NURP 503 Exam 2 - Primary Care Screening (With correct solutions)

When to screen for T2DM? correct answers Adults who have a BMI > 25 Children who are overweight (> 85%) What is A1c goal? correct answers 7% Check 2x/yr if controlled Check 4x/yr or more if not well-controlled, med change, or weight loss Initial pharmacologic options for diabetes? correct answers T1DM: insulin T2DM: metformin DM: Nutrition therapy correct answers Limit alcohol Sodium < 2300 mg/day DM: Physical exercise correct answers Physical exercise: children 60 min/day, adults 150 min/week DM: Immunizations correct answers Flu & pneumococcal DM: BP correct answers < 140/80; treatment should include an ACEI or ARB unless contraindicated DM: lipids correct answers Pt w/ additional CV risk factors: < 70 mg/dl Pt w/o additional CV risk factors: < 100 mg/dl T/F - Pts w/ DM should be on anti platelet therapy correct answers TRUE, unless contraindicated ASA 75-162 mg/day T/F- All persons w/ DM should have a foot exam 2x/yr and a formal eye exam at least 1x/yr correct answers TRUE All of the following infections are reportable diseases except: A. Lyme disease B. Gonorrhea C. Nongonococcal urethritis D. Syphilis correct answers C Which of the following would you recommend on an annual basis for an elderly T2DM? A. Eye exam w/ an ophthalmologist B. F/u visit w/ an urologist C. Periodic visit to an optometrist D. Colonoscopy correct answers A