APEA- Management Endocrine
5 units
A nurse practitioner has decided to initiate
insulin in a 75-year-old patient who takes
oral diabetic medications. How much long-
acting insulin should be initiated in this
patient, who weighs 100 kg?
About 2 units
5 units
12 units
25 units
The patient should have a repeat test in 3-6 months.
A patient who is diagnosed today with
diabetes has an elevated urinary albumin
to creatinine ratio. What can be concluded
about this finding?
The patient has diabetic nephropathy.
There is renal damage.
The patient should have a repeat test in 3-
6 months.
The patient might have been diabetic for a
long time before diagnosis.
has impaired fasting glucose
A patient has two fasting glucose values
that were measured on two separate days
in the same week. This patient:
can be diagnosed with Type 2 diabetes.
has impaired fasting glucose.
should have further fasting glucose testing
done for diagnosis.
should have a Hgb A1C performed to
confirm diagnosis.
repeat TSH plus free T4
A 50-year-old non-pregnant female
presents for an annual exam. She
complains of fatigue and weight gain. She
has the following lab results. What should
the NP order next?
Levothyroxine 1.6 mcg/kg daily
Repeat TSH plus free T4
Thyroid ultrasound
Lipid panel
at diagnosis
The most appropriate time to begin
screening for renal nephropathy in a
patient with Type 2 diabetes is:
at diagnosis.
1 year after diagnosis.
2-3 years after diagnosis.
5 years after diagnosis.
, APEA- Management Endocrine
Metoprolol
Which medication listed below is NOT
associated with weight gain?
Insulin
Pioglitazone
Citalopram
Metoprolol
insidious onset of hyperglycemia with weight gain
Which choice best describes the most
common presentation of a patient with
Type 2 diabetes?
Acute onset of hyperglycemia with other
symptoms
Hyperlipidemia and presence of
retinopathy
Insidious onset of hyperglycemia with
weight gain
Microalbuminuria
She should continue it and have monthly TSH levels
A pregnant patient took levothyroxine prior
to becoming pregnant. What should be
done about the levothyroxine now that she
is pregnant?
It should be discontinued during
pregnancy.
She should continue it and have monthly
TSH levels.
She should be switched to a safer
supplement during pregnancy.
She can continue it during pregnancy
without concern.
No specific conclusions can be drawn about the proteinuria
A patient recently diagnosed with type 2
diabetes presents today with fever and
burning with urination. She is diagnosed
with a urinary tract infection (UTI). Which
statement is correct?
This patient has proteinuria secondary to
diabetes.
The finding of protein is an incidental
finding.
The proteinuria is related to the UTI.
No specific conclusions can be drawn
about the proteinuria.
should have a Hgb A1C performed
A patient has two fasting glucose values
(121 mg/dL and 136 mg/dL) that were
measured on 2 separate days in the same
week. This patient:
has normal blood glucose values.
has impaired fasting glucose.
has Type 2 diabetes mellitus.
should have a Hgb A1C performed.
5 units
A nurse practitioner has decided to initiate
insulin in a 75-year-old patient who takes
oral diabetic medications. How much long-
acting insulin should be initiated in this
patient, who weighs 100 kg?
About 2 units
5 units
12 units
25 units
The patient should have a repeat test in 3-6 months.
A patient who is diagnosed today with
diabetes has an elevated urinary albumin
to creatinine ratio. What can be concluded
about this finding?
The patient has diabetic nephropathy.
There is renal damage.
The patient should have a repeat test in 3-
6 months.
The patient might have been diabetic for a
long time before diagnosis.
has impaired fasting glucose
A patient has two fasting glucose values
that were measured on two separate days
in the same week. This patient:
can be diagnosed with Type 2 diabetes.
has impaired fasting glucose.
should have further fasting glucose testing
done for diagnosis.
should have a Hgb A1C performed to
confirm diagnosis.
repeat TSH plus free T4
A 50-year-old non-pregnant female
presents for an annual exam. She
complains of fatigue and weight gain. She
has the following lab results. What should
the NP order next?
Levothyroxine 1.6 mcg/kg daily
Repeat TSH plus free T4
Thyroid ultrasound
Lipid panel
at diagnosis
The most appropriate time to begin
screening for renal nephropathy in a
patient with Type 2 diabetes is:
at diagnosis.
1 year after diagnosis.
2-3 years after diagnosis.
5 years after diagnosis.
, APEA- Management Endocrine
Metoprolol
Which medication listed below is NOT
associated with weight gain?
Insulin
Pioglitazone
Citalopram
Metoprolol
insidious onset of hyperglycemia with weight gain
Which choice best describes the most
common presentation of a patient with
Type 2 diabetes?
Acute onset of hyperglycemia with other
symptoms
Hyperlipidemia and presence of
retinopathy
Insidious onset of hyperglycemia with
weight gain
Microalbuminuria
She should continue it and have monthly TSH levels
A pregnant patient took levothyroxine prior
to becoming pregnant. What should be
done about the levothyroxine now that she
is pregnant?
It should be discontinued during
pregnancy.
She should continue it and have monthly
TSH levels.
She should be switched to a safer
supplement during pregnancy.
She can continue it during pregnancy
without concern.
No specific conclusions can be drawn about the proteinuria
A patient recently diagnosed with type 2
diabetes presents today with fever and
burning with urination. She is diagnosed
with a urinary tract infection (UTI). Which
statement is correct?
This patient has proteinuria secondary to
diabetes.
The finding of protein is an incidental
finding.
The proteinuria is related to the UTI.
No specific conclusions can be drawn
about the proteinuria.
should have a Hgb A1C performed
A patient has two fasting glucose values
(121 mg/dL and 136 mg/dL) that were
measured on 2 separate days in the same
week. This patient:
has normal blood glucose values.
has impaired fasting glucose.
has Type 2 diabetes mellitus.
should have a Hgb A1C performed.
