothyroidism
B. Hypoglycemia
C. Decreased urination
D. UTIs
D. UTIs
Optimally at what interval should the TSH be reassessed after a Levothyroxine dosage is
adjusted?
A. 4-6 weeks
B. 1-2 weeks
C. 6-8 weeks
D. 2-4 weeks
C. 6-8 weeks
Which of the following can induce thyroid dysfunction?
A. Amiodarone
B. Carvedilol
C. Fluoxetine
D. Sertraline
A. Amiodarone
Irma is an 80 year old with CAD. She has an elevated TSH with a low free T4. she weighs 80 kg.
What dosage of levothyroxine are you going to initiate?
A. 25-50 mcg
B. 50-75 mcg
