Actual Complete Real Exam Questions And Correct Answers
(Verified Answers) Already Graded A+ |Guaranteed Success!!
Newest Exam | Just Released!!
A 48-year-old patient is started on metformin (Glucophage) for Type 2
diabetes (T2DM). The maximum expected hemoglobin A1C reduction
after initiation of this medication is:
0.5%.
1%.
2%.
3%.
2%
Due to the mechanism of action of meglitinides used in the treatment of Type
2 diabetes, they should be administered:
at meal time.
at bedtime.
2 hours after a meal.
2 hours before the largest meal of the day.
at meal time.
When taken on an empty stomach they have a 56% bioavailability when
absorbed from the gastrointestinal tract. Bioavailability is reduced when
taken with food; the maximum concentration decreases by 20%,
therefore reducing the risk of
hypoglycemia. They should be administered within 30 minutes of a
meal or at mealtime 2-4 times daily.
,Which of the following side effects may be caused by methimazole
(Tapazole)? Osteoporosis
Anxiety
Hypothyroidism
Supraventricular tachycardia
Hypothyroidism
Methimazole (Tapazole) can cause hypothyroidism, necessitating routine
monitoring of TSH and free T4 levels with adjustments in dosing to maintain
a euthyroid state.
Other serious adverse reactions to methimazole (Tapazole) may include bone
marrow suppression, hepatotoxicity, exfoliative dermatitis, unexplained
fever, lupus- like syndrome and vasculitis.
Signs and symptoms of hypoglycemia may be blunted by:
beta-blockers.
calcium-channel
blockers. diuretics.
thyroid hormones.
beta-blockers.
Classically, hypoglycemia is evidenced by shakiness or jitteriness in a patient
who is experiencing hypoglycemia. Beta blockers mask these signs by
inhibiting these
symptoms. Hence, diabetics who take beta blockers may not experience
these signs of hypoglycemia and should be taught to watch for
diaphoresis
, Sulfonylureas such as glyburide (Micronase) are extensively
metabolized: in the small intestine.
by the renal
nephrons.
in the liver.
by beta cells in the pancreas.
in the liver.
A patient who is started on a glucagon-like peptide (GLP-1), such as
Victoza, should be informed that this class of medications may:
increase satiety.
cause
hypoglycemia.
cause weight gain.
are inexpensive.
increase satiety.
The most common serious side effect associated with glimepiride (Amaryl)
is: asthenia.
diarrhea.
hypoglycemi
a. metallic
taste.
hypoglycemia.