PC 707 Module 8 Exam Questions and
Answers 100% Solved
What covers blood glucose elevations when rapid-acting insulins stop working?
Intermediate-acting insulin
Patient with type II diabetes who have not responded to multiple dose injections of injulin may
benefit from what? Insulin pump
What are advantages of the insulin pump? (1) eliminates multiple injections (2) delivers
greater accuracy (3) improves HgA1C 4) results in fewer swings in blood glucose levels (5)
reduces severe low blood glucose levels (6) reduces severe low blood glucose levels (7)
eliminates unpredictable effects of intermediate- or long-acting insulin (8) allows the patient to
exercise without having to eat large amounts of carbohydrates
What are disadvantages of the insulin pump? (1) can cause weight gain (2) can cause
DKA (3) expensive/needs insurance approval (4) be bothersome as the patient has a device
What type of insulin has a faster peak concentration and more rapid metabolism than injectables?
,Insulin inhaler
What are the off label uses of biguanide (metformin)? (1) PCOS (2) GDM
What is the U.S. boxed warning for metformin? Lactic acidosis
What are some signs and symptoms of lactic acidosis? (1) malaise (2) myalgias (3)
respiratory distress (4) somnolence (5) abdominal pain
What are risk factors for lactic acidosis when taking metformin? (1) renal impairment (2)
use of certain drugs (3) greater than 65 years of age (4) radiologic study with contrast (5) surgery
(6) hypoxic states (7) excessive alcohol intake (8) hepatic impairment
If a patient is on metformin and having a radiologic study with IV contrast, how long should they
wait to take metformin? 48 hours
Where is metformin metabolized? Kidneys
, What vitamin do you want to monitor when a patient is taking metformin? B12
If a patient on metformin has anemia or peripheral neuropathy, what do you want to check?
Vitamin b12 levels
How often should you monitor eGFR in a patient on metformin? At initial therapy and
annually
What drug can help patients with DM II lose weight? Metformin
When should a person take metformin? With meals
What can happen if a patient is taking metformin and Tagamet? Increase metformin
levels
What are signs and symptoms of hypoglycemia? (1) dizziness (2) headache (3) fatigue
(4) feeling weak/shaking (5) a fast heartbeat (6) confusion (7) hunger (8) sweating
Answers 100% Solved
What covers blood glucose elevations when rapid-acting insulins stop working?
Intermediate-acting insulin
Patient with type II diabetes who have not responded to multiple dose injections of injulin may
benefit from what? Insulin pump
What are advantages of the insulin pump? (1) eliminates multiple injections (2) delivers
greater accuracy (3) improves HgA1C 4) results in fewer swings in blood glucose levels (5)
reduces severe low blood glucose levels (6) reduces severe low blood glucose levels (7)
eliminates unpredictable effects of intermediate- or long-acting insulin (8) allows the patient to
exercise without having to eat large amounts of carbohydrates
What are disadvantages of the insulin pump? (1) can cause weight gain (2) can cause
DKA (3) expensive/needs insurance approval (4) be bothersome as the patient has a device
What type of insulin has a faster peak concentration and more rapid metabolism than injectables?
,Insulin inhaler
What are the off label uses of biguanide (metformin)? (1) PCOS (2) GDM
What is the U.S. boxed warning for metformin? Lactic acidosis
What are some signs and symptoms of lactic acidosis? (1) malaise (2) myalgias (3)
respiratory distress (4) somnolence (5) abdominal pain
What are risk factors for lactic acidosis when taking metformin? (1) renal impairment (2)
use of certain drugs (3) greater than 65 years of age (4) radiologic study with contrast (5) surgery
(6) hypoxic states (7) excessive alcohol intake (8) hepatic impairment
If a patient is on metformin and having a radiologic study with IV contrast, how long should they
wait to take metformin? 48 hours
Where is metformin metabolized? Kidneys
, What vitamin do you want to monitor when a patient is taking metformin? B12
If a patient on metformin has anemia or peripheral neuropathy, what do you want to check?
Vitamin b12 levels
How often should you monitor eGFR in a patient on metformin? At initial therapy and
annually
What drug can help patients with DM II lose weight? Metformin
When should a person take metformin? With meals
What can happen if a patient is taking metformin and Tagamet? Increase metformin
levels
What are signs and symptoms of hypoglycemia? (1) dizziness (2) headache (3) fatigue
(4) feeling weak/shaking (5) a fast heartbeat (6) confusion (7) hunger (8) sweating
