Diabetes and Endocrinology Exam PDF

Exam 2, Diabetes 1 and 2, Hypothyroidism, Alzheimer's and Dementia 1. You have determined that a 35 y/o woman is hypothyroid. in order to determine how much t4 replacement a patient needs to establish a euthyroid state, the APN considers the patient’s? 2. Which laboratory abnormality very commonly...

Exam 2, Diabetes 1 and 2, Hypothyroidism, Alzheimer's and Dementia 1. You have determined that a 35 y/o woman is hypothyroid. in order to determine how much t4 replacement a patient needs to establish a euthyroid state, the APN considers the patient’s? 2. Which laboratory abnormality very commonly occur with hypothyroidism? 3. when serum free T4 concentration falls? 4. when is the best time to measure TSH after initiating thyroid replacement therapy? 5. A 75 years old patient with no other significant medical history has been diagnosed with hypothyroidism. the patient weights 155 pounds with medication and appropriate dosage should the patient be on? 6. At 70 years old woman present with symptoms of weight loss palpitation and Constipation TSH:0.03, T4: 33 your next step to evaluate the thyroid is: 7. What is the most sensitive laboratory assay for the screening ambulatory patient for primary Hypothyroidism? 8. bariatric surgery for weight loss is recommended to patient with? 9. The diagnostic criteria for metabolic syndrome include all of the following except: 10. In patients with metabolic syndrome and expected last finding would include: 11. The meglitinide analogs (Prandin) are particularly helpful adjuncts in type 2 diabetes mellitus care to minimize risk of? 12. A 40 year old newly diagnosed type 2 DM patient was started on metformin. the dose has beentitrated to 1000 milligrams BID his latest HGb MoveA1C was 8.1% which of the following is an appropriate next step? 13. An active 72 years old patient with DM type 2 is feeling well with no symptoms. he is on metformin 500 milligrams BID has a follow up HGB A1C up 7.4% you would? 14. A thiazolidinedione TZD drug can be prescribed to which of the following patients? 15. 42 years old diabetic patient is on metformin and sulfonylurea his. HGbA1C is 6.5% he's complaining of dizziness with episodes of low blood sugar which of the following changes would be the most appropriate? 16. A 55 years old type 2 DM patient is maximizing on two oral medication. HGBA1C is 9.8% he his weight is 120 kilograms what is your next step? 17. At 38 years old female patient in good health presents to the clinic. she has a strong family history of type 2 DM. the patient thinks she has type 2 the end based on symptoms of polydipsia polyuria and polyphagia.her fasting blood glucose is 285. the nurse practitioner knows that this? 18. A 45 years old patient has been diabetic for five years. he has been on metformin but lately his fasting glucose has been elevated and his latest HGV A1C is 8.2%. you consider adding a second Hold oral medication. which medication would you not likely use? 19. Dan, 45 years old is obese and has type 2 DM has been having difficulty getting his HGbA1C under control he heard that GLP-1 receptor agonist(Byetta) cause weight loss. what is an appropriate response? 20. Metformin should be discontinued the day of and up to 48 hours after surgery or a procedure the uses contrast because of the increased risk of? 21. A recently diagnosed type 1D M patient will be started on insulin therapy. he weighs 120 kilograms what is the appropriate initial dose? 22. A patient has been recently diagnosed with DM type 2. which of the following is the least useful in the initial evaluation of this patient? 23. Intervention for microalbuminuria for a person with DM includes which of the following? 24. Early morning increase in blood sugar that occur with no corresponding hypoglycemia during this night is called? 25. HGB A1C should be tested 26. the maintenance goal of DM treatment in most non-pregnant adult is? 27. The test to differentiate type one and type 2D M is 28. a diabetic patient on insulin has elevated blood sugar levels in the morning despite increase in insulin. as an NP you instructed the patient to check his glucose in the middle of the night.he reports that his blood sugar is low when he checks it at 3:00 AM. how is the phenomenon test managed? 29. John is a 66 year old Caucasian male patient who inquiries about screening for colon cancer he isat average risk. he had a colonoscopy 10 years ago and wanted to know if he needs a follow up. your recommendation to him based on the guideline is? 30. Mary is a 68 year old woman who is coming for her annual checkup. she has no major concerns, no chronic health problems, or significant medical history. based on the recommended guidelines which test would you recommend as part of age-based screening open? select three: 31. A nurse practitioner is seen as 65 years old male patient. which of the following is an example of secondary prevention for the elder adult? 32. In prescribing medication for the elderly, the nurse practitioner should consider age-related change that can affect medication metabolism:033. Mr. Stevens is a 72 years old male who has hypertension. his BP is 134 / 82 and he has no complaints. on review of his medication you notice that for BP control he is on amlodipine 5 milligrams daily, lisinopril 5 milligrams daily, and enalapril 5 milligrams daily. using both the beer guide and stopp2 which guideline is applicable to Mr. Stevens regimen and would make your consider stopping one medication? 34. Meyers cruise is 81 years old and is on 7 medications. the nurse practitioner suspect that she may be forgetting to take some of her medications. What would be the best intervention? 35. John is 78 years old period he is being seen for his annual physical. An MMSE was done on his score at 22. How would you interpret this? 36. Bill is a 67 years old male who comes to the office for the physical exam. On reviewing his immunization history, he reveals that he received tetanus and listeria (Td) six years ago and received a flu shot in November. He denies having any other vaccination. Which immunization would you recommend for bill today? Select 2 that apply: 37. Mrs. Smith, 80 years old woman, has had two falls in the past year. Which of the following is the appropriate recommended intervention for fall prevention? 38. the nurse practitioner discusses fall prevention with a 70 year old patient. The NP knows that further teaching is needed when the patient the states? 39. The NP is asked to evaluate a 77 years old woman who recently had an expected fall. the patient is normally healthy and has no mobility limitation, or other obvious risk factors. During the history, the NP learns that the patient did not attempt to break the fall, “I used suddenly found myself on the floor”. This statement suggest: 40. And APN is assessing an older adult with the diagnosis of Alzheimer's disease. Any of the following manifestation may be seen in this client except 41. Delirium differs from dementia because delirium 42. What is not a characteristic of delirium in an elderly patient 43. When treating an older adult for male Alzheimer disease, which drug is the appropriate initial choice for primary care nurse practitioner to describe? 44. when managing a patient dementia, cholinesterase inhibitor offers the greatest benefit? 45. Which appropriate test for the initial assessment of an elderly patient who is presenting with memory problem provides information on functional performance of more complex activities? 46. We should the following are not included as part of the nurse practitioner’s assessment for Alzheimer's disease? 47. in evaluating a patient for dementia appropriate initial test include: select three that apply 48. a 60 years old patient has moderate cognitive deficit attributed to Alzheimer's disease, and has been started on a Cholinesterase inhibitor. The purpose of this drug is to 49. A patient has a high TSH and normal T4. The patient has: Select the most appropriate diagnosis 50. Criteria for the diagnosis of type 2 diabetes include: Select 3 that apply.