KSA DIABETES EXAM STUDY
QUESTIONS AND CORRECT VERIFIED
ANSWERS GRADED A+ GUARANTEED
100% PASS
A 71-year-old male presents early on a Saturday morning to the urgent care clinic
you are staffing. He describes a 1-week history of episodic sweating, feelings of
hunger, and tremor that are relieved by eating. He reports that he has type 2
diabetes and has taken metformin (Glucophage) for years, and that his physician
recently added a new diabetes medication because his hemoglobin A1c rose above
7.5%. He did not bring his medications with him and you are unable to access his
records because the electronic medical record system is undergoing routine
maintenance and an update.
Which one of the following diabetes medications would be most likely to cause this
patient's symptoms? - ANSWER-C. Glyburide
A 55-year-old male with type 2 diabetes presents with a history of reduced libido and
erectile dysfunction. He has not seen a physician for many years. On examination
you note bronze-colored skin, hepatomegaly, and mild testicular atrophy. A
nonfasting laboratory workup reveals the following serum levels:
Glucose............250 mg/dL
AST............260 U/L (N 10-40)
ALT............210 U/L (N 10-55)
FSH............5.0 mIU/mL (N 1.0-12.0)
LH............8.1 mIU/mL (N 2.0-12.0)
Testosterone............180 ng/mL (N 280-1250)
Which one of the following is the most likely diagnosis? - ANSWER-D.
Hemachromatosis
A 67-year-old male sees you 6 months after he was hospitalized with a non-ST-
elevation myocardial infarction. He also has a history of hypertension and type 2
diabetes. His current medications are rosuvastatin (Crestor), 40 mg daily; benazepril
(Lotensin), 20 mg daily; metoprolol, 25 mg twice daily; aspirin, 81 mg daily; and
clopidogrel (Plavix), 75 mg daily. His fasting lipid profile reveals a total cholesterol
level of 198 mg/dL, an LDL-cholesterol level of 70 mg/dL, an HDL-cholesterol level
of 40 mg/dL, and a serum triglyceride level of 375 mg/dL.
, Adding which one of the following agents is recommended by the American
Diabetes Association to further reduce his cardiovascular risk? - ANSWER-E.
Icosapent ethyl (Vascepa), 4 g daily
Which one of the following types of insulin should never be mixed with any other
form of insulin? - ANSWER-A. Insulin glargine
A 36-year-old male sees you for a health maintenance visit. Although his medical
history is completely unremarkable he mentions that two of his cousins have been
diagnosed with type 2 diabetes and asks if he should be screened for this.
For patients in this age group, the American Diabetes Association recommends
using BMI to determine whether screening is appropriate. Using a threshold of 23
kg/m2 is recommended for which one of the following ethnic groups? - ANSWER-
A. Asian-American
An overweight 48-year-old female sees you for a routine follow-up visit. Her medical
history is notable for type 2 diabetes, dysmenorrhea, and osteoarthritis in her left
knee. Her current medications include metformin (Glucophage), 850 mg twice daily;
extended-release glipizide (Glucotrol XL), 5 mg daily; atorvastatin (Lipitor), 40 mg
daily; and ibuprofen as need for arthritis pain. She also began taking vitamin E, 800
IU daily, about a year ago.
The patient is surprised to learn that her hemoglobin A1c has risen to 7.9%, from
6.8% 6 months ago, despite the fact that she has lost 3 kg (7 lb). Based on her
home glucose monitoring log, her fasting and prandial glucose levels have
consistently been below 130 mg/dL and 170 mg/dL, respectively.
Which one of the following is the most likely cause of the rise in this patient's
hemoglobin A1c? - ANSWER-C. Iron deficiency anemia
A 55-year-old male sees you for a routine visit. His past medical history is notable for
an 8-year history of diabetes mellitus and a past history of hypercholesterolemia. His
current medications are atorvastatin (Lipitor), 20 mg daily; extended-release
metformin (Glucophage XR), 1000 mg daily; and aspirin, 81 mg daily. His serum
creatinine level is 1.3 mg/dL (N 0.7-1.3) and his estimated glomerular filtration rate is
61 mL/min/1.73 m2.
On examination he has a blood pressure of 124/80 mm Hg. His hemoglobin A1c is
6.7%. A spot urine sample contains 40 µg albumin/mg creatinine. At a follow-up visit
6 months later he has an albumin/creatinine ratio of 48 µg/mg on a spot urine
sample.
Which one of the following would be most appropriate? - ANSWER-D. Begin an
angiotensin receptor blocker
A 75-year-old female sees you for a routine follow-up visit. Her medical history is
notable for a 15-year history of type 2 diabetes and hypercholesterolemia. Her
current medications include extended-release metformin (Glucophage XR), 2000 mg
QUESTIONS AND CORRECT VERIFIED
ANSWERS GRADED A+ GUARANTEED
100% PASS
A 71-year-old male presents early on a Saturday morning to the urgent care clinic
you are staffing. He describes a 1-week history of episodic sweating, feelings of
hunger, and tremor that are relieved by eating. He reports that he has type 2
diabetes and has taken metformin (Glucophage) for years, and that his physician
recently added a new diabetes medication because his hemoglobin A1c rose above
7.5%. He did not bring his medications with him and you are unable to access his
records because the electronic medical record system is undergoing routine
maintenance and an update.
Which one of the following diabetes medications would be most likely to cause this
patient's symptoms? - ANSWER-C. Glyburide
A 55-year-old male with type 2 diabetes presents with a history of reduced libido and
erectile dysfunction. He has not seen a physician for many years. On examination
you note bronze-colored skin, hepatomegaly, and mild testicular atrophy. A
nonfasting laboratory workup reveals the following serum levels:
Glucose............250 mg/dL
AST............260 U/L (N 10-40)
ALT............210 U/L (N 10-55)
FSH............5.0 mIU/mL (N 1.0-12.0)
LH............8.1 mIU/mL (N 2.0-12.0)
Testosterone............180 ng/mL (N 280-1250)
Which one of the following is the most likely diagnosis? - ANSWER-D.
Hemachromatosis
A 67-year-old male sees you 6 months after he was hospitalized with a non-ST-
elevation myocardial infarction. He also has a history of hypertension and type 2
diabetes. His current medications are rosuvastatin (Crestor), 40 mg daily; benazepril
(Lotensin), 20 mg daily; metoprolol, 25 mg twice daily; aspirin, 81 mg daily; and
clopidogrel (Plavix), 75 mg daily. His fasting lipid profile reveals a total cholesterol
level of 198 mg/dL, an LDL-cholesterol level of 70 mg/dL, an HDL-cholesterol level
of 40 mg/dL, and a serum triglyceride level of 375 mg/dL.
, Adding which one of the following agents is recommended by the American
Diabetes Association to further reduce his cardiovascular risk? - ANSWER-E.
Icosapent ethyl (Vascepa), 4 g daily
Which one of the following types of insulin should never be mixed with any other
form of insulin? - ANSWER-A. Insulin glargine
A 36-year-old male sees you for a health maintenance visit. Although his medical
history is completely unremarkable he mentions that two of his cousins have been
diagnosed with type 2 diabetes and asks if he should be screened for this.
For patients in this age group, the American Diabetes Association recommends
using BMI to determine whether screening is appropriate. Using a threshold of 23
kg/m2 is recommended for which one of the following ethnic groups? - ANSWER-
A. Asian-American
An overweight 48-year-old female sees you for a routine follow-up visit. Her medical
history is notable for type 2 diabetes, dysmenorrhea, and osteoarthritis in her left
knee. Her current medications include metformin (Glucophage), 850 mg twice daily;
extended-release glipizide (Glucotrol XL), 5 mg daily; atorvastatin (Lipitor), 40 mg
daily; and ibuprofen as need for arthritis pain. She also began taking vitamin E, 800
IU daily, about a year ago.
The patient is surprised to learn that her hemoglobin A1c has risen to 7.9%, from
6.8% 6 months ago, despite the fact that she has lost 3 kg (7 lb). Based on her
home glucose monitoring log, her fasting and prandial glucose levels have
consistently been below 130 mg/dL and 170 mg/dL, respectively.
Which one of the following is the most likely cause of the rise in this patient's
hemoglobin A1c? - ANSWER-C. Iron deficiency anemia
A 55-year-old male sees you for a routine visit. His past medical history is notable for
an 8-year history of diabetes mellitus and a past history of hypercholesterolemia. His
current medications are atorvastatin (Lipitor), 20 mg daily; extended-release
metformin (Glucophage XR), 1000 mg daily; and aspirin, 81 mg daily. His serum
creatinine level is 1.3 mg/dL (N 0.7-1.3) and his estimated glomerular filtration rate is
61 mL/min/1.73 m2.
On examination he has a blood pressure of 124/80 mm Hg. His hemoglobin A1c is
6.7%. A spot urine sample contains 40 µg albumin/mg creatinine. At a follow-up visit
6 months later he has an albumin/creatinine ratio of 48 µg/mg on a spot urine
sample.
Which one of the following would be most appropriate? - ANSWER-D. Begin an
angiotensin receptor blocker
A 75-year-old female sees you for a routine follow-up visit. Her medical history is
notable for a 15-year history of type 2 diabetes and hypercholesterolemia. Her
current medications include extended-release metformin (Glucophage XR), 2000 mg
