Diabetes Management: Insulin and Medication Use
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Questions and Answers

A patient with type II diabetes is experiencing morning hypoglycemia. What would be the most likely response to this problem?

  • Increase in insulin intake
  • Decrease in insulin intake (correct)
  • No change in insulin intake
  • Skipping a meal

Which of the following medications is most likely to cause excessive hypoglycemia in a patient with type II diabetes?

  • SGLT2 inhibitor
  • Thiazolidinediones
  • Metformin
  • Sulfonylureas (correct)

What is the mechanism by which metformin reduces blood sugar levels?

  • By increasing insulin secretion
  • By decreasing hepatic output (correct)
  • By increasing hepatic output
  • By stimulating the release of glucagon

A patient with type II diabetes is scheduled to undergo a tooth extraction that will reduce food intake. What adjustment should be made to their medication regimen on the day of the procedure?

<p>Reduce glipizide and keep metformin the same (A)</p> Signup and view all the answers

What is a characteristic of glargine insulin?

<p>Does not require adjustment for missed or reduced meals (C)</p> Signup and view all the answers

Which of the following medications is most likely to cause hypoglycemia in an individual who skips a meal?

<p>Glargine and glipizide (D)</p> Signup and view all the answers

What is the primary mechanism by which metformin reduces blood sugar levels?

<p>Decreasing hepatic glucose output (D)</p> Signup and view all the answers

What is the primary advantage of using human regular insulin over insulin analogs?

<p>Faster onset of action and shorter duration (A)</p> Signup and view all the answers

What is the primary benefit of using glipizide in the treatment of type II diabetes?

<p>Promoting the release of endogenous insulin (B)</p> Signup and view all the answers

What is a common adverse effect of insulin therapy?

<p>Hypoglycemia (B)</p> Signup and view all the answers

Which of the following medications reduces plasma glucose levels by inhibiting the reabsorption of glucose by the kidney?

<p>SGLT2 inhibitor (C)</p> Signup and view all the answers

What is the primary mechanism of action of Thiazolidinediones, such as pioglitazone?

<p>Increasing the sensitivity of target organs to insulin (C)</p> Signup and view all the answers

Which of the following medications is taken during the first part of a meal to delay the absorption of dietary carbohydrates?

<p>a and b (D)</p> Signup and view all the answers

Which of the following insulin preparations provides a faster response and shorter duration of action?

<p>Human Regular Insulin (C)</p> Signup and view all the answers

Which of the following medications is most likely to cause excessive hypoglycemia due to increased insulin secretion?

<p>Sulfonylurea, such as glipizide (B)</p> Signup and view all the answers

What is the most likely cause of infective endocarditis from the oral cavity?

<p>Viridans streptococci (C)</p> Signup and view all the answers

What is a risk associated with beta-lactam prophylaxis prior to dental procedures?

<p>Hypersensitivity reactions (B)</p> Signup and view all the answers

What is a characteristic of penicillin-induced allergies?

<p>Most often manifested by rashes (D)</p> Signup and view all the answers

What is the recommended antibiotic for oral prophylaxis in a patient with a history of Type 1 hypersensitivity reaction to penicillin?

<p>Doxycycline (B)</p> Signup and view all the answers

Why was clindamycin replaced with doxycycline as recommended IE prophylaxis in patients with Type 1 penicillin allergy?

<p>Concern over risk of Clostridioides difficile superinfection colitis (C)</p> Signup and view all the answers

What is the recommended treatment for symptomatic endocarditis due to moderately penicillin-resistant streptococci?

<p>Penicillin G with gentamicin or vancomycin iv (C)</p> Signup and view all the answers

Which cardiac condition requires prophylactic antibiotics before a dental procedure according to the 2007/8 AHA/ACC guidelines?

<p>Congenital heart defect repaired with prosthetic material with residual defect at site (B)</p> Signup and view all the answers

What is the mechanism of action of glucocorticoids in reducing inflammation?

<p>Decrease arachidonic acid release (C)</p> Signup and view all the answers

What is the recommended medication for a male patient with allergic rhinitis who wishes to minimize sedation?

<p>Second-generation H1 receptor antagonist (A)</p> Signup and view all the answers

Which medication causes the longest duration of increased gastric pH after a single conventional oral dose?

<p>Proton pump inhibitor (D)</p> Signup and view all the answers

Which laxative can produce the most rapid onset with the greatest increase in fecal water content?

<p>Osmotic laxative (polyethylene glycol) (C)</p> Signup and view all the answers

Which medication is most suitable for rapid reversal of acute bronchospasm in a teenager with a history of asthma?

<p>Inhaled albuterol (A)</p> Signup and view all the answers

What is a toxic effect of chronic exposure to nitrous oxide?

<p>Peripheral neuropathy caused by vitamin B12 deficiency (C)</p> Signup and view all the answers

What is the appropriate antidote for an overdose of a benzodiazepine?

<p>Flumazenil (A)</p> Signup and view all the answers

Which of the following substances induces CYP450 enzymes?

<p>Rifampin (B)</p> Signup and view all the answers

What is a toxic effect of chronic exposure to an organic mercurial such as ethylmercury and methylmercury?

<p>Altered CNS development in children (C)</p> Signup and view all the answers

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