100% Correct Answers | Latest Update
1. A 35-year-old male sees you for a routine health maintenance visit. He has
gained a few pounds over the past few years. He is 173 cm (68 in) tall and
weighs 82 kg (181 lb), giving him a BMI of 27 kg/m2.According to current
American Diabetes Association guidelines, which one of the following additional
factors would warrant screening him for prediabetes and diabetes? - ✔✔E.
Physical inactivity
2. An obese 58-year-old male comes to your office with a 2-week history of
fatigue associated with polyuria, polydipsia, and weight loss. You suspect he has
type 2 diabetes. This diagnosis would be corroborated by a random glucose
level greater than or equal to a threshold of - ✔✔D. 200 mg/dL
3. A 66-year-old male who was hospitalized because of a TIA 3 months ago sees
you for a follow-up visit. His past medical history is notable for impaired fasting
glucose and hypertension. His current medications include valsartan (Diovan),
160 mg daily; rosuvastatin (Crestor), 20 mg daily; and aspirin, 81 mg daily. On
examination his BMI is 30 kg/m2, his blood pressure is 134/86 mm Hg, and he
has brown, velvety, hyperkeratotic plaques on the back of his neck and in his
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,axillae. Laboratory studies are notable for an LDL-cholesterol level of 85 mg/dL,
an HDL-cholesterol level of 35 mg/dL, and a serum triglyceride level of 174
mg/dL. His hemoglobin A1c is 7.1%.
Which one of the following agents may reduce his risk for stroke and myocardial
infarction? - ✔✔D. Pioglitazone (Actos)
4. A 71-year-old male is hospitalized for an infected foot ulcer. His medical
history is notable for type 2 diabetes, hypertension, and chronic pancreatitis.
His medications on admission include pancrelipase (Creon), 72,000 units with
each meal; extended-release metformin (Glucophage XR), 500 mg four times
daily; extended-release glipizide (Glucotrol XL), 5 mg daily; and benazepril
(Lotensin), 40 mg daily. Insulin therapy is initiated for hyperglycemia with
persistent blood glucose levels ≥200 mg/dL.
Based on American Diabetes Association guidelines, which one of the following
would be the most appropriate glycemic target for this patient during his
hospitalization? - ✔✔C. 140-180 mg/dL
5. An obese 53-year-old male with a history of type 2 diabetes sees you for the
first time. He tells you that his previous physician had him see a dietician and
started him on metformin (Glucophage), 500 mg twice daily. A copy of his most
recent laboratory tests shows a hemoglobin A1c of 7.7%. He tells you that he
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, has always been sedentary and asks if it would be worthwhile for him to join an
exercise facility and begin an exercise program.
Which one of the following statements would be accurate advice? - ✔✔C.
Combined aerobic and resistance training results in greater glycemic
improvement than either method alone
6. An overweight, sedentary 71-year-old male presents with a 4-month history
of burning pain in the soles of his feet that is most noticeable at night when he
is lying in bed. His medical history includes a long history of type 2 diabetes,
hypertension, and hypercholesterolemia. His current medications include
metformin (Glucophage), 850 mg twice daily; exenatide (Bydureon), 2 mg
subcutaneously weekly; valsartan (Diovan), 360 mg daily; hydrochlorothiazide,
25 mg daily; and rosuvastatin (Crestor), 10 mg daily. He quit smoking 40 years
ago and does not drink alcohol. A physical examination is unremarkable except
for some hyperesthesia of both feet, as well as reduced vibratory sensation. His
protective sensation is intact in both feet and his pedal pulses are normal.
Which one of the following would be LEAST effective for treating this patient's
pain syndrome? - ✔✔B. SSRIs
7. 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,
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