NGR6200
Endocrine/Metabolic/Thyroid/Gout
Problems
(Dunphy)
Exam
4
questions
with
correct
answers
____
1.
A
patient
is
66
inches
in
height,
weighing
200
pounds,
and
newly
diagnosed
with
type
2
diabetes
mellitus
(DM).
Her
fasting
plasma
glucose
level
is
215
mg/dL.
What
is
the
best
initial
treatment?
a.
No
treatment
at
this
time
b.
Diet
and
exercise
for
6-week
trial
c.
Diet,
exercise,
and
oral
medication
d.
Diet,
exercise,
and
exogenous
insulin
-
ANSWER-b.
-
Diet
and
exercise
for
6-week
trial
_____
2.
The
clinician
suspects
that
a
client
seen
in
the
office
has
hyperthyroidism.
Which
of
the
following
tests
should
the
clinician
order
on
the
initial
visit?
a.
High
sensitivity
thyroid-stimulating
hormone
(TSH)
and
free
T4
b.
Free
T4
and
serum
calcium
c.
Free
T3
and
T4
d.
TSH
and
thyroxin
antibodies
-
ANSWER-a.
-
High
sensitivity
thyroid-stimulating
hormone
(TSH)
and
free
T4
____
3.
A
patient
with
type
2
diabetes
asks
the
clinician
why
she
needs
to
exercise.
In
order
to
answer
her,
the
clinician
must
understand
that
exercise
has
what
effect
on
the
patient
with
type
2
diabetes? a.
Reduces
postprandial
blood
glucose
b.Reduces
triglycerides
and
increases
high-density
lipoprotein
(HDL)
c.
Reduces
total
cholesterol
d.
All
of
the
above
-
ANSWER-d.
All
of
the
above
____
4.
A
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.
Check
his
blood
sugar.
b.
Give
him
drink
4
ounces
of
juice.
c.
Call
911.
d.
Ask
him
about
his
usual
eating
habits.
-
ANSWER-b.
-
Give
him
drink
4
ounces
of
juice.
___
5.
A
patient
with
type
2
diabetes
comes
to
the
clinic
after
reading
about
metformin
in
a
magazine.
Which
of
the
following
conditions
that
the
patient
also
has
would
be
a
contraindication
to
taking
metformin?
a.
Ketoacidosis
b.
Cirrhosis
c.
Hypoglycemic
episodes
d.
All
of
the
above
-
ANSWER-d.
All
of
the
above
____
6.
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
a
sinus
bradycardia;
muscular
stiffness;
coarse,
dry
hair;
and
a
delay
in
relaxation
in
deep
tendon
reflexes.
Which
of
the
following
tests
should
be
ordered
next?
a.
Serum
calcium
b.
TSH
c.
Electrolytes
d.
Urine
specific
gravity
-
ANSWER-b.
TSH
Endocrine/Metabolic/Thyroid/Gout
Problems
(Dunphy)
Exam
4
questions
with
correct
answers
____
1.
A
patient
is
66
inches
in
height,
weighing
200
pounds,
and
newly
diagnosed
with
type
2
diabetes
mellitus
(DM).
Her
fasting
plasma
glucose
level
is
215
mg/dL.
What
is
the
best
initial
treatment?
a.
No
treatment
at
this
time
b.
Diet
and
exercise
for
6-week
trial
c.
Diet,
exercise,
and
oral
medication
d.
Diet,
exercise,
and
exogenous
insulin
-
ANSWER-b.
-
Diet
and
exercise
for
6-week
trial
_____
2.
The
clinician
suspects
that
a
client
seen
in
the
office
has
hyperthyroidism.
Which
of
the
following
tests
should
the
clinician
order
on
the
initial
visit?
a.
High
sensitivity
thyroid-stimulating
hormone
(TSH)
and
free
T4
b.
Free
T4
and
serum
calcium
c.
Free
T3
and
T4
d.
TSH
and
thyroxin
antibodies
-
ANSWER-a.
-
High
sensitivity
thyroid-stimulating
hormone
(TSH)
and
free
T4
____
3.
A
patient
with
type
2
diabetes
asks
the
clinician
why
she
needs
to
exercise.
In
order
to
answer
her,
the
clinician
must
understand
that
exercise
has
what
effect
on
the
patient
with
type
2
diabetes? a.
Reduces
postprandial
blood
glucose
b.Reduces
triglycerides
and
increases
high-density
lipoprotein
(HDL)
c.
Reduces
total
cholesterol
d.
All
of
the
above
-
ANSWER-d.
All
of
the
above
____
4.
A
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.
Check
his
blood
sugar.
b.
Give
him
drink
4
ounces
of
juice.
c.
Call
911.
d.
Ask
him
about
his
usual
eating
habits.
-
ANSWER-b.
-
Give
him
drink
4
ounces
of
juice.
___
5.
A
patient
with
type
2
diabetes
comes
to
the
clinic
after
reading
about
metformin
in
a
magazine.
Which
of
the
following
conditions
that
the
patient
also
has
would
be
a
contraindication
to
taking
metformin?
a.
Ketoacidosis
b.
Cirrhosis
c.
Hypoglycemic
episodes
d.
All
of
the
above
-
ANSWER-d.
All
of
the
above
____
6.
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
a
sinus
bradycardia;
muscular
stiffness;
coarse,
dry
hair;
and
a
delay
in
relaxation
in
deep
tendon
reflexes.
Which
of
the
following
tests
should
be
ordered
next?
a.
Serum
calcium
b.
TSH
c.
Electrolytes
d.
Urine
specific
gravity
-
ANSWER-b.
TSH
