Unit 5 MN553 Pharm
Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for:
Question options:
Excessive sedation
Tachycardia and angina
Weight gain
Cold intolerance Correct Answer: Tachycardia and angina
Potentially fatal granulocytopenia has been associated with treatment of hyperthyroidism with
propylthiouracil. Patients should be taught to report:
Question options:
Tinnitus and decreased salivation
Fever and sore throat
Hypocalcemia and osteoporosis
Laryngeal edema and difficulty swallowing Correct Answer: Fever and sore throat
Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it:
Question options:
Substitutes for insulin usually secreted by the pancreas
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Decreases peripheral glucose utilization Correct Answer: Decreases glycogenolysis by the liver
Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and symptoms
of hypoglycemia include:
Question options:
"Fruity" breath odor and rapid respiration
Diarrhea, abdominal pain, weight loss, and hypertension
Dizziness, confusion, diaphoresis, and tachycardia
, Easy bruising, palpitations, cardiac dysrhythmias, and coma Correct Answer: Dizziness, confusion,
diaphoresis, and tachycardia
Sulfonylureas may be added to a treatment regimen for type 2 diabetics when lifestyle modifications
and metformin are insufficient to achieve target glucose levels. Sulfonylureas have been moved to Step
2 therapy because they:
Question options:
Increase endogenous insulin secretion
Have a significant risk for hypoglycemia
Address the insulin resistance found in type 2 diabetics
Improve insulin binding to receptors Correct Answer: Have a significant risk for hypoglycemia
Treatment with insulin for type 1 diabetics:
Question options:
Starts with a total daily dose of 0.2 to 0.4 units per kg of body weight
Divides the total doses into three injections based on meal size
Uses a total daily dose of insulin glargine given once daily with no other insulin required
Is based on the level of blood glucose Correct Answer: Starts with a total daily dose of 0.2 to 0.4 units
per kg of body weight
The American Heart Association states that people with diabetes have a 2- to 4-fold increase in the risk
of dying from cardiovascular disease. Treatments and targets that do not appear to decrease risk for
micro- and macro-vascular complications include:
Question options:
Glycemic targets between 7% and 7.5%
Use of insulin in type 2 diabetics
Control of hypertension and hyperlipidemia
Stopping smoking Correct Answer: Glycemic targets between 7% and 7.5%
Drugs used to treat diabetic peripheral neuropathy include:
Question options:
Metoclopramide
Cholinergic agonists
Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for:
Question options:
Excessive sedation
Tachycardia and angina
Weight gain
Cold intolerance Correct Answer: Tachycardia and angina
Potentially fatal granulocytopenia has been associated with treatment of hyperthyroidism with
propylthiouracil. Patients should be taught to report:
Question options:
Tinnitus and decreased salivation
Fever and sore throat
Hypocalcemia and osteoporosis
Laryngeal edema and difficulty swallowing Correct Answer: Fever and sore throat
Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it:
Question options:
Substitutes for insulin usually secreted by the pancreas
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Decreases peripheral glucose utilization Correct Answer: Decreases glycogenolysis by the liver
Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and symptoms
of hypoglycemia include:
Question options:
"Fruity" breath odor and rapid respiration
Diarrhea, abdominal pain, weight loss, and hypertension
Dizziness, confusion, diaphoresis, and tachycardia
, Easy bruising, palpitations, cardiac dysrhythmias, and coma Correct Answer: Dizziness, confusion,
diaphoresis, and tachycardia
Sulfonylureas may be added to a treatment regimen for type 2 diabetics when lifestyle modifications
and metformin are insufficient to achieve target glucose levels. Sulfonylureas have been moved to Step
2 therapy because they:
Question options:
Increase endogenous insulin secretion
Have a significant risk for hypoglycemia
Address the insulin resistance found in type 2 diabetics
Improve insulin binding to receptors Correct Answer: Have a significant risk for hypoglycemia
Treatment with insulin for type 1 diabetics:
Question options:
Starts with a total daily dose of 0.2 to 0.4 units per kg of body weight
Divides the total doses into three injections based on meal size
Uses a total daily dose of insulin glargine given once daily with no other insulin required
Is based on the level of blood glucose Correct Answer: Starts with a total daily dose of 0.2 to 0.4 units
per kg of body weight
The American Heart Association states that people with diabetes have a 2- to 4-fold increase in the risk
of dying from cardiovascular disease. Treatments and targets that do not appear to decrease risk for
micro- and macro-vascular complications include:
Question options:
Glycemic targets between 7% and 7.5%
Use of insulin in type 2 diabetics
Control of hypertension and hyperlipidemia
Stopping smoking Correct Answer: Glycemic targets between 7% and 7.5%
Drugs used to treat diabetic peripheral neuropathy include:
Question options:
Metoclopramide
Cholinergic agonists
