Diabetes Pharmacology: Metformin, GLP-1, And GLP-1
Diabetes Pharmacology: Metformin, GLP-1, and GLP-1
Exam (elaborations)
Diabetes Pharmacology: Metformin, GLP-1, and GLP-1/GIP TEST
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Course
Diabetes Pharmacology: Metformin, GLP-1, and GLP-1
Institution
Diabetes Pharmacology: Metformin, GLP-1, And GLP-1
Diabetes Pharmacology: Metformin, GLP-1, and GLP-1/GIP TEST
Diabetes Pharmacology: Metformin, GLP-1, and GLP-1/GIP TEST
Diabetes Pharmacology: Metformin, GLP-1, and GLP-1/GIP TEST
Diabetes Pharmacology: Metformin,
GLP-1, and GLP-1/GIP TEST
Dr. Jones wants to start his newly diagnosed type 2 diabetes patient on a medication but is worried
about hypoglycemia. Which medications would have the lowest risk of hypoglycemia when used as
monotherapy?
a. glipizide
b. liraglutide
c. repaglinide
d. pioglitazone
e. dapagliflozin - b, d, and e
Which class of medication should not be used in a patient with a family history of thyroid cancer?
a. DPP-4 inhibitor
b. GLP-1 RA
c. SGLT2 inhibitor
d. TZD - b. GLP-1 RA
Sally calls your pharmacy complaining of a low blood glucose of 64 mg/dL. She has recently taken a
dose of Precose. What is the most appropriate recommendation to treat her hypoglycemia?
a. 4 oz of juice
b. glucagon injection
c. 1/2 box of thin mints
d. 3-4 glucose tablets - d. 3-4 glucose tablets
Which three medications increase insulin secretion?
a. glipizide
b. dulaglutide
c. empagliflozin
d. repaglinide
e. metformin - a, b, and e
, Your patient with type 2 diabetes was newly diagnosed with heart failure in the hospital. Prior to
their hospital discharge, the hospitalist asked if there were any diabetes medications which should
now be stopped. Which medications would you recommend to be discontinued?
a. Invokana
b. Actos
c. Onglyza
d. Ozempic
e. Glucophage - b and c
While providing discharge counseling to your patient, you discover their most recent eGFR 40 mg/dL.
Patient is currently on metformin 1,000mg twice daily. What is the best recommendation for his
metformin therapy?
a. continue 1,000mg BID
b. decrease to 500mg BID
c. increase to 2,500mg daily
d. discontinue metformin - b. decrease to 500mg BID
Jane was told by her physician that she will be started on a new injectable medication for her
diabetes. However, she is deadly afraid of needles. Which injectable medication could you
recommend to her provider to limit her needle phobia?
a. Bydureon BCise
b. Victoza
c. Ozempic
d. Monjaro - a and d
Jane is started on tirzepatide 2.5mg weekly. She takes her dose every Monday but realizes on
Wednesday she forgot her last dose. What should we do now?
a. skip dose and take on next scheduled day
b. take dose as soon as possible and start new weekly Wednesday schedule
c. take dose as soon as possible and keep Monday schedule - c. take dose as soon as possible and
keep Monday schedule
What benefits do GLP-1 RA have that DPP-4 inhibitors do not have?
a. increases insulin secretion
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