1. A patient has a TSH of .28, a free T4 of 3, and a free T3 over 650. What medication
should she be started on?
Answer: Methimazole, PTU, radioactive iodine. These labs indicate
hyperthyroidism. Treatment for thyroid storm: K iodide or strong iodine
solution to suppress thyroid release. Methimazole to suppress thyroid
synthesis.
2. When is it appropriate to increase insulin needs?
Answer: Pregnancy (after first trimester), stress, infection, weight loss,
adolescent growth spurt. DECREASE for exercise and first trimester.
,3. What is the TDD of a person that weighs 70kg?
IF a person is eating a 50 carb meal, how much insulin will be needed based on the TDD
from the above question?
Answer: 42 TDD : 21 basal 21 bolus (Wt in kg x 0.6; 50% long acting
and 50% rapid acting)
500 divided by (the TDD) 42 = 12. (carb to insulin ratio) then (meal
carbs) 50 divided 12= 4.1 units with short acting insulin
,4. "As long as the short-acting insulin is drawn up first I can mix my insulin glargine with
it."
Answer: Of the long-acting medications, ONLY NPH the intermediate
duration is suitable for mixing with the short action insulins.
5. A women who is taking Pioglitazone states, "I'm glad that this medication promotes
weight loss."
Answer: First this medication promotes increase in LDL levels, which
increases cardiovascular risk. Also, she's a female so speak about
exercise and weight bearing exercise d/t possible increased risk for
fractures.
6. Glucocorticoid MOA
Answer: Most effective in long-term control of airway inflammation
7. Cromolyn MOA
Answer: Used as prophylaxis for mild to moderate asthma
8. Monoclonal Antibodies MOA
Answer: Used for allergy-related asthma and Eosinophilic asthma.
Omalizumab for allergy related and Ben ralizumab, mepliz, and resliz
are for eosinophilic
9. Leukotriene MOA
, Answer: NSecond-line Ntherapy Nto Nreduce Ninflammation
Nand Nbronchoconstriction
10. B2 Nadrenergic Nagonists NMOA
Answer: NCan Nbe Nused NPRN, Nfor NEIB, NCOPD Nexacerbations,
Nand Nmaintenance Ntherapy
11. methylxanthines NMOA
Answer: NMaintenance Ntherapy Nfor Nchronic Nstable Nasthma
N(theophylline).
P. N570. NUse NONLY Nif NB2 Nor Nanticholinergics Nare Nnot Nappropriate.
12. anticholinergic NMOA
Answer: NApproved Nfor Nbronchospasm Nrelated Nto NCOPD
13. •What Nare Nsome Nrisk Nfactors Nof Nfatal Nasthma Nattacks?
Answer: NUncontrolled, Nhospitalized Nrecently, Ntriggers,
14. •Roflumilast N(select Nall Nthat Napply)
1. Reduces Ninflammation
2. Not Nintended Nduring Npregnancy
3. Approved Nfor Nasthma
4. First-line Ndrug Nfor NCOPD
Answer: NReduces Ninflammation, Nnot Nintended Nfor Npregnancy,
Napproved Nonly Nfor NCOPD, NSecond-line Ndrug Nfor NCOPD
should she be started on?
Answer: Methimazole, PTU, radioactive iodine. These labs indicate
hyperthyroidism. Treatment for thyroid storm: K iodide or strong iodine
solution to suppress thyroid release. Methimazole to suppress thyroid
synthesis.
2. When is it appropriate to increase insulin needs?
Answer: Pregnancy (after first trimester), stress, infection, weight loss,
adolescent growth spurt. DECREASE for exercise and first trimester.
,3. What is the TDD of a person that weighs 70kg?
IF a person is eating a 50 carb meal, how much insulin will be needed based on the TDD
from the above question?
Answer: 42 TDD : 21 basal 21 bolus (Wt in kg x 0.6; 50% long acting
and 50% rapid acting)
500 divided by (the TDD) 42 = 12. (carb to insulin ratio) then (meal
carbs) 50 divided 12= 4.1 units with short acting insulin
,4. "As long as the short-acting insulin is drawn up first I can mix my insulin glargine with
it."
Answer: Of the long-acting medications, ONLY NPH the intermediate
duration is suitable for mixing with the short action insulins.
5. A women who is taking Pioglitazone states, "I'm glad that this medication promotes
weight loss."
Answer: First this medication promotes increase in LDL levels, which
increases cardiovascular risk. Also, she's a female so speak about
exercise and weight bearing exercise d/t possible increased risk for
fractures.
6. Glucocorticoid MOA
Answer: Most effective in long-term control of airway inflammation
7. Cromolyn MOA
Answer: Used as prophylaxis for mild to moderate asthma
8. Monoclonal Antibodies MOA
Answer: Used for allergy-related asthma and Eosinophilic asthma.
Omalizumab for allergy related and Ben ralizumab, mepliz, and resliz
are for eosinophilic
9. Leukotriene MOA
, Answer: NSecond-line Ntherapy Nto Nreduce Ninflammation
Nand Nbronchoconstriction
10. B2 Nadrenergic Nagonists NMOA
Answer: NCan Nbe Nused NPRN, Nfor NEIB, NCOPD Nexacerbations,
Nand Nmaintenance Ntherapy
11. methylxanthines NMOA
Answer: NMaintenance Ntherapy Nfor Nchronic Nstable Nasthma
N(theophylline).
P. N570. NUse NONLY Nif NB2 Nor Nanticholinergics Nare Nnot Nappropriate.
12. anticholinergic NMOA
Answer: NApproved Nfor Nbronchospasm Nrelated Nto NCOPD
13. •What Nare Nsome Nrisk Nfactors Nof Nfatal Nasthma Nattacks?
Answer: NUncontrolled, Nhospitalized Nrecently, Ntriggers,
14. •Roflumilast N(select Nall Nthat Napply)
1. Reduces Ninflammation
2. Not Nintended Nduring Npregnancy
3. Approved Nfor Nasthma
4. First-line Ndrug Nfor NCOPD
Answer: NReduces Ninflammation, Nnot Nintended Nfor Npregnancy,
Napproved Nonly Nfor NCOPD, NSecond-line Ndrug Nfor NCOPD
