CMN 572 Exam 3 – Questions With Clear Solutions
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Terms in this set (226)
Hgb A1c is done how often for Every 3 months
diabetic patients?
Fundoscopic eye exam is done how Every office visit beginning with the initial diagnosis.
often for diabetic patients?
Document the last yearly dilated eye exam under the
SUBJECTIVE ROS
Diabetic foot exam is done how Every office visit
often? - Visual inspection
- Test for sesation with monofilament or tuning fork
Comprehensive foot exam is done Annually
how often for diabetic patients?
Lipids are checked how often for Yearly; more often is not at goal; document the last
diabetic patients? lipid panel with every SOAP note
BP goal for diabetic patients 130/80 or less
If uncontrolled, order an ACE
How often should diabetic patients Yearly; document the last one, and order if needed.
have a urine albumin/creatinine ratio
done?
What mnemonic is used to help GLUCOSE BAD
remember important aspects of the
diabetes visit?
,How often is dental care Every 6 months
recommended for diabetic patients?
Hgb A1C is checked how often for Every 1-2 years
those who are prediabetic?
Per the ADA, what is the A1C results 5.7-6.4%
for prediabetes?
What is Addisons Disease? Adrenal insufficiency; the body doesn't make enough
of certain hormones
What is Graves' Disease? An autoimmune disease due to the overproduction
of thyroid hormones
S/S of Graves' Disease Weight loss (despite increased appetite),
rapid/irregular heart beat, nervousness, irritability,
trouble sleeping, fatigue, shaky hands, muscle
weakness, sweating, trouble tolerating heat, frequent
BMs, enlarged thyroid gland, bulging eyes
What is Cushings Disease? A disease of the adrenal gland where it produces too
much cortisol
Hormonal disorder
Most often due to a tumor (pituitary adenoma)
What is a pituitary adenoma? A benign tumor on the pea-sides pituitary gland -->
seen in Cushings Disease
How does Farxiga work? Sodium-glucose cotransporter-2 (SGLT-2) inhibitor
Blocks some of the sugar and sodium reabsorption in
the kidneys and flushes sugar away via urine
, How does Invokana work? Blocking certain proteins in the kidneys that absorb
sugar back into the blood.
Increases the amount of sugar that is excreted
through urination
Can be used with metformin to meet goals
Side Effects of Synthroid Diarrhea, insomnia, nausea, headache, sweating,
chest pain, menstrual changes, anxiety, nervousness,
tremors, weakness, palpitations, fever, cramps,
INCREASED appetite
What is bolus dosing of insulin? A single dose of insulin, given for food or correction
What is basal dosing of insulin? "Background" insulin. Works steadily throughout the
day
What is PTU? Prophylthiouracil
- Used to treat HYPERthyroidism and Graves' disease
- Lowers the amount of thyroid hormone that the
thyroid gland makes
Brand name: Propycil
Favored during pregnancy & breastfeeding
Initial dose: 300-600mg/day divided QID
Normal range for TSH 0.4-4
TSH >4 with a normal free T4 = Subclinical hypothyroidism, usually asymptomatic
Needs close monitoring for possible development of
hypothyroidism
TSH will be elevated or decreased Elaveted
with HYPOthyroidism?
Save
Terms in this set (226)
Hgb A1c is done how often for Every 3 months
diabetic patients?
Fundoscopic eye exam is done how Every office visit beginning with the initial diagnosis.
often for diabetic patients?
Document the last yearly dilated eye exam under the
SUBJECTIVE ROS
Diabetic foot exam is done how Every office visit
often? - Visual inspection
- Test for sesation with monofilament or tuning fork
Comprehensive foot exam is done Annually
how often for diabetic patients?
Lipids are checked how often for Yearly; more often is not at goal; document the last
diabetic patients? lipid panel with every SOAP note
BP goal for diabetic patients 130/80 or less
If uncontrolled, order an ACE
How often should diabetic patients Yearly; document the last one, and order if needed.
have a urine albumin/creatinine ratio
done?
What mnemonic is used to help GLUCOSE BAD
remember important aspects of the
diabetes visit?
,How often is dental care Every 6 months
recommended for diabetic patients?
Hgb A1C is checked how often for Every 1-2 years
those who are prediabetic?
Per the ADA, what is the A1C results 5.7-6.4%
for prediabetes?
What is Addisons Disease? Adrenal insufficiency; the body doesn't make enough
of certain hormones
What is Graves' Disease? An autoimmune disease due to the overproduction
of thyroid hormones
S/S of Graves' Disease Weight loss (despite increased appetite),
rapid/irregular heart beat, nervousness, irritability,
trouble sleeping, fatigue, shaky hands, muscle
weakness, sweating, trouble tolerating heat, frequent
BMs, enlarged thyroid gland, bulging eyes
What is Cushings Disease? A disease of the adrenal gland where it produces too
much cortisol
Hormonal disorder
Most often due to a tumor (pituitary adenoma)
What is a pituitary adenoma? A benign tumor on the pea-sides pituitary gland -->
seen in Cushings Disease
How does Farxiga work? Sodium-glucose cotransporter-2 (SGLT-2) inhibitor
Blocks some of the sugar and sodium reabsorption in
the kidneys and flushes sugar away via urine
, How does Invokana work? Blocking certain proteins in the kidneys that absorb
sugar back into the blood.
Increases the amount of sugar that is excreted
through urination
Can be used with metformin to meet goals
Side Effects of Synthroid Diarrhea, insomnia, nausea, headache, sweating,
chest pain, menstrual changes, anxiety, nervousness,
tremors, weakness, palpitations, fever, cramps,
INCREASED appetite
What is bolus dosing of insulin? A single dose of insulin, given for food or correction
What is basal dosing of insulin? "Background" insulin. Works steadily throughout the
day
What is PTU? Prophylthiouracil
- Used to treat HYPERthyroidism and Graves' disease
- Lowers the amount of thyroid hormone that the
thyroid gland makes
Brand name: Propycil
Favored during pregnancy & breastfeeding
Initial dose: 300-600mg/day divided QID
Normal range for TSH 0.4-4
TSH >4 with a normal free T4 = Subclinical hypothyroidism, usually asymptomatic
Needs close monitoring for possible development of
hypothyroidism
TSH will be elevated or decreased Elaveted
with HYPOthyroidism?
