Question: According to the American Heart Association, the control targets for patients with diabetes include:
Answer Options:
A. A fasting A1c between 8 and 10
B. Fasting glucose between 80 and 100
C. Blood pressure 130/80
D. Lipids less than 150
Correct Answer: Blood pressure 130/80
Answer:
Question: Adam has type I diabetes and plays baseball for his university. He exhibits knowledge deficit about his insulin and his diagnosis. He should be taught that:
Answer Options:
A. He should increase his carbohydrate intake during times of exercise.
B. Each brand of insulin is equal in bioavailability, so buy the least expensive.
C. Alcohol produces hypoglycemia and can help control his diabetes when taken in small amounts.
D. If he does not want to learn to give himself injections, he may substitute an oral hypoglycemic to control his diabetes.
Correct Answer: A. He should increase his carbohydrate intake during times of exercise.
Answer:
Question: According to the American Diabetes Association, Januvia (sitagliptin) can be used as:
Answer Options:
Monotherapy and once daily dose
Combination with metformin
Both a and b
Neither a or b
Correct Answer: Both a and b
Answer:
Question: An NP prescribes Byetta and the treatment for diabetes may:
Correct Answer: Directly bind to a receptor in the pancreatic beta cell
Answer:
Question: The GLP-1 (Byetta) and the treatment for diabetes:
Answer Options:
May have been approved for monotherapy
May speed gastric emptying to decrease appetite
It may be given orally once daily
Directly bind to the receptor in the beta cell
Correct Answer: Directly bind to the receptor in the beta cell
Answer:
Question: Prior to prescribing metformin, the NP provider should:
Answer Options:
A. Draw a serum creatinine to assess renal function
B. Try the patient on insulin
C. Tell the patient to increase iodine intake
D. Have the patient stop taking any sulfonylurea to avoid dangerous drug interactions
Correct Answer: A. Draw a serum creatinine to assess renal function
Answer:
Question: Metformin is a primary choice of drug to treat hyperglycemia in Type 2 diabetes because it:
Answer Options:
A. Substitutes for insulin usually secreted by the pancreas
B. Decreases glycogenolysis by the liver
C. Increases the release of insulin from beta cells
D. Decreases peripheral glucose utilization
Correct Answer: B. Decreases glycogenolysis by the liver
Answer:
Question: Humalog is an insulin analog produced by the recombinant deoxyribonucleic acid (DNA) technology. Which of the following statements about this form of insulin is not true?
Answer Options:
It has no pronounced peak
It is compatible with NPH
The duration of action is increased when the dose is increased
The optimal time of pre-prandial injection is 15 minutes
Correct Answer: It has no pronounced peak
Answer:
Question: Prophylactic use of bisphosphonates is recommended for patients with early osteopenia related to long-term use of which of the following drugs?
Answer Options:
A. Selective estrogen receptor modulators
B. Aspirin
C. Glucocorticoids
D. Calcium supplements
Correct Answer: C. Glucocorticoids
Answer:
Question: Bisphosphonates treat or prevent osteoporosis by:
Answer Options:
A. Inhibiting osteoclastic activity
B. Fostering bone resorption
C. Enhancing calcium uptake in bone
D. Strengthening the osteoclastic proton pump
Correct Answer: A. Inhibiting osteoclastic activity
Answer: