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h2024 Update) Advanced Pharmacology Exam
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Review | Weeks 5-8 Covered| Complete Guide
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with Questions and Verified Answers -
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Chamberlain
QUESTION
A hpatient hreceives hhis hfirst hlab hresults hshowing han hA1C hof h7.2%. hWhat his hthe hdiagnosis?
Answer:
-Cannot hconfirm hbecause hyou hneed ha hsecond hA1C hafter h3 hmonths h(value his hborderline)
QUESTION
An hA1C hof is hconsidered hprediabetes.
Answer:
5.7%-6.4%
QUESTION
A hrandom hglucose hof is hconsidered hdiabetic.
Answer:
200 hwith hsigns hand hsymptoms
QUESTION
Ahperson hwith hdiabetes hhas hrecurrent hsevere hhypoglycemia hevents. hWhat hshould hhis hA1C hgoal hbe?
Answer:
8%
,QUESTION
When his hit hokay hfor ha hpatient hto hhave han hA1C hgoal hof h6.5%?
Answer:
When hthey hcan htolerate hit hand hhave hno hcomorbidities.
QUESTION
How hoften hshould han hA1C hbe hmonitored hwhen hstable hor hwhen hunstable?-
Answer:
-Stable: hevery h6 hmonths
-Unstable: hevery h3 hmonths h(A1C hof h7 hor h>)
QUESTION
A hperson hcomes hin hwith han hA1C hof h10% hand ha hfasting hblood hglucose hof
>300.What hare hthe hnext hsteps hfor hthe hprovider?
Answer:
-Start hinsulin
(when hA1C his habove h>9% hstart hat hstep h2= hinsulin hcombo htherapy)
QUESTION
Who hshould hnot htake hMetformin?
Answer:
-Due hto hincreased hrisk hof hLactic hacidosis:
patients hwith hCHF, holder hthan h80 hyears hof hage, hkidney hdisease h(Renal hinsufficiency)
QUESTION
Sulfonylureas hshould hnot hbe hused hduring or hwith
, or impairments.
Answer:
-Pregnancy
-Liver
-Renal
QUESTION
A hpatient hwho hhas ha hhistory hof hbladder hcancer hand hHF hshould havoid hwhat hclass hof hDM hmeds?
Answer:
Pioglitazones
-Can hcause hrenal hfluid hretention hassociated hwith hHF
QUESTION
When his hit happropriate hto hincrease hinsulin hneeds?
Answer:
-Pregnancy
-Infection
-Stress
-Growth hspurts
QUESTION
What his hthe hTDD hof ha hperson hthat hweighs h70kg?
Answer:
TDD= h(Kgx0.6)
50% hwill hbe hlong hacting
h50% hRapid hacting
QUESTION
IF ha hperson his heating ha h50 hcarb hmeal, hhow hmuch hinsulin hwill hbe hneeded hbased hon hthe hTDD
hfrom hthe habove hquestion?
, Answer:
500 h/ hTDD h= hCarb hto hinsulin hratio
h500/42 h= h11.9
50/ h11 h= h4.5 hUnits
QUESTION
Metformin
Answer:
-Best hantidiabetic hfor hpatients hthat hskip hmeals
-Can hbe hused hto htreat hPCOS
QUESTION
A hpatient hstates hthat hshe hwill htake hher hinsulin hlispro h30-60 hminutes hbefore ha hmeal?
Answer:
Nope- hmust hbe hwithin h15-30 hmins hof hmeal
QUESTION
"As hlong has hthe hshort-acting hinsulin his hdrawn hup hfirst hI hcan hmix hmy hinsulin hglargine hwith hit".
Answer:
Nope- hOnly hNPH hcan hbe hmixed hwith hshort hacting
-Always hdraw hregular h(Clear) hbefore hNPH h(Cloudy)
QUESTION
Ahpatient hstates, h"My hsugars hhave hbeen haround h65-68 hat htimes hbut hI hfeel hlike hthe hmed his
hworking".
Answer:
Nope- hValues hare htoo hlow
-Hypoglycemia hunawareness, hneed hto heducate
QUESTION