CMN 571 FINAL EXAM QUESTIONS
AND CORRECT ANSWERS
ALREADY PASSED
A patients A1C was 9%, you order an FPG to confirm diagnosis of DM and it is 115.
Based on this information you now...
a. Order a OGTT
b. Repeat A1C
c. Repeat FPG
d. Follow patient closely and repeat both the A1C and FPG in 3-6 months. - Answer-b.
Repeat A1C.
If two different tests are available in an individual and the results are discordant, the test
whose result is above the diagnostic cut point should be repeated, and the diagnosis is
made on the basis of the confirmed test.
(S12)
What is the appropriate diagnostic test to diagnose DM in a patient who recently had a
blood transfusion?
a. A1C
b. FPG or OGTT
c. OGTT or A1C
d. A1C, FPG and OGTT - Answer-b. FPG or OGTT
For conditions with abnormal red cell turnover, such as pregnancy, recent blood loss or
transfusion, or some anemias (not sickle cell), the diagnosis of diabetes must employ
glucose criteria exclusively.
(S12)
A 45 year old patient's OGTT is 215, to confirm DM you run a HgA1C and it is 6%. A
repeat OGTT is 185. Based on this information you...
a. Repeat A1C; if >6.5% diagnose with DM
b. Follow patient closely and repeat the testing in 3-6 months.
c. Do not diagnose with diabetes, follow-up in at least 3 years.
d. If patient has CVD risk, diagnose with prediabetes, and begin treatment. - Answer-b.
Follow patient closely and repeat with testing in 3-6 months.
It is possible that a test whose result was above the diagnostic threshold is repeated,
the second value will be below the diagnostic cut point. This is most likely to occur with
the 2-h PG during an OGTT.
(S13)
,When instructing a patient to return for a FPG test, you tell them they must not eat
anything for how long before the test?
a. 6 hours
b. 8 hours
c. 10 hours
d. 12 hours - Answer-b. 8 hours
(S12 Table 2)
In a patient with hyperglycemic crisis, and a random plasma glucose of >/= 200mg/dL;
which test is used to diagnose DM?
a. A1C
b. FPG
c. OGTT
d. None of the above - Answer-d. None of the above
Clinical diagnosis can be based on classic hyperglycemia symptoms or crisis and
random PG >/= 200 mg/dL.
(S12 Table 2)
2 hours after drinking 75g of anhydrous glucose dissolved in water, a pt meets criteria
for diagnosis of DM if his glucose is greater than what?
a. 150
b. 200
c. 250
d. 300 - Answer-b. 200 mg/dL
(S12 Table 2)
A patient whose FPG is 115 mg/dL is said to have what?
a. IFG
b. IGT
c. Prediabetes
d. All of the above
e. A and C - Answer-e. A and C
- Impaired Fasting Glucose is an FPG of 100-125 mg/dL.
- Impaired Glucose Tolerance is a 2-h PG of 140-199 mg/dL
- Patients with IFG and/or IGT have been referred to as having prediabetes, increasing
their risk for development of DM.
(S13)
USPSTF - B/P screenings start at what age? - Answer-18 for everyone
USPSTF - Daily ASA regimens are recommended for what age groups? Men and
Women - Answer-Men - 45-79 (to prevent MI)
Women - 55-79 (to prevent ischemic CVA)
USPSTF - Who should be screened for AAA? And how? - Answer-Men 65-75 by U/S
,USPSTF - Diagnostic workup of HTN includes which labs? - Answer-U/A, BG, Hct, Lipid
panel, K, Cr, Ca.
Optional: Urinary albumin/cr ratio.
USPSTF - Major CVD Risk factor includes GFR < ? - Answer-GFR < 60
USPSTF - Identifiable causes of HTN? - Answer-Sleep apnea • Drug induced/related •
Chronic kidney disease • Primary aldosteronism • Renovascular disease • Cushing's
syndrome or steroid therapy • Pheochromocytoma • Coarctation of aorta •
Thyroid/parathyroid disease
JNC-7 recommends what 5 lifestyle modifications to manage HTN? - Answer-- Wt.
reduction
- DASH diet
- Na reduction
- Physical activity
- Moderation of alcohol consumption
JNC-7 daily sodium consumption recommendation? - Answer-2.4 grams
JNC-7 Normal BP is.. - Answer-<120 SBP/<80 DBP
JNC-7 PreHTN is... - Answer-120-139 SBP
80-89 DBP
JNC-7 Stage 1 HTN is... - Answer-140-159 SBP
90-99 DBP
JNC-7 Stage 2 HTN is... - Answer-≥160 SBP
≥ 100 DBP
DASH diet recommended daily Cholesterol intake?
a. 100 mg
b. 125 mg
c. 150 mg
d. 175 mg - Answer-c. 150 mg
DASH diet recommended daily Sodium intake for a middle-aged black man with HTN?
a. 1000 mg
b. 1500 mg
c. 2000 mg
d. 2300 mg - Answer-b. 1500 mg
DASH diet recommends daily Sodium intake for the young adult with B/P 110/50?
a. 1000 mg
b. 1500 mg
, c. 2000 mg
d. 2300 mg - Answer-d. 2300 mg
DASH diet recommended daily Potassium intake?
a. 1700 mg
b. 2700 mg
c. 3700 mg
d. 4700 mg - Answer-d. 4700 mg
DASH diet recommended daily Calcium intake?
a. 1000 mg
b. 1250 mg
c. 1500 mg
d. 1750 mg - Answer-b. 1250 mg
DASH diet recommended daily Magnesium intake?
a. 500 mg
b. 750 mg
c. 1000 mg
d. 1250 mg - Answer-a. 500 mg
DASH diet recommended daily Fiber intake?
a. 15 gm
b. 30 gm
c. 45 gm
d. 60 gm - Answer-b. 30 gm
Cancer screening in women focuses on...
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention - Answer-b. secondary prevention
The Framingham risk calculator is used to estimate a woman's 10-year risk of CHD
based on what 4 things? - Answer-- Age
- B/P
- Cholesterol
- Smoking
NCEP recommends all women over what age be screened for hyperlipidemia?
a. 20
b. 35
c. 45
d. 55 - Answer-a. 20
Which of the following is more predictive of CHD risk in women?
a. Elevated LDL
AND CORRECT ANSWERS
ALREADY PASSED
A patients A1C was 9%, you order an FPG to confirm diagnosis of DM and it is 115.
Based on this information you now...
a. Order a OGTT
b. Repeat A1C
c. Repeat FPG
d. Follow patient closely and repeat both the A1C and FPG in 3-6 months. - Answer-b.
Repeat A1C.
If two different tests are available in an individual and the results are discordant, the test
whose result is above the diagnostic cut point should be repeated, and the diagnosis is
made on the basis of the confirmed test.
(S12)
What is the appropriate diagnostic test to diagnose DM in a patient who recently had a
blood transfusion?
a. A1C
b. FPG or OGTT
c. OGTT or A1C
d. A1C, FPG and OGTT - Answer-b. FPG or OGTT
For conditions with abnormal red cell turnover, such as pregnancy, recent blood loss or
transfusion, or some anemias (not sickle cell), the diagnosis of diabetes must employ
glucose criteria exclusively.
(S12)
A 45 year old patient's OGTT is 215, to confirm DM you run a HgA1C and it is 6%. A
repeat OGTT is 185. Based on this information you...
a. Repeat A1C; if >6.5% diagnose with DM
b. Follow patient closely and repeat the testing in 3-6 months.
c. Do not diagnose with diabetes, follow-up in at least 3 years.
d. If patient has CVD risk, diagnose with prediabetes, and begin treatment. - Answer-b.
Follow patient closely and repeat with testing in 3-6 months.
It is possible that a test whose result was above the diagnostic threshold is repeated,
the second value will be below the diagnostic cut point. This is most likely to occur with
the 2-h PG during an OGTT.
(S13)
,When instructing a patient to return for a FPG test, you tell them they must not eat
anything for how long before the test?
a. 6 hours
b. 8 hours
c. 10 hours
d. 12 hours - Answer-b. 8 hours
(S12 Table 2)
In a patient with hyperglycemic crisis, and a random plasma glucose of >/= 200mg/dL;
which test is used to diagnose DM?
a. A1C
b. FPG
c. OGTT
d. None of the above - Answer-d. None of the above
Clinical diagnosis can be based on classic hyperglycemia symptoms or crisis and
random PG >/= 200 mg/dL.
(S12 Table 2)
2 hours after drinking 75g of anhydrous glucose dissolved in water, a pt meets criteria
for diagnosis of DM if his glucose is greater than what?
a. 150
b. 200
c. 250
d. 300 - Answer-b. 200 mg/dL
(S12 Table 2)
A patient whose FPG is 115 mg/dL is said to have what?
a. IFG
b. IGT
c. Prediabetes
d. All of the above
e. A and C - Answer-e. A and C
- Impaired Fasting Glucose is an FPG of 100-125 mg/dL.
- Impaired Glucose Tolerance is a 2-h PG of 140-199 mg/dL
- Patients with IFG and/or IGT have been referred to as having prediabetes, increasing
their risk for development of DM.
(S13)
USPSTF - B/P screenings start at what age? - Answer-18 for everyone
USPSTF - Daily ASA regimens are recommended for what age groups? Men and
Women - Answer-Men - 45-79 (to prevent MI)
Women - 55-79 (to prevent ischemic CVA)
USPSTF - Who should be screened for AAA? And how? - Answer-Men 65-75 by U/S
,USPSTF - Diagnostic workup of HTN includes which labs? - Answer-U/A, BG, Hct, Lipid
panel, K, Cr, Ca.
Optional: Urinary albumin/cr ratio.
USPSTF - Major CVD Risk factor includes GFR < ? - Answer-GFR < 60
USPSTF - Identifiable causes of HTN? - Answer-Sleep apnea • Drug induced/related •
Chronic kidney disease • Primary aldosteronism • Renovascular disease • Cushing's
syndrome or steroid therapy • Pheochromocytoma • Coarctation of aorta •
Thyroid/parathyroid disease
JNC-7 recommends what 5 lifestyle modifications to manage HTN? - Answer-- Wt.
reduction
- DASH diet
- Na reduction
- Physical activity
- Moderation of alcohol consumption
JNC-7 daily sodium consumption recommendation? - Answer-2.4 grams
JNC-7 Normal BP is.. - Answer-<120 SBP/<80 DBP
JNC-7 PreHTN is... - Answer-120-139 SBP
80-89 DBP
JNC-7 Stage 1 HTN is... - Answer-140-159 SBP
90-99 DBP
JNC-7 Stage 2 HTN is... - Answer-≥160 SBP
≥ 100 DBP
DASH diet recommended daily Cholesterol intake?
a. 100 mg
b. 125 mg
c. 150 mg
d. 175 mg - Answer-c. 150 mg
DASH diet recommended daily Sodium intake for a middle-aged black man with HTN?
a. 1000 mg
b. 1500 mg
c. 2000 mg
d. 2300 mg - Answer-b. 1500 mg
DASH diet recommends daily Sodium intake for the young adult with B/P 110/50?
a. 1000 mg
b. 1500 mg
, c. 2000 mg
d. 2300 mg - Answer-d. 2300 mg
DASH diet recommended daily Potassium intake?
a. 1700 mg
b. 2700 mg
c. 3700 mg
d. 4700 mg - Answer-d. 4700 mg
DASH diet recommended daily Calcium intake?
a. 1000 mg
b. 1250 mg
c. 1500 mg
d. 1750 mg - Answer-b. 1250 mg
DASH diet recommended daily Magnesium intake?
a. 500 mg
b. 750 mg
c. 1000 mg
d. 1250 mg - Answer-a. 500 mg
DASH diet recommended daily Fiber intake?
a. 15 gm
b. 30 gm
c. 45 gm
d. 60 gm - Answer-b. 30 gm
Cancer screening in women focuses on...
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention - Answer-b. secondary prevention
The Framingham risk calculator is used to estimate a woman's 10-year risk of CHD
based on what 4 things? - Answer-- Age
- B/P
- Cholesterol
- Smoking
NCEP recommends all women over what age be screened for hyperlipidemia?
a. 20
b. 35
c. 45
d. 55 - Answer-a. 20
Which of the following is more predictive of CHD risk in women?
a. Elevated LDL
