CMN 572 Exam 3 – Questions With Correct
Solutions
Hgb A1c is done how often for diabetic patients? Correct Answer -
Every 3 months
Fundoscopic eye exam is done how often for diabetic patients?
Correct Answer - Every office visit beginning with the initial
diagnosis.
Document the last yearly dilated eye exam under the SUBJECTIVE
ROS
Diabetic foot exam is done how often? Correct Answer - Every
office visit
- Visual inspection
- Test for sesation with monofilament or tuning fork
Comprehensive foot exam is done how often for diabetic patients?
Correct Answer - Annually
Lipids are checked how often for diabetic patients? Correct
Answer - Yearly; more often is not at goal; document the last
lipid panel with every SOAP note
BP goal for diabetic patients Correct Answer - 130/80 or less
If uncontrolled, order an ACE
How often should diabetic patients have a urine albumin/creatinine
ratio done? Correct Answer - Yearly; document the last one,
and order if needed.
,What mnemonic is used to help remember important aspects of the
diabetes visit? Correct Answer - GLUCOSE BAD
How often is dental care recommended for diabetic patients?
Correct Answer - Every 6 months
Hgb A1C is checked how often for those who are prediabetic?
Correct Answer - Every 1-2 years
Per the ADA, what is the A1C results for prediabetes? Correct
Answer - 5.7-6.4%
What is Addisons Disease? Correct Answer - Adrenal
insufficiency; the body doesn't make enough of certain hormones
What is Graves' Disease? Correct Answer - An autoimmune
disease due to the overproduction of thyroid hormones
S/S of Graves' Disease Correct Answer - Weight loss (despite
increased appetite), rapid/irregular heart beat, nervousness,
irritability, trouble sleeping, fatigue, shaky hands, muscle weakness,
sweating, trouble tolerating heat, frequent BMs, enlarged thyroid
gland, bulging eyes
What is Cushings Disease? Correct Answer - A disease of the
adrenal gland where it produces too much cortisol
Hormonal disorder
Most often due to a tumor (pituitary adenoma)
What is a pituitary adenoma? Correct Answer - A benign tumor
on the pea-sides pituitary gland --> seen in Cushings Disease
,How does Farxiga work? Correct Answer - Sodium-glucose
cotransporter-2 (SGLT-2) inhibitor
Blocks some of the sugar and sodium reabsorption in the kidneys
and flushes sugar away via urine
How does Invokana work? Correct Answer - Blocking certain
proteins in the kidneys that absorb sugar back into the blood.
Increases the amount of sugar that is excreted through urination
Can be used with metformin to meet goals
Side Effects of Synthroid Correct Answer - Diarrhea, insomnia,
nausea, headache, sweating, chest pain, menstrual changes, anxiety,
nervousness, tremors, weakness, palpitations, fever, cramps,
INCREASED appetite
What is bolus dosing of insulin? Correct Answer - A single dose
of insulin, given for food or correction
What is basal dosing of insulin? Correct Answer -
"Background" insulin. Works steadily throughout the day
What is PTU? Correct Answer - Prophylthiouracil
- Used to treat HYPERthyroidism and Graves' disease
- Lowers the amount of thyroid hormone that the thyroid gland
makes
Brand name: Propycil
Favored during pregnancy & breastfeeding
Initial dose: 300-600mg/day divided QID
, Normal range for TSH Correct Answer - 0.4-4
TSH >4 with a normal free T4 = Correct Answer - Subclinical
hypothyroidism, usually asymptomatic
Needs close monitoring for possible development of hypothyroidism
TSH will be elevated or decreased with HYPOthyroidism? Correct
Answer - Elaveted
Most sensitive test to screen for hyper and hypothyroidism
Correct Answer - TSH (ultrasensitive assay)
Free T4 will be elevated or decreased with HYPOthyroidism?
Correct Answer - Decreased
What does free t4 measure? Correct Answer - Free (unbound)
thyroxine which is the metabolically active form of T4
T3 Correct Answer - Measures the metabolically active form of
the thyroid hormone triiodothyronine
T/F: T3 is essential in the diagnosis of hypothyroidism Correct
Answer - False - it is not useful in the diagnosis
T3 will be elevated or decreased with HYPERthyroidism Correct
Answer - Elevated
What antibody titers are elevated in Graves Disease? Correct
Answer - Antithyroglobulin antibody
Antithyroperoxidase antibody
Solutions
Hgb A1c is done how often for diabetic patients? Correct Answer -
Every 3 months
Fundoscopic eye exam is done how often for diabetic patients?
Correct Answer - Every office visit beginning with the initial
diagnosis.
Document the last yearly dilated eye exam under the SUBJECTIVE
ROS
Diabetic foot exam is done how often? Correct Answer - Every
office visit
- Visual inspection
- Test for sesation with monofilament or tuning fork
Comprehensive foot exam is done how often for diabetic patients?
Correct Answer - Annually
Lipids are checked how often for diabetic patients? Correct
Answer - Yearly; more often is not at goal; document the last
lipid panel with every SOAP note
BP goal for diabetic patients Correct Answer - 130/80 or less
If uncontrolled, order an ACE
How often should diabetic patients have a urine albumin/creatinine
ratio done? Correct Answer - Yearly; document the last one,
and order if needed.
,What mnemonic is used to help remember important aspects of the
diabetes visit? Correct Answer - GLUCOSE BAD
How often is dental care recommended for diabetic patients?
Correct Answer - Every 6 months
Hgb A1C is checked how often for those who are prediabetic?
Correct Answer - Every 1-2 years
Per the ADA, what is the A1C results for prediabetes? Correct
Answer - 5.7-6.4%
What is Addisons Disease? Correct Answer - Adrenal
insufficiency; the body doesn't make enough of certain hormones
What is Graves' Disease? Correct Answer - An autoimmune
disease due to the overproduction of thyroid hormones
S/S of Graves' Disease Correct Answer - Weight loss (despite
increased appetite), rapid/irregular heart beat, nervousness,
irritability, trouble sleeping, fatigue, shaky hands, muscle weakness,
sweating, trouble tolerating heat, frequent BMs, enlarged thyroid
gland, bulging eyes
What is Cushings Disease? Correct Answer - A disease of the
adrenal gland where it produces too much cortisol
Hormonal disorder
Most often due to a tumor (pituitary adenoma)
What is a pituitary adenoma? Correct Answer - A benign tumor
on the pea-sides pituitary gland --> seen in Cushings Disease
,How does Farxiga work? Correct Answer - Sodium-glucose
cotransporter-2 (SGLT-2) inhibitor
Blocks some of the sugar and sodium reabsorption in the kidneys
and flushes sugar away via urine
How does Invokana work? Correct Answer - Blocking certain
proteins in the kidneys that absorb sugar back into the blood.
Increases the amount of sugar that is excreted through urination
Can be used with metformin to meet goals
Side Effects of Synthroid Correct Answer - Diarrhea, insomnia,
nausea, headache, sweating, chest pain, menstrual changes, anxiety,
nervousness, tremors, weakness, palpitations, fever, cramps,
INCREASED appetite
What is bolus dosing of insulin? Correct Answer - A single dose
of insulin, given for food or correction
What is basal dosing of insulin? Correct Answer -
"Background" insulin. Works steadily throughout the day
What is PTU? Correct Answer - Prophylthiouracil
- Used to treat HYPERthyroidism and Graves' disease
- Lowers the amount of thyroid hormone that the thyroid gland
makes
Brand name: Propycil
Favored during pregnancy & breastfeeding
Initial dose: 300-600mg/day divided QID
, Normal range for TSH Correct Answer - 0.4-4
TSH >4 with a normal free T4 = Correct Answer - Subclinical
hypothyroidism, usually asymptomatic
Needs close monitoring for possible development of hypothyroidism
TSH will be elevated or decreased with HYPOthyroidism? Correct
Answer - Elaveted
Most sensitive test to screen for hyper and hypothyroidism
Correct Answer - TSH (ultrasensitive assay)
Free T4 will be elevated or decreased with HYPOthyroidism?
Correct Answer - Decreased
What does free t4 measure? Correct Answer - Free (unbound)
thyroxine which is the metabolically active form of T4
T3 Correct Answer - Measures the metabolically active form of
the thyroid hormone triiodothyronine
T/F: T3 is essential in the diagnosis of hypothyroidism Correct
Answer - False - it is not useful in the diagnosis
T3 will be elevated or decreased with HYPERthyroidism Correct
Answer - Elevated
What antibody titers are elevated in Graves Disease? Correct
Answer - Antithyroglobulin antibody
Antithyroperoxidase antibody
