Are there recommended goals for weight loss and increasing physical activity that
should be targeted for patients with impaired glucose tolerance or impaired fasting
glucose?
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weight loss >5% of body wt
According to the AACE Algorithm (updated yearly), at what A1c level should you
consider putting the patient on "dual therapy" for his diabetes?
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start w/ "dual therapy" for patients with an initial A1c ≥ 7.5%. If the A1c is not
at goal in 3 months, the recommendation is to intensify therapy. Triple
therapy or treatment with insulin may be needed for some patients. If the
initial A1c is greater than 9.0%, the recommendation is to start with insulin
, (with or without other agents), especially if the patient has symptoms of
diabetes.
What are the contraindications to metformin therapy?
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GFR <30, renal dysfunction, predisposition to lactic acidosis,
decompensated CHF
In hyperthyroidism due to Graves disease, what are the expected findings on 24-hour
radioiodine uptake and thyroid scan?
A Increased uptake with diffuse homogenous appearance on scan
B Decreased uptake with heterogeneous findings on scan
C Increased update in multiple focal areas of the thyroid
D Increased uptake in focal area of the thyroid
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Answer: A
Radioiodine uptake provides measures of iodine uptake of the thyroid at 4
and 24 hours. In Graves disease, uptake is elevated with diffuse
homogenous image on the scan. The radioiodine scan in patients with
thyroiditis shows decreased uptake and heterogenous distribution
throughout the thyroid. Radioiodine is concentrated in one spot of the
thyroid in patients with toxic adenoma and concentrated in multiple areas
in patients with toxic multinodular goiter.
What are the screening recommendations for HTN r/t T1DM?
, Give this one a try later!
Cuff blood pressure at time of diagnosis and every office visit thereafter.
Elevated blood pressure should be confirmed on 3 separate days.
Are there any additional screening considerations that apply to children or
adolescents with type 1 diabetes mellitus?
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check kidney fxn, lipids, HA1c every 6 months on stable pts, every 3 mo in
patients changing therapy. monitor BP and cholesterol. screen for
neuropathy. add aspirin therapy. monitor B12
The most common physical finding in a child with congenital hypothyroidism is:
A Open posterior fontanelle
B Macroglossia
C Hypotonia
D Normal physical exam
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Answer: D
Most children with congenital hypothyroidism do not have clinical
manifestations of hypothyroidism due to the presence of maternal thyroid
hormones or a small amount of thyroid tissue in the infant. If present, signs
and symptoms of congenital hypothyroidism may include lethargy,
hypotonia, hoarse cry, feeding problems, constipation, macroglossia, open
posterior fontanelle, umbilical hernia, dry skin, hypothermia, and prolonged
jaundice.
should be targeted for patients with impaired glucose tolerance or impaired fasting
glucose?
Give this one a try later!
weight loss >5% of body wt
According to the AACE Algorithm (updated yearly), at what A1c level should you
consider putting the patient on "dual therapy" for his diabetes?
Give this one a try later!
start w/ "dual therapy" for patients with an initial A1c ≥ 7.5%. If the A1c is not
at goal in 3 months, the recommendation is to intensify therapy. Triple
therapy or treatment with insulin may be needed for some patients. If the
initial A1c is greater than 9.0%, the recommendation is to start with insulin
, (with or without other agents), especially if the patient has symptoms of
diabetes.
What are the contraindications to metformin therapy?
Give this one a try later!
GFR <30, renal dysfunction, predisposition to lactic acidosis,
decompensated CHF
In hyperthyroidism due to Graves disease, what are the expected findings on 24-hour
radioiodine uptake and thyroid scan?
A Increased uptake with diffuse homogenous appearance on scan
B Decreased uptake with heterogeneous findings on scan
C Increased update in multiple focal areas of the thyroid
D Increased uptake in focal area of the thyroid
Give this one a try later!
Answer: A
Radioiodine uptake provides measures of iodine uptake of the thyroid at 4
and 24 hours. In Graves disease, uptake is elevated with diffuse
homogenous image on the scan. The radioiodine scan in patients with
thyroiditis shows decreased uptake and heterogenous distribution
throughout the thyroid. Radioiodine is concentrated in one spot of the
thyroid in patients with toxic adenoma and concentrated in multiple areas
in patients with toxic multinodular goiter.
What are the screening recommendations for HTN r/t T1DM?
, Give this one a try later!
Cuff blood pressure at time of diagnosis and every office visit thereafter.
Elevated blood pressure should be confirmed on 3 separate days.
Are there any additional screening considerations that apply to children or
adolescents with type 1 diabetes mellitus?
Give this one a try later!
check kidney fxn, lipids, HA1c every 6 months on stable pts, every 3 mo in
patients changing therapy. monitor BP and cholesterol. screen for
neuropathy. add aspirin therapy. monitor B12
The most common physical finding in a child with congenital hypothyroidism is:
A Open posterior fontanelle
B Macroglossia
C Hypotonia
D Normal physical exam
Give this one a try later!
Answer: D
Most children with congenital hypothyroidism do not have clinical
manifestations of hypothyroidism due to the presence of maternal thyroid
hormones or a small amount of thyroid tissue in the infant. If present, signs
and symptoms of congenital hypothyroidism may include lethargy,
hypotonia, hoarse cry, feeding problems, constipation, macroglossia, open
posterior fontanelle, umbilical hernia, dry skin, hypothermia, and prolonged
jaundice.
