NAPLEX diabetes Best Exam Questions
With 100% Complete solutions Graded
A+
test used to identify patients who still produce insulin - CORRECT ANSWER-C peptide
examples of macrovascular disease - CORRECT ANSWER-coronary artery disease,
cerebrovascular disease, peripheral artery disease
which group has a higher risk of DM with a lower BMI - CORRECT ANSWER-Asian
Americans
Pre diabetes dx criteria - CORRECT ANSWER-fasting glucose 100-125; 2 hr plasma
glucose (75g) 140-199; or A1c 5.7-6.4%
Diabetes criteria for diagnosis - CORRECT ANSWER-symptoms plus random glucose >
200; fasting > 126; 2 hour OGTT > 200 or A1c > 6.5%
meds that can increase blood glucose - CORRECT ANSWER-atypical antipsych, azoles
(posa), beta agonists, BB (carvedilol, propranolol), cough syrup, cyclosporine, FK,
sirolimus, Diazoxide, interferon alfa, niacin, octreotide, protease inhib, quinolones,
steroids, thiazides, loops
drugs that lower blood glucose - CORRECT ANSWER-linezolid, lorcaserin (Belviq),
Octreotide (with Type 1), pentamidine, propranolol and non-selective BB, Quinine,
quinolones
Gestational diabetes goals - CORRECT ANSWER-preprandial < 95; 1 hour post < 140,
2 hours post < 120
Pregestational diabetes goals - CORRECT ANSWER-A1c < 6%, preprandial 60-99,
peak post-prandial 100-129
,goal waist circumference - CORRECT ANSWER-< 35 inches female; < 40 inches male
goal fiber intake - CORRECT ANSWER-14 grams per 1,000 kcal; 25 g for females and
38 g for males
who should get aspirin therapy as primary prevention - CORRECT ANSWER-males >
50 and females > 60 with at least 1 additional factor (HTN, CVD, family hx, smoking,
etc)
what should be used if patient has aspirin allergy - CORRECT ANSWER-clopidogrel
75mg
benefit of ACEI and ARBs - CORRECT ANSWER-delay progression to diabetic
nephropathy in those with albuminuria
when do patients qualify for high intensity statin - CORRECT ANSWER-<40 years with
overt CVD or >40 year with CVD risk factors or overt CVD
vaccinations indicated for diabetic patients - CORRECT ANSWER-Hep B if
unvaccinated between 19-59; influenza, pneumococcal; Tetanus if due
ADA guidelines - CORRECT ANSWER-< 7%, preprandial 80-130; peak post-prandial <
180
AACE guidelines - CORRECT ANSWER-< 6.5%, preprandial < 110, peak post-prandial
< 140
when should initial therapy contain two drugs - CORRECT ANSWER-A1c >/= 9
when should initial therapy include insulin - CORRECT ANSWER-A1c > 10 or BG > 300
at one point should an additional agent be added - CORRECT ANSWER-A1c not at
goal after 3 months
, which three drug regimens are not recommended - CORRECT ANSWER-metformin +
DPP4 + GLP1 or metformin + SGLT2 + GLP1
medications with only moderate efficacy - CORRECT ANSWER-DPP4 inhib, SGLT2
inhib, pramlintide
moderate risk of hypoglycemia - CORRECT ANSWER-SU adn meglitinides
drugs that can cause weight loss - CORRECT ANSWER-GLP1 agonists, SGLT2 inhib,
primlintide
drugs that cause weight gain - CORRECT ANSWER-insulin, SUs, meglitinides, TZDs
which medications increase insulin secretion - CORRECT ANSWER-SUs and
Meglitinides
how does metformin work - CORRECT ANSWER-decreases hepatic glucose
production, decreases glucose absorption, and increases sensitivity
when is metformin CI - CORRECT ANSWER-Scr > 1.5 in males, > 1.4 in females
Metaglip - CORRECT ANSWER-metformin and glipizide
Glucovance - CORRECT ANSWER-metformin and glyburide
Actoplus Met - CORRECT ANSWER-pioglitazone and metformin
Avandamet - CORRECT ANSWER-rosiglitazone and metformin
Janumet - CORRECT ANSWER-sitagliptin and metformin
