Grand Canyon NUR 635 Endocrine
Pharm Final Exam And Correct Answers.
A patient who has type 2 diabetes has a hx of heart failure. He takes aspart (Novolog) daily. Which drug
class, in combination with Novolog, will significantly increase his risk of heart failure? - Answer
Thiazolidinediones
In addition to hemoglobin A1C, patients receiving metformin (glucophage) should be monitored for: -
Answer renal function, liver function, and vitamin B12 levels.
Metformin is a - Answer Biguanide
Which of the following medications may cause gynecomastia? - Answer Enalapril
The mechanism of action of methimazole is to - Answer block synthesis of thyroxine and
triiodothyronine
Levothyroxine (Synthroid) would NOT be indicated for the treatment of: - Answer subacute thyroiditis
recovery
Signs and symptoms of hypoglycemia may be blunted for: - Answer beta blockers
Joe is a 50 yr old diabetic. He took Humulin R-100 6 hours ago, prior to lunch. He is now going to work
out. With regard to hypoglycemia during exercise, Joe should: - Answer have a fast acting, 15-20g
carbohydrate snack available if needed.
The most frequent side effect of metformin is - Answer diarrhea
Sulfonylurea agents such as glimepiride (amaryl) - Answer stimulate the release of insulin from
functioning pancreatic beta cells
, A 32-yr old woman is diagnosed with hyperthyroidism. The nurse practitioner knows that initiating a
beta blocker: - Answer decreases beta-adrenergic activity in the tissues caused by hyperthyroidism
Gynecomastia is NOT likely to be caused by - Answer clonazepam
In addition to hypoglycemia, rapid acting insulins may cause: - Answer hypokalemia
Trulicity (dulaglutide) a glucagon-like peptide-1, would be indicated for use in which of the following
patients? - Answer A 35 yr old patient with type 2 diabetes and morbid obesity.
Pioglitazone Hydrochloride (Actos) is contraindicated in patients with: - Answer heart failure
Levothyroxine (synthroid) is indicated in the treatment of - Answer hypothyroidism
The onset of action of rapid-acting insulins is: - Answer 15 minutes
A 55 yr old obese woman with type 2 diabetes mellitus has been receiving metformin and glimepiride
daily at highest tolerated doses. Her most recent hemoglobin A1C is 9.0%. How should this be managed?
- Answer Add a long acting insulin at bedtime, continue metformin, and discontinue glimepiride.
An example of a medication that contains a combination of a sulfonylurea and biguanide is: - Answer
glipizide and metformin
The combination of metformin and glyburide for the treatment of type 2 diabetes is - Answer highly
efficacious with moderate risk of hypoglycemia
The mechanism of action for glucogon-like peptide-1 (GLP-1) medications like Byetta, Victoza, Trulicity
and others is - Answer Potentiated insulin secretion
Insulin detemir (Levemir) - Answer may be administered once or twice a day.
Pharm Final Exam And Correct Answers.
A patient who has type 2 diabetes has a hx of heart failure. He takes aspart (Novolog) daily. Which drug
class, in combination with Novolog, will significantly increase his risk of heart failure? - Answer
Thiazolidinediones
In addition to hemoglobin A1C, patients receiving metformin (glucophage) should be monitored for: -
Answer renal function, liver function, and vitamin B12 levels.
Metformin is a - Answer Biguanide
Which of the following medications may cause gynecomastia? - Answer Enalapril
The mechanism of action of methimazole is to - Answer block synthesis of thyroxine and
triiodothyronine
Levothyroxine (Synthroid) would NOT be indicated for the treatment of: - Answer subacute thyroiditis
recovery
Signs and symptoms of hypoglycemia may be blunted for: - Answer beta blockers
Joe is a 50 yr old diabetic. He took Humulin R-100 6 hours ago, prior to lunch. He is now going to work
out. With regard to hypoglycemia during exercise, Joe should: - Answer have a fast acting, 15-20g
carbohydrate snack available if needed.
The most frequent side effect of metformin is - Answer diarrhea
Sulfonylurea agents such as glimepiride (amaryl) - Answer stimulate the release of insulin from
functioning pancreatic beta cells
, A 32-yr old woman is diagnosed with hyperthyroidism. The nurse practitioner knows that initiating a
beta blocker: - Answer decreases beta-adrenergic activity in the tissues caused by hyperthyroidism
Gynecomastia is NOT likely to be caused by - Answer clonazepam
In addition to hypoglycemia, rapid acting insulins may cause: - Answer hypokalemia
Trulicity (dulaglutide) a glucagon-like peptide-1, would be indicated for use in which of the following
patients? - Answer A 35 yr old patient with type 2 diabetes and morbid obesity.
Pioglitazone Hydrochloride (Actos) is contraindicated in patients with: - Answer heart failure
Levothyroxine (synthroid) is indicated in the treatment of - Answer hypothyroidism
The onset of action of rapid-acting insulins is: - Answer 15 minutes
A 55 yr old obese woman with type 2 diabetes mellitus has been receiving metformin and glimepiride
daily at highest tolerated doses. Her most recent hemoglobin A1C is 9.0%. How should this be managed?
- Answer Add a long acting insulin at bedtime, continue metformin, and discontinue glimepiride.
An example of a medication that contains a combination of a sulfonylurea and biguanide is: - Answer
glipizide and metformin
The combination of metformin and glyburide for the treatment of type 2 diabetes is - Answer highly
efficacious with moderate risk of hypoglycemia
The mechanism of action for glucogon-like peptide-1 (GLP-1) medications like Byetta, Victoza, Trulicity
and others is - Answer Potentiated insulin secretion
Insulin detemir (Levemir) - Answer may be administered once or twice a day.
