NR 667 VISE Assignment (Latest Update
) Questions with Correct
Answers {Grade A }100% Verified
Etiology: DM II - correct answer -Influences by genetics and environmental factors
-High body mass and central obesity
-Drug or chemical-induced: glucocorticoids, highly active antiretroviral therapy
Risk factors: DM II - correct answer -BMI > 25
-History of gestational DM and/or macrocosmic infant
-Family history of T2DM
-Conditions associated with insulin resistance: PCOS, acanthosis nigricans)
-HDL-C < 35 and/or TG > 250
-HTN
-History of CVD
-Hemochromatosis
,-Impaired fasting glucose
-Physically active < 3 days/week
Assessment findings: DM II - correct answer -Usually discovered on routine exam
-CMP and urinalysis: glycosuria, proteinuria, hyperglycemia
-Obesity
-Acanthosis nigricans
-Polydipsia, polyuria, polyphagia
-Fatigue
-Blurred vision
-Chronic skin infections
-Balanitis in men > 65 years
-Chronic candidiasis vulvovaginitis
-Hyperosmolar state or coma
,Differential diagnosis: DM II - correct answer -TIDM
-Prediabetes
-Gestational diabetes
-Cushing's syndrome
-Pheochromocytoma
-Acromegaly
-Corticosteroid use
-Pancreatic insufficiency
Final diagnosis: DM II - correct answer -Fasting plasma glucose: > 126
-HgA1c: ≥ 6.5%
-Random plasma glucose + oral glucose tolerance test: ≥200 with symptoms OR 2-
hour plasma glucose ≥ 200 on OGTT with 75g glucose load
-Prediabetes: fasting glucose 100-125 OR A1C 5.7-6.4% OR OGTT 140-199
, -A1C every 3 months until goal is met or therapy is changed, then twice yearly with
stable glycemic control
Prevention: DM II - correct answer -Weight loss of 7-10%; reach and maintain normal
BMI
-Exercise 150 mins or more per week; no more than 2 consecutive days without
activity
-Resistance training 2-3x/week
-Reduce length of sedentary intervals by interrupting prolonged sitting every 30 mins
-Screen for tobacco use; provide smoking cessation counseling and referral
-Screen for depression, distress, anxiety, eating disorders, cognitive impairment
-Screen for ability to afford meds, access to healthy food, food insecurity, and
community support
) Questions with Correct
Answers {Grade A }100% Verified
Etiology: DM II - correct answer -Influences by genetics and environmental factors
-High body mass and central obesity
-Drug or chemical-induced: glucocorticoids, highly active antiretroviral therapy
Risk factors: DM II - correct answer -BMI > 25
-History of gestational DM and/or macrocosmic infant
-Family history of T2DM
-Conditions associated with insulin resistance: PCOS, acanthosis nigricans)
-HDL-C < 35 and/or TG > 250
-HTN
-History of CVD
-Hemochromatosis
,-Impaired fasting glucose
-Physically active < 3 days/week
Assessment findings: DM II - correct answer -Usually discovered on routine exam
-CMP and urinalysis: glycosuria, proteinuria, hyperglycemia
-Obesity
-Acanthosis nigricans
-Polydipsia, polyuria, polyphagia
-Fatigue
-Blurred vision
-Chronic skin infections
-Balanitis in men > 65 years
-Chronic candidiasis vulvovaginitis
-Hyperosmolar state or coma
,Differential diagnosis: DM II - correct answer -TIDM
-Prediabetes
-Gestational diabetes
-Cushing's syndrome
-Pheochromocytoma
-Acromegaly
-Corticosteroid use
-Pancreatic insufficiency
Final diagnosis: DM II - correct answer -Fasting plasma glucose: > 126
-HgA1c: ≥ 6.5%
-Random plasma glucose + oral glucose tolerance test: ≥200 with symptoms OR 2-
hour plasma glucose ≥ 200 on OGTT with 75g glucose load
-Prediabetes: fasting glucose 100-125 OR A1C 5.7-6.4% OR OGTT 140-199
, -A1C every 3 months until goal is met or therapy is changed, then twice yearly with
stable glycemic control
Prevention: DM II - correct answer -Weight loss of 7-10%; reach and maintain normal
BMI
-Exercise 150 mins or more per week; no more than 2 consecutive days without
activity
-Resistance training 2-3x/week
-Reduce length of sedentary intervals by interrupting prolonged sitting every 30 mins
-Screen for tobacco use; provide smoking cessation counseling and referral
-Screen for depression, distress, anxiety, eating disorders, cognitive impairment
-Screen for ability to afford meds, access to healthy food, food insecurity, and
community support
