ACCURATE ACTUAL EXAM WITH
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A male patient with type 1 diabetes comes to the clinic
complaining of feeling nervous and clammy. He states that
he took his insulin this morning but was late for work and
did not eat breakfast. Which action should the clinician
take first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice
C. Call 911
D. Ask him about his usual eating habits -
....ANSWER...B. Have him drink 4 ounces of juice
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,Which action would the clinician take to elicit Chvostek's
sign?
A. Check serum level of glucose after drinking a glass of
juice.
B. Tap the facial nerve below the zygomatic arch
anterior to the earlobe.
C. Press into the lower quadrant of the abdomen and
release quickly
D. Pump a blood pressure cuff 20 mm Hg about the
patient's systolic pressure - ....ANSWER...B. Tap the
facial nerve below the zygomatic arch anterior to the
earlobe.
Which of the following is a common sign of type 2 DM?
A. Anorexia
B. Recurrent yeast infection
C. Fluid overload
D. Elevated high-density lipoprotein cholesterol -
....ANSWER...B. Recurrent yeast infection
A male patient with diabetes asks the clinician why he
needs to check his blood sugar at home even when he feels
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,good. Which response by the clinician would be most
appropriate?
A. "Control of glucose will help postpone or
delay complications."
B. "Regularly checking blood sugar will help you"
C. "Monitoring glucose will promote a sense of
connectedness."
D. "Because you know it is the right thing to do for your
disease." - ....ANSWER...A. "Control of glucose will help
postpone or delay complications."
A 25-year-old patient presents to the clinic with fatigue,
cold intolerance, weight gain, and constipation for the past
3 months. On physical examination, the clinician notices
muscular stiffness, coarse, dry hair; and a delay in
relaxation in deep tendon reflexes. Which test should be
ordered next?
A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine Specific Gravity - ....ANSWER...B. Thyroid-
stimulating hormone
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, Which laboratory test result is diagnostic for
hypoglycemia?
A. A1C 7.0%
B. Fasting blood sugar 75 mg/dL
C. Glucose level 43 mg/dL
D. Random glucose level 64 mg/dL - ....ANSWER...C.
Glucose level 43 mg/dL
Data from the Framingham Heart study suggests that
individuals who are normotensive at 55 years of age have
how much lifetime risk of developing hypertension?
A. 65%
B 75%
C. 80%
D. 90% - ....ANSWER...D. 90%
Mary has hypertension and previously had a stroke.
Which hypertensive drug would you order for her?
A. Chlorthalidone
B. Metoprolol
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