KSA Diabetes Exam Questions
1. 1. 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 addi- tional factors
would warrant screening him for prediabetes and diabetes?:
E. Physical inactivity
2. 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: D. 200 mg/dL
3. 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 myocar- dial infarction?: D. Pioglitazone (Actos)
4. 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 follow- ing would be the most appropriate glycemic
target for this patient during his hospitalization?: C. 140-180
mg/dL
5. 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?: C. Com-
, bined aerobic and resistance training results in greater glycemic
improvement than either method alone
6. 6. An overweight, sedentary 71-year-old male presents
with a 4-month his- tory of burning pain in the soles of his
feet that is most noticeable at night when he is lying in bed.
His medical history includes a long history of type
2 diabetes, hypertension, and hypercholesterolemia. His
current medications include metformin (Glucophage), 850
mg twice daily; exenatide (Bydureon), 2 mg subcutaneously
weekly; valsartan (Diovan), 360 mg daily; hydrochloroth-
iazide, 25 mg daily; and rosuvastatin (Crestor), 10 mg daily.
He quit smoking 40 years ago and does not drink alcohol. A
physical examination is unremarkable except for some
hyperesthesia of both feet, as well as reduced vibratory
sensation. His protective sensation is intact in both feet and
his pedal pulses are normal.
Which one of the following would be LEAST effective for
treating this patient's pain syndrome?: B. SSRIs
7. 7. A 71-year-old male presents early on a Saturday
morning to the urgent care clinic you are staffing. He
describes a 1-week history of episodic sweat- ing, feelings
of hunger, and tremor that are relieved by eating. He reports
1. 1. 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 addi- tional factors
would warrant screening him for prediabetes and diabetes?:
E. Physical inactivity
2. 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: D. 200 mg/dL
3. 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 myocar- dial infarction?: D. Pioglitazone (Actos)
4. 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 follow- ing would be the most appropriate glycemic
target for this patient during his hospitalization?: C. 140-180
mg/dL
5. 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?: C. Com-
, bined aerobic and resistance training results in greater glycemic
improvement than either method alone
6. 6. An overweight, sedentary 71-year-old male presents
with a 4-month his- tory of burning pain in the soles of his
feet that is most noticeable at night when he is lying in bed.
His medical history includes a long history of type
2 diabetes, hypertension, and hypercholesterolemia. His
current medications include metformin (Glucophage), 850
mg twice daily; exenatide (Bydureon), 2 mg subcutaneously
weekly; valsartan (Diovan), 360 mg daily; hydrochloroth-
iazide, 25 mg daily; and rosuvastatin (Crestor), 10 mg daily.
He quit smoking 40 years ago and does not drink alcohol. A
physical examination is unremarkable except for some
hyperesthesia of both feet, as well as reduced vibratory
sensation. His protective sensation is intact in both feet and
his pedal pulses are normal.
Which one of the following would be LEAST effective for
treating this patient's pain syndrome?: B. SSRIs
7. 7. A 71-year-old male presents early on a Saturday
morning to the urgent care clinic you are staffing. He
describes a 1-week history of episodic sweat- ing, feelings
of hunger, and tremor that are relieved by eating. He reports
