NAPLEX Diabetes Questions with 100%
Correct Answers
BMI >25, Asian BMI >23, Physical Inactivity, Race, BP, HTN, A1C >5.7, 1st Degree Relative, HDL <35, TG
>250, CVD, Gestational DM, PCOS, Smoker
(Diabetes)
Risk factors for development of T2DM include (14)
Metformin
(Diabetes)
Prediabetes is largely managed with diet/lifestyle modifications, but (1) agent can be considered for
select patients
BMI >35, Age <60, Gestational DM
(Diabetes)
Metformin can be used to help improve blood glucose in prediabetic patients that meet one of (3)
qualities
95, 140, 120
(Gestational Diabetes)
Blood glucose targets in pregnancy are more stringent, with goals of:
- Fasting BG <= ______
- 1 hr post-meal <= _____
- 2 hours post-meal <= _____
24-28
(Gestational Diabetes)
Women should be assess for gestational DM at their initial prenatal visit, and then again at _____
weeks gestation
45, 3 years
(Diabetes)
In all patients WITHOUT risk factors, regular testing for DM is recommended at age ______ years and
normal test results should be repeated every _______
Insulin, Metformin, Glyburide
(Gestational Diabetes)
1st line Tx is lifestyle modifications, but if insufficient, _______ is the Tx of choice
(2) other agents can be considered but both cross the placenta
FBG 100-125, 2 hour BG 140-199, A1c 5.7-6.4%
,(Diabetes)
Diagnostic criteria for PREDIABETES includes (3)
Symptoms + Random BG >200, FBG >126, 2 hour BG >200, A1c >6.5%
(Diabetes)
Diagnostic criteria for DIABETES includes (4)
- Requires 2 abnormal tests from different blood samples or same sample
35, 40
(Diabetes)
LIFESTYLE MODIFICATIONS
Weight loss can help improve BG, BP, and cholesterol with reduction of 3500 kcal/weekly causing 1 lb
weight loss
Women should target waist circumference <_____ inches
Men waist circumference <_____ inches
BMI >40, BMI 35-39.9 Failed Weight Loss
(Diabetes)
LIFESTYLE MODIFICATIONS
Surgery is recommended in obese patients with (2) qualities
Pregnant, Breastfeeding, Eating Disorder, Renal Disease, SGLT2 Inhibitors
(Diabetes)
LIFESTYLE MODIFICATIONS
Low-carb diets are not recommended in (5) types of diabetic patients
15
(Diabetes)
LIFESTYLE MODIFICATIONS
1 carbohydrate serving is measured as ______ grams
- 1 small piece of fruit
- 1 slice of bread
- 1/3 cup of cooked rice/pasta
- 1/2 cup oatmeal
150 minutes
(Diabetes)
,LIFESTYLE MODIFICATIONS
Adults with DM should perform at LEAST ______ of moderate-intensity aerobic exercise per WEEK
spread over at least 3 days
Retinopathy, Kidney Disease, Peripheral Neuropathy, Autonomic Neuropathy
(Diabetes)
Microvascular complications of DM include (4)
CAD, Cerebrovascular Disease, PAD
(Diabetes)
Macrovascular complications of DM include (3)
Aspirin (75-162)
(Diabetes)
ANTIPLATELET
_________ is recommended for SECONDARY prevention in any patient with ASCVD
PRIMARY prevention in DM patients with increased ASCVD risk
PREGNANT DM patients to reduce risk of preeclampsia
- Clopidogrel 75mg is alternative in allergy
5 years
(Diabetes)
CHOLESTEROL CONTROL
Fasting lipid panel should be obtained at Dx of DM, initial medical evaluation, and every _____
thereafter
High, Moderate, Moderate, None
(Diabetes)
CHOLESTEROL CONTROL
Statins are indicated for most patients with DM with recommendations of:
- Clinical ASCVD / Risk >20% = ______ intensity
- Age 40-75 / (-) ASCVD = ______ intensity
- Age <40 / ASCVD risk factors = _____ intensity
- Age <40 / (-) ASCVD risk factors = ______ intensity
70
(Diabetes)
, CHOLESTEROL CONTROL
Additional Tx with Ezetimibe or PCSK9 inhibitor is recommended in patients with ASCVD and LDL >=
______ mg/dL on max tolerated statin
<130/80, <140/90
(Diabetes)
BP CONTROL
ACC/AHA recommends that DM patients with HTN have BP goals of:
______ for patients with (+) ASCVD or 10-year risk >15%
_____ for patients with ASCVD risk <15%
Take BP meds at bedtime
Influenza, Hepatitis B, Pneumococcal
(Diabetes)
VACCINATIONS
Patients with DM are recommended to get (3) vaccines
10G Monofilament Test
(Diabetes)
NEUROPATHY
DM patients should get a comprehensive foot exam at least annually with the _______ test and at
least 1 additional (pinprick, temperature, vibration) done
Pregabalin, Duloxetine, Gabapentin
(Diabetes)
NEUROPATHY
The ADA recommends (3) agents as first-line Tx for diabetic neuropathy
Other options:
- TCAs
- Venlafaxine
- Carbamazepine
- Topical Capsaicin
ACE Inhibitor, ARB
(Diabetes)
DIABETIC KIDNEY DISEASE
Correct Answers
BMI >25, Asian BMI >23, Physical Inactivity, Race, BP, HTN, A1C >5.7, 1st Degree Relative, HDL <35, TG
>250, CVD, Gestational DM, PCOS, Smoker
(Diabetes)
Risk factors for development of T2DM include (14)
Metformin
(Diabetes)
Prediabetes is largely managed with diet/lifestyle modifications, but (1) agent can be considered for
select patients
BMI >35, Age <60, Gestational DM
(Diabetes)
Metformin can be used to help improve blood glucose in prediabetic patients that meet one of (3)
qualities
95, 140, 120
(Gestational Diabetes)
Blood glucose targets in pregnancy are more stringent, with goals of:
- Fasting BG <= ______
- 1 hr post-meal <= _____
- 2 hours post-meal <= _____
24-28
(Gestational Diabetes)
Women should be assess for gestational DM at their initial prenatal visit, and then again at _____
weeks gestation
45, 3 years
(Diabetes)
In all patients WITHOUT risk factors, regular testing for DM is recommended at age ______ years and
normal test results should be repeated every _______
Insulin, Metformin, Glyburide
(Gestational Diabetes)
1st line Tx is lifestyle modifications, but if insufficient, _______ is the Tx of choice
(2) other agents can be considered but both cross the placenta
FBG 100-125, 2 hour BG 140-199, A1c 5.7-6.4%
,(Diabetes)
Diagnostic criteria for PREDIABETES includes (3)
Symptoms + Random BG >200, FBG >126, 2 hour BG >200, A1c >6.5%
(Diabetes)
Diagnostic criteria for DIABETES includes (4)
- Requires 2 abnormal tests from different blood samples or same sample
35, 40
(Diabetes)
LIFESTYLE MODIFICATIONS
Weight loss can help improve BG, BP, and cholesterol with reduction of 3500 kcal/weekly causing 1 lb
weight loss
Women should target waist circumference <_____ inches
Men waist circumference <_____ inches
BMI >40, BMI 35-39.9 Failed Weight Loss
(Diabetes)
LIFESTYLE MODIFICATIONS
Surgery is recommended in obese patients with (2) qualities
Pregnant, Breastfeeding, Eating Disorder, Renal Disease, SGLT2 Inhibitors
(Diabetes)
LIFESTYLE MODIFICATIONS
Low-carb diets are not recommended in (5) types of diabetic patients
15
(Diabetes)
LIFESTYLE MODIFICATIONS
1 carbohydrate serving is measured as ______ grams
- 1 small piece of fruit
- 1 slice of bread
- 1/3 cup of cooked rice/pasta
- 1/2 cup oatmeal
150 minutes
(Diabetes)
,LIFESTYLE MODIFICATIONS
Adults with DM should perform at LEAST ______ of moderate-intensity aerobic exercise per WEEK
spread over at least 3 days
Retinopathy, Kidney Disease, Peripheral Neuropathy, Autonomic Neuropathy
(Diabetes)
Microvascular complications of DM include (4)
CAD, Cerebrovascular Disease, PAD
(Diabetes)
Macrovascular complications of DM include (3)
Aspirin (75-162)
(Diabetes)
ANTIPLATELET
_________ is recommended for SECONDARY prevention in any patient with ASCVD
PRIMARY prevention in DM patients with increased ASCVD risk
PREGNANT DM patients to reduce risk of preeclampsia
- Clopidogrel 75mg is alternative in allergy
5 years
(Diabetes)
CHOLESTEROL CONTROL
Fasting lipid panel should be obtained at Dx of DM, initial medical evaluation, and every _____
thereafter
High, Moderate, Moderate, None
(Diabetes)
CHOLESTEROL CONTROL
Statins are indicated for most patients with DM with recommendations of:
- Clinical ASCVD / Risk >20% = ______ intensity
- Age 40-75 / (-) ASCVD = ______ intensity
- Age <40 / ASCVD risk factors = _____ intensity
- Age <40 / (-) ASCVD risk factors = ______ intensity
70
(Diabetes)
, CHOLESTEROL CONTROL
Additional Tx with Ezetimibe or PCSK9 inhibitor is recommended in patients with ASCVD and LDL >=
______ mg/dL on max tolerated statin
<130/80, <140/90
(Diabetes)
BP CONTROL
ACC/AHA recommends that DM patients with HTN have BP goals of:
______ for patients with (+) ASCVD or 10-year risk >15%
_____ for patients with ASCVD risk <15%
Take BP meds at bedtime
Influenza, Hepatitis B, Pneumococcal
(Diabetes)
VACCINATIONS
Patients with DM are recommended to get (3) vaccines
10G Monofilament Test
(Diabetes)
NEUROPATHY
DM patients should get a comprehensive foot exam at least annually with the _______ test and at
least 1 additional (pinprick, temperature, vibration) done
Pregabalin, Duloxetine, Gabapentin
(Diabetes)
NEUROPATHY
The ADA recommends (3) agents as first-line Tx for diabetic neuropathy
Other options:
- TCAs
- Venlafaxine
- Carbamazepine
- Topical Capsaicin
ACE Inhibitor, ARB
(Diabetes)
DIABETIC KIDNEY DISEASE
