NU 623 unit 6 quiz 3 Questions With
Complete Solutions
A 24yo female runner is do with Addison's disease.
In counseling her about exercise, you recommend:
A. Tapering her running to only 10 minutes per day
for 2 to 3 days per week
B. Ceasing any prolonged strenuous exercise
C. Ensuring an ample amount of sodium is ingested
D. Switching to a non impact exercise Correct
Answers C. Ensuring an ample amount of sodium
is ingested
A 34yo woman c/o progressive weakness, fatigue,
poor appetite, and weight loss. She has also
noticed the development of hyper pigmentation,
mainly on the knuckles, elbows, and knees. All of
he following blood tests can e used to help confirm
a do of Addison's disease EXCEPT:
A. Sodium
B. Potassium
C. Cortisol
D. Folate Correct Answers D. Folate
A 43yo man is experiencing an acute adrenal crisis
and presents with prominent nausea, vomiting, and
low blood pressure. He appears cyanotic and
confused. The most appropriate treatment is an
injection of:
A. Epinephrine
,B. Insulin
C. Adrenalin
D. Hydrocortisone Correct Answers D.
Hydrocortisone
A 46yo women c/o fatigue, weakness, lethargy,
decreased concentration and memory and
increased facial hair over the past 2 months. She
has a hx of asthma with repeated flares during he
past 6 months requiring multiple courses of
prednisone tx. A likely dx for this patient is:
A. Type 2 diabetes
B. Cushing's syndrome
C. Cushing's disease
D. Central obesity Correct Answers B. Cushing's
syndrome
A 49yo takes max dose of metformin daily. His A1C
has risen to 10.2%. What insulin could be used
initially to attain better glucose control?
A. Regular insulin
B. NPH basal insulin
C. Immediate acting Correct Answers B. NPH
basal insulin
A 60yo with A1C of 7.8% on metro in BID. What
drug class could be considered to achieve better
glucose if cost is a major concern for choice?
A. Insulin
B. DPP-4
, C. SGLT2 inhibitor
D. Sulfonylurea Correct Answers D. Sulfonylurea
A 64yo man with type 2 diabetes presents to the
clinic with the complaint of "my feet feel like they
are on fire". He has a loss of vibratory sense, +1
Achilles reflex, and a tack embedded in his heel.
Which of the following would be appropriate
treatment?
A. Tricyclics antidepressants (treatment for
neuropathic pain)
B. Capsaicin cream
C. Vit B12 injection
D. Insulin Correct Answers A. Tricyclics
antidepressants (treat the for neuropathic pain)
A client with diabetes c/o parenthesis. Which of the
following medications can cause sensory changes?
A. Glipizide
B. Sitaglipitin (januvia)
C. Metformin
D. Exanatide (Byetta) Correct Answers C.
Metformin
A diabetic patient asks the clinician why he needs
to check his blood sugar at home even when he
feels good. Which of the following responses would
be most accurate?
A. All of the answers
Complete Solutions
A 24yo female runner is do with Addison's disease.
In counseling her about exercise, you recommend:
A. Tapering her running to only 10 minutes per day
for 2 to 3 days per week
B. Ceasing any prolonged strenuous exercise
C. Ensuring an ample amount of sodium is ingested
D. Switching to a non impact exercise Correct
Answers C. Ensuring an ample amount of sodium
is ingested
A 34yo woman c/o progressive weakness, fatigue,
poor appetite, and weight loss. She has also
noticed the development of hyper pigmentation,
mainly on the knuckles, elbows, and knees. All of
he following blood tests can e used to help confirm
a do of Addison's disease EXCEPT:
A. Sodium
B. Potassium
C. Cortisol
D. Folate Correct Answers D. Folate
A 43yo man is experiencing an acute adrenal crisis
and presents with prominent nausea, vomiting, and
low blood pressure. He appears cyanotic and
confused. The most appropriate treatment is an
injection of:
A. Epinephrine
,B. Insulin
C. Adrenalin
D. Hydrocortisone Correct Answers D.
Hydrocortisone
A 46yo women c/o fatigue, weakness, lethargy,
decreased concentration and memory and
increased facial hair over the past 2 months. She
has a hx of asthma with repeated flares during he
past 6 months requiring multiple courses of
prednisone tx. A likely dx for this patient is:
A. Type 2 diabetes
B. Cushing's syndrome
C. Cushing's disease
D. Central obesity Correct Answers B. Cushing's
syndrome
A 49yo takes max dose of metformin daily. His A1C
has risen to 10.2%. What insulin could be used
initially to attain better glucose control?
A. Regular insulin
B. NPH basal insulin
C. Immediate acting Correct Answers B. NPH
basal insulin
A 60yo with A1C of 7.8% on metro in BID. What
drug class could be considered to achieve better
glucose if cost is a major concern for choice?
A. Insulin
B. DPP-4
, C. SGLT2 inhibitor
D. Sulfonylurea Correct Answers D. Sulfonylurea
A 64yo man with type 2 diabetes presents to the
clinic with the complaint of "my feet feel like they
are on fire". He has a loss of vibratory sense, +1
Achilles reflex, and a tack embedded in his heel.
Which of the following would be appropriate
treatment?
A. Tricyclics antidepressants (treatment for
neuropathic pain)
B. Capsaicin cream
C. Vit B12 injection
D. Insulin Correct Answers A. Tricyclics
antidepressants (treat the for neuropathic pain)
A client with diabetes c/o parenthesis. Which of the
following medications can cause sensory changes?
A. Glipizide
B. Sitaglipitin (januvia)
C. Metformin
D. Exanatide (Byetta) Correct Answers C.
Metformin
A diabetic patient asks the clinician why he needs
to check his blood sugar at home even when he
feels good. Which of the following responses would
be most accurate?
A. All of the answers
