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# of autosomal chromosomes - CORRECT ANSWER: 22 pairs
1 unit of insulin - CORRECT ANSWER: drops sugar 20mg/dl and covers 10g CHO
achlorhydria - CORRECT ANSWER: lack of hydrochloric acid in the stomach, lack of
absorption of nutrients
ASA as preventative? - CORRECT ANSWER: not in women w/o CVD anymore
atherosclerosis asymptomatic until? - CORRECT ANSWER: plaque stenosis >70-80%
autosomal dominant trait - CORRECT ANSWER: Essential tremor
avoid in renal failure, surgery, age >80, and HF? - CORRECT ANSWER: Metformin- risk
for lactic acidosis
body burns fat for energy? - CORRECT ANSWER: Ketones- type 1 DM
body fat metabolized for energy makes? - CORRECT ANSWER: ketones
BP goal > 60 w/ DM or CKD - CORRECT ANSWER: <140/<90
,BP goal: <60 yrs, no diabetes or CKD - CORRECT ANSWER: <140/<90
breakdown of dietary protein, excreted by kidneys, increases rapidly with kidney failure
of dehydration? - CORRECT ANSWER: blood urea nitrogen (BUN)
caloric needs? - CORRECT ANSWER: 25-30 kcal/kg
can not be mixed with any other insulin and has no peak? - CORRECT ANSWER: Long
acting Insulin- Lantus and Levemir
carry cholesterol? insoluble molecules? - CORRECT ANSWER: Lipoproteins
causes of macrocytic anemias - CORRECT ANSWER: liver disease, low b12 or folate,
gastrectomy, malabsorption, alcoholics
changes rapidly with nutrition status? - CORRECT ANSWER: prealbumin >15 is normal
check bone marrow fxn? - CORRECT ANSWER: reticulocyte count
cheilosis (mouth fissures), stomatitis, ulcers, fatigue? - CORRECT ANSWER: Folate
Deficiency
chemical messenger that carries and balances signals between neurons, nerve cells,
and other cells of the body? - CORRECT ANSWER: Neurotransmitters
cognitive impairment associated with decline in daily activities - CORRECT ANSWER:
Dementia
common early symptom in PD - CORRECT ANSWER: Resting tremors "pill rolling"
,continuous random movement? - CORRECT ANSWER: Chorea
daily basal insulin - CORRECT ANSWER: 0.6units/kg/day- 50% basal dose, 50%
mealtime
DBP stabilizes? - CORRECT ANSWER: age 50 and older, SBP worsens
decreased acetylcholine and 2 Apo E 4 alleles? - CORRECT ANSWER: Alzheimers
degenerative disorder of basal ganglia - CORRECT ANSWER: Parkinson's disease
diet decreases absorption of levodopa? - CORRECT ANSWER: protein
dihydropyridines- CCB - CORRECT ANSWER: Nicardipine, amlodipine, nifedipine-
dilates arteries, avoid in CKD
DM Diagnosis - CORRECT ANSWER: FBG >126, BG >200 with s/s, 2 hr post meal
>200, A1C >6.5%
do not make basal insulin Ex. Lantus & Levemir? - CORRECT ANSWER: type 1 DM
dopamine agonist has less side effects? - CORRECT ANSWER: Nonergot derivative
meds
Early Alzheimers? - CORRECT ANSWER: MMSE 22-28, 1-3 yrs from initial symptoms
end product of metabolism from skeletal muscle and excreted by the kidneys? -
CORRECT ANSWER: Creatinine
, essential tremor TX - CORRECT ANSWER: propranolol, primidone
excessive iodine uptake - CORRECT ANSWER: hyperthyroidism
fasting BG goal? - CORRECT ANSWER: <100
first test for thyroid - CORRECT ANSWER: TSH
glossitis, koilonychia (spoon nails), pale, SOB, fatigued? - CORRECT ANSWER: Iron
Deficiency Anemia
Grave's disease - CORRECT ANSWER: autoimmune disorder leading to
hyperthyroidism, antibodies mimicking TSH, high T4/T3
greatest anticholinergic effect (SSRI) - CORRECT ANSWER: Paroxetine
Hashimoto's thyroiditis - CORRECT ANSWER: autoimmune thyroiditis, high TSH, low
T3/T4
HTN Emergency - CORRECT ANSWER: >180/120 with end organ damage
Treat with IV nitroprusside, labetalol, Clonidine, Cardene
hyperinsulinemia results in? - CORRECT ANSWER: Thickening in arterial blood vessel
walls, renal vasodilation- microalbuminuria
hyperkeratotic condition, hyperpigmented at neck of axillae - CORRECT ANSWER:
Acanthosis Nigricans