FNP Review Dunphy-Chapter 17 Endocrine
and Metabolic Problems Questions and
Answers
Alice, age 48, has a benign thyroid nodule. The most common treatment involves:
A. surgery
B. administration of levothyroxine therapy
C. watchful waiting with an annual follow up
D. radioactive iodine therapy Correct Answ_C
Susie has diabetes mellitus. To forestall hypoglycemia, how much carbohydrate must she eat if
she misses a regular meal?
A. 5-15 g
B. 15-30g
C. 30-35g
D. more than 35g Correct Answ_B
Which of the following can increase the ocular manifestations of Graves' disease?
A. Pregnancy
,B. Hypertension
C. Smoking
D. Hyperlipidemia Correct Answ_C
The most common cause of hyperthyroidism is
A. Graves' disease
B. a toxic uninodular goiter
C. subacute thyroiditis
D. a pituitary tumor Correct Answ_A
One of the three Ps of diabetes is
A. paresthesias
B. polydipsia
C. polycythemia
D. proteinuria Correct Answ_B
,Sigrid, age 48, appears with a 3 month history of heat intolerance, increased sweating,
palpitation, tachycardia, nervousness, irritability, fatigue, and muscle weakness. Which test
would you order first?
a. a blood chemistry panel
b. TSH
c. LFTs
d. EKG Correct Answ_B
Mandy has type 2 diabetes. She says she heard that if she becomes pregnant, she must go on
insulin therapy. How do you respond?
A. "You're under good glycemic control now with your oral agents. As long as you stay in good
control, you'll stay on the medication you are on now."
B. "Don't worry about it now; wait until you get pregnant."
C. "Insulin is commonly used during pregnancy. Some oral agents are now being used."
D. "You need to start on insulin therapy now before you get pregnant. You'll also need it
throughout your pregnancy." Correct Answ_C
, A newly diagnosed client with diabetes who has an HbA1C of 7.5 is started on therapeutic
lifestyle changes (TLCs) and medical nutritional therapy (MNT). Which oral antidiabetic agent is
recommended as monotherapy?
A. Glipizide (Glucotrol)
B. Sitagliptin (Januvia)
C. Exenatide (Byetta)
D. Metformin (Glucophage) Correct Answ_D
Eunice, age 32, has DM2. She said that she heard that she should take an ASA a day after she
reaches menopause for its cardioprotective action. She does not have coronary artery disease, but
her father does. How do you respond?
a. You're right. Your hormones protect you against CADs until menopause, then you should start
on ASA.
b. The ADA recommends that you start on ASA therapy now.
c. ASA therapy is recommended only if you have a family history of CAD.
d. If you maintain good glycemic control, you don't need ASA therapy. Correct Answ_B
Which of the following medications can increase uric acid and lead to an acute gouty attack?
A. HCTZ
and Metabolic Problems Questions and
Answers
Alice, age 48, has a benign thyroid nodule. The most common treatment involves:
A. surgery
B. administration of levothyroxine therapy
C. watchful waiting with an annual follow up
D. radioactive iodine therapy Correct Answ_C
Susie has diabetes mellitus. To forestall hypoglycemia, how much carbohydrate must she eat if
she misses a regular meal?
A. 5-15 g
B. 15-30g
C. 30-35g
D. more than 35g Correct Answ_B
Which of the following can increase the ocular manifestations of Graves' disease?
A. Pregnancy
,B. Hypertension
C. Smoking
D. Hyperlipidemia Correct Answ_C
The most common cause of hyperthyroidism is
A. Graves' disease
B. a toxic uninodular goiter
C. subacute thyroiditis
D. a pituitary tumor Correct Answ_A
One of the three Ps of diabetes is
A. paresthesias
B. polydipsia
C. polycythemia
D. proteinuria Correct Answ_B
,Sigrid, age 48, appears with a 3 month history of heat intolerance, increased sweating,
palpitation, tachycardia, nervousness, irritability, fatigue, and muscle weakness. Which test
would you order first?
a. a blood chemistry panel
b. TSH
c. LFTs
d. EKG Correct Answ_B
Mandy has type 2 diabetes. She says she heard that if she becomes pregnant, she must go on
insulin therapy. How do you respond?
A. "You're under good glycemic control now with your oral agents. As long as you stay in good
control, you'll stay on the medication you are on now."
B. "Don't worry about it now; wait until you get pregnant."
C. "Insulin is commonly used during pregnancy. Some oral agents are now being used."
D. "You need to start on insulin therapy now before you get pregnant. You'll also need it
throughout your pregnancy." Correct Answ_C
, A newly diagnosed client with diabetes who has an HbA1C of 7.5 is started on therapeutic
lifestyle changes (TLCs) and medical nutritional therapy (MNT). Which oral antidiabetic agent is
recommended as monotherapy?
A. Glipizide (Glucotrol)
B. Sitagliptin (Januvia)
C. Exenatide (Byetta)
D. Metformin (Glucophage) Correct Answ_D
Eunice, age 32, has DM2. She said that she heard that she should take an ASA a day after she
reaches menopause for its cardioprotective action. She does not have coronary artery disease, but
her father does. How do you respond?
a. You're right. Your hormones protect you against CADs until menopause, then you should start
on ASA.
b. The ADA recommends that you start on ASA therapy now.
c. ASA therapy is recommended only if you have a family history of CAD.
d. If you maintain good glycemic control, you don't need ASA therapy. Correct Answ_B
Which of the following medications can increase uric acid and lead to an acute gouty attack?
A. HCTZ
