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NGR6200 Chapter 16.
Endocrine/Metabolic/Thyroid/Gout Problems
(Dunphy) Exam Questions and Answers 100% Pass
____ 1. A patient is 66 inches in height, weighing 200 pounds, and newly diagnosed with type 2 diabetes
mellitus (DM). Her fasting plasma glucose level is 215 mg/dL. What is the best initial treatment?
a. No treatment at this time
b. Diet and exercise for 6-week trial
c. Diet, exercise, and oral medication
d. Diet, exercise, and exogenous insulin - ANSWER ✔✔-b.
- Diet and exercise for 6-week trial
_____ 2. The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following
tests should the clinician order on the initial visit?
a. High sensitivity thyroid-stimulating hormone (TSH) and free T4
b. Free T4 and serum calcium
c. Free T3 and T4
d. TSH and thyroxin antibodies - ANSWER ✔✔-a.
Created by Grace Amelia © 2025, All Rights Reserved.
,2|Page
- High sensitivity thyroid-stimulating hormone (TSH) and free T4
____ 3. A patient with type 2 diabetes asks the clinician why she needs to exercise. In order to answer her,
the clinician must understand that exercise has what effect on the patient with type 2 diabetes?
a. Reduces postprandial blood glucose
b.Reduces triglycerides and increases high-density lipoprotein (HDL)
c. Reduces total cholesterol
d. All of the above - ANSWER ✔✔-d. All of the above
____ 4. A patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He
states that he took his insulin this morning but was late for work and did not eat breakfast. Which action
should the clinician take first?
a. Check his blood sugar.
b. Give him drink 4 ounces of juice.
c. Call 911.
d. Ask him about his usual eating habits. - ANSWER ✔✔-b.
Created by Grace Amelia © 2025, All Rights Reserved.
, 3|Page
- Give him drink 4 ounces of juice.
___ 5. A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine.
Which of the following conditions that the patient also has would be a contraindication to taking
metformin?
a. Ketoacidosis
b. Cirrhosis
c. Hypoglycemic episodes
d. All of the above - ANSWER ✔✔-d. All of the above
____ 6. A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and
constipation for the past 3 months. On physical examination, the clinician notices a sinus bradycardia;
muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the
following tests should be ordered next?
a. Serum calcium
b. TSH
c. Electrolytes
d. Urine specific gravity - ANSWER ✔✔-b. TSH
____ 7. The clinician has been doing diabetic teaching for a patient with type 1 diabetes. Which of the
following statements by the patient would indicate that teaching has been effective?
Created by Grace Amelia © 2025, All Rights Reserved.
NGR6200 Chapter 16.
Endocrine/Metabolic/Thyroid/Gout Problems
(Dunphy) Exam Questions and Answers 100% Pass
____ 1. A patient is 66 inches in height, weighing 200 pounds, and newly diagnosed with type 2 diabetes
mellitus (DM). Her fasting plasma glucose level is 215 mg/dL. What is the best initial treatment?
a. No treatment at this time
b. Diet and exercise for 6-week trial
c. Diet, exercise, and oral medication
d. Diet, exercise, and exogenous insulin - ANSWER ✔✔-b.
- Diet and exercise for 6-week trial
_____ 2. The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following
tests should the clinician order on the initial visit?
a. High sensitivity thyroid-stimulating hormone (TSH) and free T4
b. Free T4 and serum calcium
c. Free T3 and T4
d. TSH and thyroxin antibodies - ANSWER ✔✔-a.
Created by Grace Amelia © 2025, All Rights Reserved.
,2|Page
- High sensitivity thyroid-stimulating hormone (TSH) and free T4
____ 3. A patient with type 2 diabetes asks the clinician why she needs to exercise. In order to answer her,
the clinician must understand that exercise has what effect on the patient with type 2 diabetes?
a. Reduces postprandial blood glucose
b.Reduces triglycerides and increases high-density lipoprotein (HDL)
c. Reduces total cholesterol
d. All of the above - ANSWER ✔✔-d. All of the above
____ 4. A patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He
states that he took his insulin this morning but was late for work and did not eat breakfast. Which action
should the clinician take first?
a. Check his blood sugar.
b. Give him drink 4 ounces of juice.
c. Call 911.
d. Ask him about his usual eating habits. - ANSWER ✔✔-b.
Created by Grace Amelia © 2025, All Rights Reserved.
, 3|Page
- Give him drink 4 ounces of juice.
___ 5. A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine.
Which of the following conditions that the patient also has would be a contraindication to taking
metformin?
a. Ketoacidosis
b. Cirrhosis
c. Hypoglycemic episodes
d. All of the above - ANSWER ✔✔-d. All of the above
____ 6. A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and
constipation for the past 3 months. On physical examination, the clinician notices a sinus bradycardia;
muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the
following tests should be ordered next?
a. Serum calcium
b. TSH
c. Electrolytes
d. Urine specific gravity - ANSWER ✔✔-b. TSH
____ 7. The clinician has been doing diabetic teaching for a patient with type 1 diabetes. Which of the
following statements by the patient would indicate that teaching has been effective?
Created by Grace Amelia © 2025, All Rights Reserved.
