APEA- MANAGEMENT ENDOCRINE EXAM
QUESTIONS AND ANSWERS GRADED A+
A nurse practitioner has decided to initiate insulin in a 75-year-old patient who
takes oral diabetic medications. How much long-acting insulin should be initiated
in this patient, who weighs 100 kg?
About 2 units
5 units
12 units
25 units - correct answer 5 units
A patient who is diagnosed today with diabetes has an elevated urinary albumin
to creatinine ratio. What can be concluded about this finding?
The patient has diabetic nephropathy.
There is renal damage.
The patient should have a repeat test in 3-6 months.
The patient might have been diabetic for a long time before diagnosis. - correct
answer the patient should have a repeat test in 3-6 months.
, APEA- MANAGEMENT ENDOCRINE EXAM
A patient has two fasting glucose values that were measured on two separate days
in the same week. This patient:
can be diagnosed with Type 2 diabetes.
has impaired fasting glucose.
should have further fasting glucose testing done for diagnosis.
should have a Hgb A1C performed to confirm diagnosis. - correct answer has
impaired fasting glucose
A 50-year-old non-pregnant female presents for an annual exam. She complains of
fatigue and weight gain. She has the following lab results. What should the NP
order next?
Levothyroxine 1.6 mcg/kg daily
Repeat TSH plus free T4
Thyroid ultrasound
Lipid panel - correct answer repeat TSH plus free T4
The most appropriate time to begin screening for renal nephropathy in a patient
with Type 2 diabetes is:
at diagnosis.
1 year after diagnosis.
2-3 years after diagnosis.
5 years after diagnosis. - correct answer at diagnosis
Which medication listed below is NOT associated with weight gain?
Insulin
Pioglitazone