PHARM 1 JESS Pharmacology Test 1
Study Set (Set 2)
A 46-year-old man presents for his annual physical. He states that he has been going to the
bathroom more frequently than normal and has lost approximately 20 pounds (9.1 kg) in the
past 6 months without trying. His random glucose today is 252 mg/dL (14.0 mmol/L). Which of
the following is most appropriate to confirm diagnosis of type 2 diabetes?
A. Obtain a fasting glucose level in the morning.
B. Have patient perform a 2-hour oral glucose tolerance test.
C. Obtain patient's hemoglobin A1c.
D. Obtain a repeat random glucose level.
E. Nothing; there is enough information available to diagnose patient with type 2 diabetes. -
ANSE.
2. A 36-year-old Caucasian woman is concerned about her risks for developing type 2 diabetes
because her mother and father have the disease. Currently, she weighs 145 lbs (66 kg; BMI =
22 kg/m2
) and has no other medical conditions. All of her children weighed less than 8 lbs (3.6 kg) at
birth and she is preparing for her second marathon. The most appropriate recommendation for
screening is to begin:
A. At the age of 45 then every 3 years if normal.
B. At the age of 45 then every year if normal.
C. At the age of 40 then every 3 years if normal.
D. At the age of 40 then every year if normal.
E. As soon as possible then every year if normal. - ANSA
A 67-year-old Caucasian woman has been recently diagnosed with type 2 diabetes. Her past
medical history is significant for hypertension, hyperlipidemia, and hypothyroidism. Her current
medications include hydrochlorothiazide, levothyroxine, and simvastatin. At diagnosis, her vitals
and labs were as follows: BP 157/94 mm Hg, Wt 157 lbs (71 kg; BMI = 24 kg/m2), A1c 8.7%
(0.087; 72 mmol/mol Hgb), FPG 174 mg/dL (9.7 mmol/L),
3. Which of the following is the most appropriate recommendation for therapy according to the
ADA algorithm?
A. Lifestyle changes only
B. Metformin only
C. Intensive insulin only
, D. Lifestyle changes and metformin
E. Lifestyle changes and intensive insulin
Diabetes Mellitus - ANSD
A 67-year-old Caucasian woman has been recently diagnosed with type 2 diabetes. Her past
medical history is significant for hypertension, hyperlipidemia, and hypothyroidism. Her current
medications include hydrochlorothiazide, levothyroxine, and simvastatin. At diagnosis, her vitals
and labs were as follows: BP 157/94 mm Hg, Wt 157 lbs (71 kg; BMI = 24 kg/m2
), A1c 8.7% (0.087; 72 mmol/mol Hgb), FPG 174 mg/dL (9.7 mmol/L), LDL 52 mg/dL (1.34
mmol/L), HDL 59 mg/dL (1.53 mmol/L), TG 45 mg/dL (0.51 mmol/L).
4. What is the patient's goal blood pressure according to current ADA treatment guidelines?
A. Less than 125/80
B. Less than 130/80
C. Less than 135/85
D. Less than 140/90
E.Less than 150/90
5. What is the most - ANSD
A 67-year-old Caucasian woman has been recently diagnosed with type 2 diabetes. Her past
medical history is significant for hypertension, hyperlipidemia, and hypothyroidism. Her current
medications include hydrochlorothiazide, levothyroxine, and simvastatin. At diagnosis, her vitals
and labs were as follows: BP 157/94 mm Hg, Wt 157 lbs (71 kg; BMI = 24 kg/m2
), A1c 8.7%
(0.087; 72 mmol/mol Hgb), FPG 174 mg/dL (9.7 mmol/L), LDL 52 mg/dL (1.34 mmol/L), HDL
59 mg/dL (1.53 mmol/L), TG 45 mg/dL (0.51 mmol/L).
What is the most appropriate medication to add to the patient's regimen to control her
hypertension? - ANSLisinopril
What should be developed for people with diabetes based on cultural preferences,
comorbidities, and daily schedule as much as possible? - ANSIndividualized meal plans
A 12 Year Old boy is newly diagnosed with type 1 diabetes. His current height is 60 in (152 cm)
and he weighs 40 KG (88 lb). What dose of basal insulin should be initiated for him? - ANS12
units insulin glargine
Oral glucose lowerng agents that primarily inhibit the breakdown of glucagon-like peptide 1 are
classified as: - ANSDDP-4 inhibitors
A 32 year old woman is diagnosed with gestational diabetes after being administered an oral
glucose tolerance test during her 28th week of gestation. She has not been able to reduce or
control her glucose readings with lifestyle interventions alone and her physician wants to start
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