NAPLEX Diabetes Questions with 100%
Correct Answers
This medication is used in prediabetics
Metformin
This medication is preferred in pregnant women if lifestyle changes are insufficient
Insulin
What are the fasting, 1 hour post-meal, and 2 hours post-meal goals for diabetes in pregnancy?
F: <= 95mg/dL
1hr PPG: <=140mg/dL
2hr PPG: <=120mg/dL
What are the three classic symptoms of hyperglycemia?
Excessive urination, thirst, and hunger
To be diagnosed with pre-diabetes, a patient must have a fasting BG of __mg/dL or an A1C of __%
100-125mg/dL
A1C 5.7-6.4%
To be diagnosed with diabetes, a patient can be symptomatic and have a random BG of over
200mg/dL or a fasting blood glucose > __mg/dL or an A1C of greater than __%
126mg/dL fasting
A1C >6.5%
Goal waist circumference for females and males is...
F: <35 inches
M: <40 inches
One serving of carbohydrates = __ grams
15 grams
Which two diabetes medications are shown to decrease cardiovascular and all-cause mortality?
Liraglutide and empagliflozin
Name the four groups of microvascular complications of diabetes?
Retinopathy, diabetic kidney disease, peripheral neuropathy, and autonomic neuropathy
Name the three groups of macrovascular complications of diabetes?
Coronary artery disease, cerebrovascular disease, and peripheral artery disease
Men and women who are at least __ years old and have diabetes with at least one additional ASCVD
risk factor should take aspirin daily
50 years old
, Patients less than 40 with no risk factors should not take a statin. Patients this age who have risk
factors should take what intensity statin?
Moderate or high intensity
Patients over 75 years old with no risk factors should take this intensity statin, while those with risk
factors should take this intensity statin
No risk: moderate intensity statin
Risks: moderate or high intensity statin
ADA guidelines say blood pressure goal should be
<140/90mmHg
Hypertensive diabetics with albuminuria should be on one of these two antihypertensives
ACEi or ARBs
Hypertensive diabetics without albuminuria can be started on one of these four classes of
antiypertensives
Thiazide, CCB, ACEi, or ARB
True or false: patients without hypertension but who do have albuminuria should take an ACEi or an
ARB
True
Foot exams should be done with ___ plus pinprick, temperature, or vibration sensations at least
annually
10-g monofilament
ADA guidelines recommend these two medications as first like for neuropathy
Lyrica or duloxetine
Diabetic patients should receive the flu vaccine, Pneumovax (before 65 and then again in the series),
and this vaccine
HBV
What are the A1C, preprandial, and postprandial plasma glucose goals for adults per the ADA?
A1C <7%
Fasting: 80-130mg/dL
PPG: <180mg/dL
Estimated average glucose can be calculated by what formula?
(A1C -2) x 30
Pick the drugs that can cause hyperglycemia: beta blockers, calcium channel blockers, diuretics
Beta blockers and diuretics
Correct Answers
This medication is used in prediabetics
Metformin
This medication is preferred in pregnant women if lifestyle changes are insufficient
Insulin
What are the fasting, 1 hour post-meal, and 2 hours post-meal goals for diabetes in pregnancy?
F: <= 95mg/dL
1hr PPG: <=140mg/dL
2hr PPG: <=120mg/dL
What are the three classic symptoms of hyperglycemia?
Excessive urination, thirst, and hunger
To be diagnosed with pre-diabetes, a patient must have a fasting BG of __mg/dL or an A1C of __%
100-125mg/dL
A1C 5.7-6.4%
To be diagnosed with diabetes, a patient can be symptomatic and have a random BG of over
200mg/dL or a fasting blood glucose > __mg/dL or an A1C of greater than __%
126mg/dL fasting
A1C >6.5%
Goal waist circumference for females and males is...
F: <35 inches
M: <40 inches
One serving of carbohydrates = __ grams
15 grams
Which two diabetes medications are shown to decrease cardiovascular and all-cause mortality?
Liraglutide and empagliflozin
Name the four groups of microvascular complications of diabetes?
Retinopathy, diabetic kidney disease, peripheral neuropathy, and autonomic neuropathy
Name the three groups of macrovascular complications of diabetes?
Coronary artery disease, cerebrovascular disease, and peripheral artery disease
Men and women who are at least __ years old and have diabetes with at least one additional ASCVD
risk factor should take aspirin daily
50 years old
, Patients less than 40 with no risk factors should not take a statin. Patients this age who have risk
factors should take what intensity statin?
Moderate or high intensity
Patients over 75 years old with no risk factors should take this intensity statin, while those with risk
factors should take this intensity statin
No risk: moderate intensity statin
Risks: moderate or high intensity statin
ADA guidelines say blood pressure goal should be
<140/90mmHg
Hypertensive diabetics with albuminuria should be on one of these two antihypertensives
ACEi or ARBs
Hypertensive diabetics without albuminuria can be started on one of these four classes of
antiypertensives
Thiazide, CCB, ACEi, or ARB
True or false: patients without hypertension but who do have albuminuria should take an ACEi or an
ARB
True
Foot exams should be done with ___ plus pinprick, temperature, or vibration sensations at least
annually
10-g monofilament
ADA guidelines recommend these two medications as first like for neuropathy
Lyrica or duloxetine
Diabetic patients should receive the flu vaccine, Pneumovax (before 65 and then again in the series),
and this vaccine
HBV
What are the A1C, preprandial, and postprandial plasma glucose goals for adults per the ADA?
A1C <7%
Fasting: 80-130mg/dL
PPG: <180mg/dL
Estimated average glucose can be calculated by what formula?
(A1C -2) x 30
Pick the drugs that can cause hyperglycemia: beta blockers, calcium channel blockers, diuretics
Beta blockers and diuretics
