KSA Diabetes Exam: Questions & Answers: Guaranteed A+ Score Guide

A 35-year-old male sees you for a routine health maintenance visit. He has gained a few pounds over the past few years. He is 173 cm (68 in) tall and weighs 82 kg (181 lb), giving him a BMI of 27 kg/m2.According to current American Diabetes Association guidelines, which one of the following additional factors would warrant screening him for prediabetes and diabetes? (Ans- E. Physical inactivity 2. An obese 58-year-old male comes to your office with a 2-week history of fatigue associated with polyuria, polydipsia, and weight loss. You suspect he has type 2 diabetes. This diagnosis would be corroborated by a random glucose level greater than or equal to a threshold of (Ans- D. 200 mg/dL 3. A 66-year-old male who was hospitalized because of a TIA 3 months ago sees you for a follow-up visit. His past medical history is notable for impaired fasting glucose and hypertension. His current medications include valsartan (Diovan), 160 mg daily; rosuvastatin (Crestor), 20 mg daily; and aspirin, 81 mg daily. On examination his BMI is 30 kg/m2, his blood pressure is 134/86 mm Hg, and he has brown, velvety, hyperkeratotic plaques on the back of his neck and in his axillae. Laboratory studies are notable for an LDL-cholesterol level of 85 mg/dL, an HDL-cholesterol level of 35 mg/dL, and a serum triglyceride level of 174 mg/dL. His hemoglobin A1c is 7.1%.Which one of the following agents may reduce his risk for stroke and myocardial infarction? (Ans- D. Pioglitazone (Actos) 4. A 71-year-old male is hospitalized for an infected foot ulcer. His medical history is notable for type 2 diabetes, hypertension, and chronic pancreatitis. His medications on admission include pancrelipase (Creon), 72,000 units with each meal; extended-release metformin (Glucophage XR), 500 mg four times daily; extended-release glipizide (Glucotrol XL), 5 mg daily; and benazepril (Lotensin), 40 mg daily. Insulin therapy is initiated for hyperglycemia with persistent blood glucose levels ≥200 mg/dL. Based on American Diabetes Association guidelines, which one of the following would be the most appropriate glycemic target for this patient during his hospitalization? (Ans- C. 140-180 mg/dL 5. An obese 53-year-old male with a history of type 2 diabetes sees you for the first time. He tells you that his previous physician had him see a dietician and started him on metformin (Glucophage), 500 mg twice daily. A copy of his most recent laboratory tests shows a hemoglobin A1c of 7.7%. He tells you that he has always been sedentary and asks if it would be worthwhile for him to join an exercise facility and begin an exercise program. Which one of the following statements would be accurate advice?