Endocrinology (MKSAP 19) UPDATED
ACTUAL Exam Questions and CORRECT
Answers
In suspected Type I DM, which antibodies should be checked? - CORRECT ANSWER -
GAD65 and IA-2
What are the USPSTF recommendation for screening for TIIDM? - CORRECT
ANSWER - Any individual > 35 YO who are overweight or obese
What are the ADA recommendations for screening for TIIDM? - CORRECT ANSWER -
Any individual with a BMI of > 25 w/ one additional risk factor: first degree relative with
TIIDM, high risk race/ethnicity
h/o of gestational diabetes, hx of CVD, physical inactivity, HTN, HDL < 35, PCOS
A random glucose of > ____ mg/dL w/ a hyperglycemic symptoms is diagnostic for diabetes and
does not warrant repeat measurement - CORRECT ANSWER - 200
A1c will be falsely low in patients with? - CORRECT ANSWER - hemolytic anemia,
patients on erythropoietin, or patients w/ kidney injury
If A1c is not at goal after initiating metformin, what is the preferred next therapy? - CORRECT
ANSWER - SGLT-2: (canagliflozin, dapagliflozin, and empagliflozin; - flozin) or a GLP-
1: (semaglutide, exenatide, dulaglutide, liraglutide; - tide)
______ occurs in older patients w/ TIIDM, no or low serum ketones and relatively normal pH
and TCO2? - CORRECT ANSWER - HHS - sugar usually > 600
Laboratory findings for DKA include glucose level > ___ mg/dL, pH of < ____, TCO2 of < ___
and increased AG and positive ketones - CORRECT ANSWER - 250; 7.30; 15
ACTUAL Exam Questions and CORRECT
Answers
In suspected Type I DM, which antibodies should be checked? - CORRECT ANSWER -
GAD65 and IA-2
What are the USPSTF recommendation for screening for TIIDM? - CORRECT
ANSWER - Any individual > 35 YO who are overweight or obese
What are the ADA recommendations for screening for TIIDM? - CORRECT ANSWER -
Any individual with a BMI of > 25 w/ one additional risk factor: first degree relative with
TIIDM, high risk race/ethnicity
h/o of gestational diabetes, hx of CVD, physical inactivity, HTN, HDL < 35, PCOS
A random glucose of > ____ mg/dL w/ a hyperglycemic symptoms is diagnostic for diabetes and
does not warrant repeat measurement - CORRECT ANSWER - 200
A1c will be falsely low in patients with? - CORRECT ANSWER - hemolytic anemia,
patients on erythropoietin, or patients w/ kidney injury
If A1c is not at goal after initiating metformin, what is the preferred next therapy? - CORRECT
ANSWER - SGLT-2: (canagliflozin, dapagliflozin, and empagliflozin; - flozin) or a GLP-
1: (semaglutide, exenatide, dulaglutide, liraglutide; - tide)
______ occurs in older patients w/ TIIDM, no or low serum ketones and relatively normal pH
and TCO2? - CORRECT ANSWER - HHS - sugar usually > 600
Laboratory findings for DKA include glucose level > ___ mg/dL, pH of < ____, TCO2 of < ___
and increased AG and positive ketones - CORRECT ANSWER - 250; 7.30; 15
