APEA Endo ACTUAL EXAM LATEST
EXAMS 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
When patients administer regular insulin (Humulin R U-500), they should be
taught: - CORRECT ANSWER 10 units of Humulin R U-500 is equal to 10 units on
a U-500 insulin syringe.
Radioiodine therapy is safe to administer to: - CORRECT ANSWER A 30-year-old
man who desires natural fatherhood-used to tx hyperthyroidism and does not
cause infantility or birth defects in the offspring of tx'd pts
A pt who has Addison's disease has received a prescription for fludrocortisone.
Fludrocortisone acts by: - CORRECT ANSWER Regulating salt and water balance-
mineralocorticoid indicated as partial replacement therapy for pts with primary or
2ndary adrenocortical insufficiency
Methimazole for the tx of Graves' disease is contraindicated in pts: - CORRECT
ANSWER Who are pregnant-can cause fetal harm when administered, can
readily cross the placental membranes
Which of the following medications may cause gynecomastia? - CORRECT
ANSWER Enalapril (Vasotec)-ACE inhibitors may cause gynecomastia
,A pt is started on a sulfonylurea (i.e. glyburide). The NP informs the pt that
sulfonylureas are likely to: - CORRECT ANSWER Reduce microvascular events-
also low in cost
Disadvantages-produce hypoglycemia and cause weight gain
Thiazolidinedione (TZD) medications: - CORRECT ANSWER Increase insulin
sensitivity-by acting on adipose, muscle & liver to increase glucose utilization and
decrease glucose production
Pts taking dipeptidyl-peptidase-4 (DDP-IV) inhibitors for the tx of T2DM do NOT
routinely need to be monitored for: - CORRECT ANSWER Weight loss-Januvia,
Onglyza, Tradjenta not likely to cause weight loss or weight gain
The expected hemoglobin A1V reduction for pts who are started on dipeptidyl-
peptidase-4 (DDP-IV) inhibitors such as sitagliptin (Januvia) is: - CORRECT
ANSWER 0.6%
DDP-IV inhibitors such as alogliptin (Nesina): - CORRECT ANSWER Suppress
glucagon secretion and increase insulin secretion
Sulfonylurea-stimulate the release of insulin from functioning beta cells
Biguanides-decrease hepatic glucose production, decrease intestinal absorption of
glucose, and improve insulin sensitivity
, Prior to the admin of methimazole (Tapazole) the NP should obtain a baseline: -
CORRECT ANSWER CBC-tx for hyperthyroidism, CBC & liver profile should be
obtained
A pt is started on exenatide (Byetta) for T2DM. Byetta should be d/c'd if the pt
exhibits: - CORRECT ANSWER Persistent abd pain, radiating to the back-
monitored for sx of acute pancreatitis
Sulfonylureas such as glyburide (Micronase) are extensively metabolized: -
CORRECT ANSWER In the liver-primarily by CYP 450
A 48-year-old pt is started on metformin (Glucophage) for T2DM. The maximum
expected hemoglobin A1C reduction after initiation of this medication is: -
CORRECT ANSWER 2%- usual expected decrease in A1C is 1-2%
Insulins recommended for use in insulin pump delivery systems include: -
CORRECT ANSWER Apidra & Humalog-only rapid acting insulins are safe for
continuous IV use
The generic name for Victoza is: - CORRECT ANSWER Liraglutide-GLP-1 agonists
A pt who is started on a glucagon-like peptide (GLP-1), such as Victoza, should be
informed that this class of medications may: - CORRECT ANSWER Increase
satiety-delay gastric emptying & promote weight loss
Pts who are receiving radioiodine therapy for hyperthyroidism should be advised
to: - CORRECT ANSWER Avoid contact with young children for several days-
radiation emits from the body avoid kids & pregnant women
EXAMS 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
When patients administer regular insulin (Humulin R U-500), they should be
taught: - CORRECT ANSWER 10 units of Humulin R U-500 is equal to 10 units on
a U-500 insulin syringe.
Radioiodine therapy is safe to administer to: - CORRECT ANSWER A 30-year-old
man who desires natural fatherhood-used to tx hyperthyroidism and does not
cause infantility or birth defects in the offspring of tx'd pts
A pt who has Addison's disease has received a prescription for fludrocortisone.
Fludrocortisone acts by: - CORRECT ANSWER Regulating salt and water balance-
mineralocorticoid indicated as partial replacement therapy for pts with primary or
2ndary adrenocortical insufficiency
Methimazole for the tx of Graves' disease is contraindicated in pts: - CORRECT
ANSWER Who are pregnant-can cause fetal harm when administered, can
readily cross the placental membranes
Which of the following medications may cause gynecomastia? - CORRECT
ANSWER Enalapril (Vasotec)-ACE inhibitors may cause gynecomastia
,A pt is started on a sulfonylurea (i.e. glyburide). The NP informs the pt that
sulfonylureas are likely to: - CORRECT ANSWER Reduce microvascular events-
also low in cost
Disadvantages-produce hypoglycemia and cause weight gain
Thiazolidinedione (TZD) medications: - CORRECT ANSWER Increase insulin
sensitivity-by acting on adipose, muscle & liver to increase glucose utilization and
decrease glucose production
Pts taking dipeptidyl-peptidase-4 (DDP-IV) inhibitors for the tx of T2DM do NOT
routinely need to be monitored for: - CORRECT ANSWER Weight loss-Januvia,
Onglyza, Tradjenta not likely to cause weight loss or weight gain
The expected hemoglobin A1V reduction for pts who are started on dipeptidyl-
peptidase-4 (DDP-IV) inhibitors such as sitagliptin (Januvia) is: - CORRECT
ANSWER 0.6%
DDP-IV inhibitors such as alogliptin (Nesina): - CORRECT ANSWER Suppress
glucagon secretion and increase insulin secretion
Sulfonylurea-stimulate the release of insulin from functioning beta cells
Biguanides-decrease hepatic glucose production, decrease intestinal absorption of
glucose, and improve insulin sensitivity
, Prior to the admin of methimazole (Tapazole) the NP should obtain a baseline: -
CORRECT ANSWER CBC-tx for hyperthyroidism, CBC & liver profile should be
obtained
A pt is started on exenatide (Byetta) for T2DM. Byetta should be d/c'd if the pt
exhibits: - CORRECT ANSWER Persistent abd pain, radiating to the back-
monitored for sx of acute pancreatitis
Sulfonylureas such as glyburide (Micronase) are extensively metabolized: -
CORRECT ANSWER In the liver-primarily by CYP 450
A 48-year-old pt is started on metformin (Glucophage) for T2DM. The maximum
expected hemoglobin A1C reduction after initiation of this medication is: -
CORRECT ANSWER 2%- usual expected decrease in A1C is 1-2%
Insulins recommended for use in insulin pump delivery systems include: -
CORRECT ANSWER Apidra & Humalog-only rapid acting insulins are safe for
continuous IV use
The generic name for Victoza is: - CORRECT ANSWER Liraglutide-GLP-1 agonists
A pt who is started on a glucagon-like peptide (GLP-1), such as Victoza, should be
informed that this class of medications may: - CORRECT ANSWER Increase
satiety-delay gastric emptying & promote weight loss
Pts who are receiving radioiodine therapy for hyperthyroidism should be advised
to: - CORRECT ANSWER Avoid contact with young children for several days-
radiation emits from the body avoid kids & pregnant women
