Exam (elaborations)

Advanced Pharmacology Fundamentals Endocrine system Exam with answers

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Course
NURS

Institution
NURS

I understand the value of doing my own work and learning this skill to support my future independent practice as a nurse practitioner. I understand that while there may be opportunities beyond my faculty’s control to collaborate or share answers with peers, that it would not benefit my own person...

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Uploaded on December 28, 2023
Number of pages 52
Written in 2023/2024
Type Exam (elaborations)
Contains Questions & answers

dm diagnostic criteria
hemoglobin a1c
rosenthal burchum 2021
pharmacological intervention
oral glucose tolerance test ogtt
hdl cholesterol 40 mgdl 10 mmoll

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Advanced Pharmacology
Fundamentals Endocrine system
Exam with answers
Question 1
pts
I understand the value of doing my own work and learning this skill to support my future
independent practice as a nurse practitioner. I understand that while there may be opportunities
beyond my faculty’s control to collaborate or share answers with peers, that it would not benefit
my own personal and professional growth to do so. I agree to do my own work and take
personal responsibility for my learning.

I do not.

I do.

Question 2
pts
Use the John Jones case study to answer the following
question. Which glucose level equates with a Hgb A1C of
8.1%?

~204 mg/dl

~160 mg/dl

~175 mg/dl

~183 mg/dl

The correct answer is ~183mg/ dl. See page 400, Table 48.4, Hemoglobin A1c levels and their
corresponding eAG levels for complete information.

Question 3
pts
Use the John Jones case study to answer the following question.
John calls the office and reports that he is scheduled for diagnostic testing that requires IV
contrast for imaging. He inquires if there are concerns with undergoing this procedure while
taking his medications. What instructions should be given to John regarding his metformin
regimen?

,Advanced Pharmacology
Fundamentals Endocrine system
Exam with answers

Don’t take the metformin the day of the procedure and for 48 hours afterward.

,Advanced Pharmacology
Fundamentals Endocrine system
Exam with answers
No special instructions are needed.

Take the metformin the morning of the procedure but don’t take it for 48 hours afterward.

Don’t take the metformin the day of the procedure but resume the following day.

Metformin must be withheld on the day of the procedure and for 48 hours afterward. Serum
creatinine levels should be normal before resuming metformin.

Question 4
pts
Use the John Jones case study to answer the following question.
Which of the following lab test should be evaluated before prescribing metformin?

Complete blood count (CBC)

Complete metabolic profile (CMP)

Lipid Panel

Urinalysis

CMP provides a baseline evaluation for both hepatic and renal function which should be
evaluated throughout treatment with metformin.

Question 5
pts
Use the John Jones case study to answer the following question.
Which behavior in John’s social history poses a potential concern with initiating metformin?

His diet largely consists of fast-food meals. He drinks sweet tea with every meal.

He reports drinking “a few beers on the weekend during football season”.

, Advanced Pharmacology
Fundamentals Endocrine system
Exam with answers
No answer text provided.

He drinks 3-4 cups of coffee per day.

Metformin is contraindicated in alcoholics. Although it does not sound as if John is an alcoholic,
further questioning is needed, and the discussion should be documented. Metformin taken by
alcoholics increases the risk of lactic acidosis so John should be educated on this risk along with
signs and symptoms of lactic acidosis.

Question 6
pts
Use the John Jones case study to answer the following
question. Metformin works by decreasing
and
.

glucogenesis; incretin secretion

incretin secretion; insulin production

Correct Answer

glucogenesis; insulin resistance

insulin resistance; incretin secretion

Metformin decreases glucogenesis and insulin resistance.

Question 7
pts
Use the John Jones case study to answer the following question.
Using the ADA Standards of Medical Care in Diabetes-2020, which of the following medications
should be prescribed for John?

Canagliflozin

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Exam (elaborations)

Advanced Pharmacology Fundamentals Endocrine system Exam with answers

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