1
623 Adult - Endocrine/Metabolic - AG and FNP
Certification Exam 4th ed. Winland-Brown and
Dunph Questions and Answers (100% Pass)
c. abnormal deposits of mucin in the skin - (answer)which of the following
statements is true about insulin lispro?
c. abnormal deposits of mucin in the skin
b. when taken 30 minutes before a meal, it reduces after-meal hyperglycemia
c. its duration of action is about 4-5 hrs
d. it is taken with the first bite of food
d. visceral neuropathies - (answer)Jane has diabetes and is now experiencing
anhidrosis on the hands and feet, increased sweating on the face and trunk,
dysphagia, anorexia, and heartburn. Which complication of diabetes do you
suspect?
a. macrocirculation changes
b. microcirculation changes
c. somatic neuropathies
d. visceral neuropathies
c. metformin - (answer)a clt with diabetes c/o paresthesia. Which of the
following medications can cause sensory changes?
a. glipizide
, 2
b. sitagliptin (Januvia)
c. metformin
d. exenatide (Byetta)
b. add a dosage of long-acting insulin at bedtime to the regime - (answer)Mike
has type 2 diabetes. His tx, which includes diet, exercise, and oral antidiabetic
agents, is insufficient to achieve acceptable glycemic control. Your next course
of action is to:
a. increase the dosage of the oral antidiabetic agents
b. add a dosage of long-acting insulin at bedtime to the regime
c. d/c the oral antidiabetic agents and start insulin tx
d. suggest tx using an insulin pump
b. increase the am insulin - (answer)the following is a self-monitoring blood
glucose (SMBG) log on a clt receiving 20 units Novolin 70/30 in the am and 20
unites of Novolin 70/30 in the pm: fasting am pre-dinner: 90, 150, 105, 144,
101, 172, 98, 201. What changes would you make?
a. increase the pm insulin
b. increase the am insulin
c. add NovoLog at bedtime (hs)
d. increase the am and pm insulin
, 3
d. TSH - (answer)an elderly clt presents with atrial fibrillation. Which of the
following lab tests is important in forming the dx?
a. CBC
b. CRP
c. CMP
d. TSH
b. the American Diabetes Association recommends that you start on aspirin tx
now - (answer)Annie, age 32 has type 2 diabetes. She said that she heard that
she should taken an aspirin a day after she reaches menopause for its
cardioprotective action. She does not have coronary artery disease, but her
father does. How do you respond?
a. you are right, your hormones protect you against coronary artery diseases
until menopause; then you should start aspirin tx
b. the American Diabetes Association recommends that you start on aspirin tx
now
c. aspirin tx is recommended only if you have a family hx of coronary artery
disease
d. if you maintain good glycemic control, you don't need aspirin tx
d. exenatide (Byetta) - (answer)Pancreatitis has been associated with which of
the following antidiabetic drugs?
a. glipizide
, 4
b. metformin
c. glargine (lantus)
d. exenatide (Byetta)
d. drink 4 oz of fruit juice - (answer)Mary, age 72, has been taking insulin for
several yrs. She just called you because she realized that yesterday she put her
short-acting insulin in the long-acting insulin box and vice versa. She just took
22 units of regular insulin when she was supposed to take only 5 units.
She says that she tried to do a fingerstick to test her glucose level but was
unable to obtain any blood. She states she feels fine. What do you tell her to do
first?
a. keep trying to get a finger-stick and call me back with the results
b. call 911 before you collapse
c. drive immediately to the ER
d. drink 4 oz of fruit juice
c. add physical activity between lunch and dinner - (answer)Janice has insulin-
dependent diabetes mellitus and has been experiencing hyperglycemia before
dinner. A possible solution to this problem is to:
a. adjust her am dose of rapid acting insulin
b. increase her mid-afternoon snack
c. add physical activity between lunch and dinner
623 Adult - Endocrine/Metabolic - AG and FNP
Certification Exam 4th ed. Winland-Brown and
Dunph Questions and Answers (100% Pass)
c. abnormal deposits of mucin in the skin - (answer)which of the following
statements is true about insulin lispro?
c. abnormal deposits of mucin in the skin
b. when taken 30 minutes before a meal, it reduces after-meal hyperglycemia
c. its duration of action is about 4-5 hrs
d. it is taken with the first bite of food
d. visceral neuropathies - (answer)Jane has diabetes and is now experiencing
anhidrosis on the hands and feet, increased sweating on the face and trunk,
dysphagia, anorexia, and heartburn. Which complication of diabetes do you
suspect?
a. macrocirculation changes
b. microcirculation changes
c. somatic neuropathies
d. visceral neuropathies
c. metformin - (answer)a clt with diabetes c/o paresthesia. Which of the
following medications can cause sensory changes?
a. glipizide
, 2
b. sitagliptin (Januvia)
c. metformin
d. exenatide (Byetta)
b. add a dosage of long-acting insulin at bedtime to the regime - (answer)Mike
has type 2 diabetes. His tx, which includes diet, exercise, and oral antidiabetic
agents, is insufficient to achieve acceptable glycemic control. Your next course
of action is to:
a. increase the dosage of the oral antidiabetic agents
b. add a dosage of long-acting insulin at bedtime to the regime
c. d/c the oral antidiabetic agents and start insulin tx
d. suggest tx using an insulin pump
b. increase the am insulin - (answer)the following is a self-monitoring blood
glucose (SMBG) log on a clt receiving 20 units Novolin 70/30 in the am and 20
unites of Novolin 70/30 in the pm: fasting am pre-dinner: 90, 150, 105, 144,
101, 172, 98, 201. What changes would you make?
a. increase the pm insulin
b. increase the am insulin
c. add NovoLog at bedtime (hs)
d. increase the am and pm insulin
, 3
d. TSH - (answer)an elderly clt presents with atrial fibrillation. Which of the
following lab tests is important in forming the dx?
a. CBC
b. CRP
c. CMP
d. TSH
b. the American Diabetes Association recommends that you start on aspirin tx
now - (answer)Annie, age 32 has type 2 diabetes. She said that she heard that
she should taken an aspirin a day after she reaches menopause for its
cardioprotective action. She does not have coronary artery disease, but her
father does. How do you respond?
a. you are right, your hormones protect you against coronary artery diseases
until menopause; then you should start aspirin tx
b. the American Diabetes Association recommends that you start on aspirin tx
now
c. aspirin tx is recommended only if you have a family hx of coronary artery
disease
d. if you maintain good glycemic control, you don't need aspirin tx
d. exenatide (Byetta) - (answer)Pancreatitis has been associated with which of
the following antidiabetic drugs?
a. glipizide
, 4
b. metformin
c. glargine (lantus)
d. exenatide (Byetta)
d. drink 4 oz of fruit juice - (answer)Mary, age 72, has been taking insulin for
several yrs. She just called you because she realized that yesterday she put her
short-acting insulin in the long-acting insulin box and vice versa. She just took
22 units of regular insulin when she was supposed to take only 5 units.
She says that she tried to do a fingerstick to test her glucose level but was
unable to obtain any blood. She states she feels fine. What do you tell her to do
first?
a. keep trying to get a finger-stick and call me back with the results
b. call 911 before you collapse
c. drive immediately to the ER
d. drink 4 oz of fruit juice
c. add physical activity between lunch and dinner - (answer)Janice has insulin-
dependent diabetes mellitus and has been experiencing hyperglycemia before
dinner. A possible solution to this problem is to:
a. adjust her am dose of rapid acting insulin
b. increase her mid-afternoon snack
c. add physical activity between lunch and dinner
