EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS || A+ GRADE
ASSURED
< LATEST VERSION >
1. Signs and symptoms of hypothyroidism - ANSWER 🗸 Face is pale, puffy,
and expressionless.
Skin is cold and dry.
Hair is brittle, and hair loss occurs.
Heart rate and temperature are lowered. The patient lethargy, fatigue, and
intolerance to cold.
Mentation may be impaired.
2. Signs and symptoms of hyperthyroidism - ANSWER 🗸 Heart Rate is Rapid;
Possible arrhythmia/angina
Nervousness, insomnia, rapid thought flow, and rapid speech
Skeletal muscles may weaken and atrophy
Metabolic rate is raised, resulting in increased heat production, increased
body temperature, intolerance to heat, and skin that is warm and moist
Weight loss occurs if caloric intake fails to match the increase in metabolic
rate
,3. Drugs More Likely To Cause Hypoglycemia - ANSWER 🗸 insulin
Sulfonylureas = (Glyburide)
Meglitinides = (Glinides==>Repaglinide)
Amylin analogues
4. Drugs Less Likely To Cause Hypoglycemia - ANSWER 🗸 incretin
mimetics = (GLP-1) Receptor Agonists
Metformin
Thiazolidnediones = (Glitazone)
DDP-4 inhibitors = (Gliptins)
5. The first-line treatment for all patients with diabetes - ANSWER 🗸
Metformin and lifestyle changes
6. Know what type of insulin and how much is needed according to
carbohydrate intake. - ANSWER 🗸 The mealtime carbohydrate-to-insulin
dose is calculated using the 450 rule for regular insulin and the 500 rule for
rapid-acting insulin; thus insulin dose (regular or rapid acting) is divided by
the TDD insulin; The carbohydrate-to-insulin ratio is 1:(regular or rapid
acting insulin/TDD)
7. Insulin Mixing Guidelines - ANSWER 🗸 NPH insulin is appropriate for
mixing with short-acting insulins
8. Insulin - ANSWER 🗸 -rapid-acting insulin only covers one meal at a time
-regular insulin provides coverage from meal to meal or the time between
meals
-NPH insulin lasts all day or from breakfast to dinner
-Lantus is a once-daily dosing option
,9. Short Duration: Rapid Acting Insulin - ANSWER 🗸 Insulin lispro
(Humalog)
Insulin aspart (Novolog)
Insulin glulisine (Apidra)
10.Short Duration: Short Acting Insulin - ANSWER 🗸 Regular insulin
(Humulin R, Novolin R)
11.Intermediate Duration Insulin - ANSWER 🗸 NPH insulin (Humulin N,
Novolin N)
12.Long Duration Insulin - ANSWER 🗸 Insulin glargine (U-100) (Lantus);
Insulin Detemir (Levemir)
13.Ultralong Duration - ANSWER 🗸 Insulin glargine (U-300) (Toujeo); Insulin
degludec (Tresiba)
14.Drugs for Asthma and Chronic Obstructive Pulmonary Disease - ANSWER
🗸 antiinflammatory agents and bronchodilators.
15.Principal anti-inflammatory drugs for asthma/COPD - ANSWER 🗸
glucocorticoids
16.Principal bronchodilators for asthma/COPD - ANSWER 🗸 β2 agonists
17.1st Step Therapy for Asthma Treatment - ANSWER 🗸 SABA PRN
, 18.2nd Step Therapy For Asthma Treatment - ANSWER 🗸 SABA PRN + Low
dose IGC
19.3rd Step Therapy For Asthma Treatment - ANSWER 🗸 Ages 0-4: SABA
PRN + Medium-dose IGC
Ages 5-Adult: SABA PRN + Low-dose IGC + LABA or LTRA or
theophylline OR Medium-dose IGC
20.4th Step Therapy For Asthma Treatment - ANSWER 🗸 Ages 0-11: SABA
PRN + Medium-dose IGC plus
LABA or montelukast
Ages 12-Adult: Medium-dose IGC + LABA
21.5th Step Therapy For Asthma Treatment - ANSWER 🗸 Ages 0-4: SABA
PRN + High-dose IGC + LABA or Montelukast
Ages 5-11: SABA PRN + High-dose IGC +
LABA
Ages 12-Adult: SABA PRN + High-dose IGC + LABA
AND consider omalizumab for patients with allergies
22.6th Step Therapy For Asthma Treatment - ANSWER 🗸 Ages 0-4: SABA
PRN + High-dose IGC + LABA/montelukast + Oral glucocorticoids
Ages 5-11: SABA PRN + High-dose IGC + LABA +