NURS 5336 EXAM WITH COMPLETE SOLUTIONS 100% VERIFIED
1.Diabetes NURS 5336
2.NURS 5336 Module 2 Quiz
Diabetes NURS 5336
What is the criteria for diagnosis of type 2 diabetes?
hgba1c and fpg
Hgb A1C of 6.5 or above
FPG of 126 and above
What is the criteria for diagnosis of pre-diabetes?
Hgb A1C of 5.7-6.4%
FPG of 100-126
What is the criteria for a healthy individual w/o diabetes?
Hgb A1C of below 5.6
FPG of 99 and below
What is the best screen for diabetic nephropathy?
Microalbuminuria
small level of protein leaking into the urine
Anything above 30 is abnormal (high)
True or False. You will manage your patients more so based off of their A1c rather than
their FPG.
,True
Which anti-diabetic drugs have an indication for CVD prevention?
GLP-1 inhibitors
SGLT-2
True or False. You will pretty much always start someone on Metformin as the first
monotherapy for someone who has a Hgb A1C of below 7.5
True.
You'll start them on metformin first-cheap and effective-and have them come back in a
few months to evaluate how they are doing on that med.
Most providers start their patients who have a Hgb A1C below 7.5 on metformin,
however, some may place their patients on one of what two drugs due to their
cardiovascular protective properties?
GLP-1 inhibitors
SGLT-2
True or False. If they are not at goal in 3 months on their monotherapy, you will advance
them to dual therapy (metformin+GLP/SGLT/DPP4)
True
If a patient comes in and their Hgb A1C is above 9 and they are non-symptomatic, what
are you going to put them on?
Dual therapy
or
Triple therapy
,If a patient comes in and their Hgb A1C is above 9 and symptomatic, what do you put
them on?
Insulin most preferably, long-acting. not short acting
The majority of them are probably going to be on the insulin about a month, and they'll
come back and they wean down, hopefully to a PO therapy.
If it is a patient with CKD or HF, you're going to place them on metformin-always-and
what other med?
SGLT-2
If it is a patient with CKD or HF and are on metformin and SGLT-2, but they can't tolerate
it, what other med are you going to switch them to?
GLP-1
If you are trying to have weight loss or minimize weight gain, what med are you going to
put them on?
SSLT-2 or GLP-1
(plus metformin)
If cost is a major issue and they are above target A1C, what drugs are you going to put
them on?
Sulfonyurea
TZD
True or false. Recent meta-analysis showed no improved A1C, BP or lipids with SMBG
True
, Reduced benefit bc so many newer meds unlike SUs do not cause hypoglycemia if only
on oral meds
What are the microvascular complications of DM?
Retinopathy
Neuropathy
Nephropathy
Of the two diabetes associations, which one has more strict guidelines?
(AACE or ADA)
AACE
What is the diagnosis of peripheral neuropathy? How do you make it?
1 and 10g monofilament
Vibration perception using 128 tuning fork
test for temperature sensation
What are some treatments for peripheral neuropathy?
TCA's, SSRI's, anticonvulsants
For every 1.3% drop in A1C, how much percent are you shaving off for chances of
peripheral neuropathy?
12%
True or False. Higher A1C is associated with lower risk of MI.
False.
1.Diabetes NURS 5336
2.NURS 5336 Module 2 Quiz
Diabetes NURS 5336
What is the criteria for diagnosis of type 2 diabetes?
hgba1c and fpg
Hgb A1C of 6.5 or above
FPG of 126 and above
What is the criteria for diagnosis of pre-diabetes?
Hgb A1C of 5.7-6.4%
FPG of 100-126
What is the criteria for a healthy individual w/o diabetes?
Hgb A1C of below 5.6
FPG of 99 and below
What is the best screen for diabetic nephropathy?
Microalbuminuria
small level of protein leaking into the urine
Anything above 30 is abnormal (high)
True or False. You will manage your patients more so based off of their A1c rather than
their FPG.
,True
Which anti-diabetic drugs have an indication for CVD prevention?
GLP-1 inhibitors
SGLT-2
True or False. You will pretty much always start someone on Metformin as the first
monotherapy for someone who has a Hgb A1C of below 7.5
True.
You'll start them on metformin first-cheap and effective-and have them come back in a
few months to evaluate how they are doing on that med.
Most providers start their patients who have a Hgb A1C below 7.5 on metformin,
however, some may place their patients on one of what two drugs due to their
cardiovascular protective properties?
GLP-1 inhibitors
SGLT-2
True or False. If they are not at goal in 3 months on their monotherapy, you will advance
them to dual therapy (metformin+GLP/SGLT/DPP4)
True
If a patient comes in and their Hgb A1C is above 9 and they are non-symptomatic, what
are you going to put them on?
Dual therapy
or
Triple therapy
,If a patient comes in and their Hgb A1C is above 9 and symptomatic, what do you put
them on?
Insulin most preferably, long-acting. not short acting
The majority of them are probably going to be on the insulin about a month, and they'll
come back and they wean down, hopefully to a PO therapy.
If it is a patient with CKD or HF, you're going to place them on metformin-always-and
what other med?
SGLT-2
If it is a patient with CKD or HF and are on metformin and SGLT-2, but they can't tolerate
it, what other med are you going to switch them to?
GLP-1
If you are trying to have weight loss or minimize weight gain, what med are you going to
put them on?
SSLT-2 or GLP-1
(plus metformin)
If cost is a major issue and they are above target A1C, what drugs are you going to put
them on?
Sulfonyurea
TZD
True or false. Recent meta-analysis showed no improved A1C, BP or lipids with SMBG
True
, Reduced benefit bc so many newer meds unlike SUs do not cause hypoglycemia if only
on oral meds
What are the microvascular complications of DM?
Retinopathy
Neuropathy
Nephropathy
Of the two diabetes associations, which one has more strict guidelines?
(AACE or ADA)
AACE
What is the diagnosis of peripheral neuropathy? How do you make it?
1 and 10g monofilament
Vibration perception using 128 tuning fork
test for temperature sensation
What are some treatments for peripheral neuropathy?
TCA's, SSRI's, anticonvulsants
For every 1.3% drop in A1C, how much percent are you shaving off for chances of
peripheral neuropathy?
12%
True or False. Higher A1C is associated with lower risk of MI.
False.
