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MN 566 Midterm Exam
A male 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. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice
C. Call 911
D. Ask him about his usual eating habits ---------CORRECT ANSWER-----------------B.
Have him drink 4 ounces of juice
Which action would the clinician take to elicit Chvostek's sign?
A. Check serum level of glucose after drinking a glass of juice.
B. Tap the facial nerve below the zygomatic arch anterior to the earlobe.
C. Press into the lower quadrant of the abdomen and release quickly
D. Pump a blood pressure cuff 20 mm Hg about the patient's systolic pressure -----
----CORRECT ANSWER-----------------B. Tap the facial nerve below the zygomatic
arch anterior to the earlobe.
,Which of the following is a common sign of type 2 DM?
A. Anorexia
B. Recurrent yeast infection
C. Fluid overload
D. Elevated high-density lipoprotein cholesterol ---------CORRECT ANSWER-----------
------B. Recurrent yeast infection
A male patient with diabetes asks the clinician why he needs to check his blood
sugar at home even when he feels good. Which response by the clinician would
be most appropriate?
A. "Control of glucose will help postpone or delay complications."
B. "Regularly checking blood sugar will help you"
C. "Monitoring glucose will promote a sense of connectedness."
D. "Because you know it is the right thing to do for your disease." ---------CORRECT
ANSWER-----------------A. "Control of glucose will help postpone or delay
complications."
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 muscular stiffness, coarse, dry hair; and a delay in relaxation in
deep tendon reflexes. Which test should be ordered next?
A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
,D. Urine Specific Gravity ---------CORRECT ANSWER-----------------B. Thyroid-
stimulating hormone
Which laboratory test result is diagnostic for hypoglycemia?
A. A1C 7.0%
B. Fasting blood sugar 75 mg/dL
C. Glucose level 43 mg/dL
D. Random glucose level 64 mg/dL ---------CORRECT ANSWER-----------------C.
Glucose level 43 mg/dL
Data from the Framingham Heart study suggests that individuals who are
normotensive at 55 years of age have how much lifetime risk of developing
hypertension?
A. 65%
B 75%
C. 80%
D. 90% ---------CORRECT ANSWER-----------------D. 90%
Mary has hypertension and previously had a stroke. Which hypertensive drug
would you order for her?
A. Chlorthalidone
B. Metoprolol
C. Amlodipine
, D. Losartan ---------CORRECT ANSWER-----------------A. Chlorthalidone
A delta wave on an ECG may be present in which condition?
A. Prinzmetal's Angina
B. Bundle Branch Block
C. Wolff-Parkinson-White Syndrome
D. Aortic Stenosis ---------CORRECT ANSWER-----------------C. Wolff-Parkinson-White
Syndrome
Samuel is going to the dentist for some work and must take endocarditis
prophylaxis because of his history of:
A. Severe Asthma
B. A common valvular lesion
C. Severe hypertension
D. Prosthetic heart valve ---------CORRECT ANSWER-----------------D. Prosthetic heart
valve
Madeline is a smoker in a primary-care visit with her provider. After her provider
asks if she is willing to quit, she says she has decided to quit, has bought nicotine
gum, and is interested in hearing about Chantix. Which of the following steps is
Madeline in regarding behavior changes and her attempts at cessation?
A. Precontemplation
B. Action