623 Adult - Endocrine/Metabolic - AG and FNP Certification Exam 4th ed.
Winland-Brown and Dunphy Test Questions and Answers Rated A+
which of the following statements is true about
insulin lispro?
c. abnormal deposits of mucin in the skin the following is a self-monitoring blood glucose
b. when taken 30 minutes before a meal, it (SMBG) log on a clt receiving 20 units Novolin
reduces after-meal hyperglycemia 70/30 in the am and 20 unites of Novolin 70/30 in
c. its duration of action is about 4-5 hrs the pm: fasting am pre-dinner: 90, 150, 105, 144,
d. it is taken with the first bite of food - 101, 172, 98, 201. What changes would you
ANSWER -c. abnormal deposits of mucin in make?
the skin a. increase the pm insulin
b. increase the am insulin
c. add NovoLog at bedtime (hs)
Jane has diabetes and is now experiencing d. increase the am and pm insulin -
anhidrosis on the hands and feet, increased ANSWER -b. increase the am insulin
sweating on the face and trunk, dysphagia,
anorexia, and heartburn. Which complication of
diabetes do you suspect? an elderly clt presents with atrial fibrillation.
a. macrocirculation changes Which of the following lab tests is important in
b. microcirculation changes forming the dx?
c. somatic neuropathies a. CBC
d. visceral neuropathies - ANSWER -d. b. CRP
visceral neuropathies c. CMP
d. TSH - ANSWER -d. TSH
a clt with diabetes c/o paresthesia. Which of the
following medications can cause sensory Annie, age 32 has type 2 diabetes. She said that
changes? she heard that she should taken an aspirin a day
a. glipizide after she reaches menopause for its
b. sitagliptin (Januvia) cardioprotective action. She does not have
c. metformin coronary artery disease, but her father does. How
d. exenatide (Byetta) - ANSWER -c. do you respond?
metformin a. you are right, your hormones protect you
against coronary artery diseases until
menopause; then you should start aspirin tx
Mike has type 2 diabetes. His tx, which includes b. the American Diabetes Association
diet, exercise, and oral antidiabetic agents, is recommends that you start on aspirin tx now
insufficient to achieve acceptable glycemic c. aspirin tx is recommended only if you have a
control. Your next course of action is to: family hx of coronary artery disease
a. increase the dosage of the oral antidiabetic d. if you maintain good glycemic control, you
agents don't need aspirin tx - ANSWER -b. the
b. add a dosage of long-acting insulin at bedtime American Diabetes Association recommends that
to the regime you start on aspirin tx now
c. d/c the oral antidiabetic agents and start
insulin tx
d. suggest tx using an insulin pump - Pancreatitis has been associated with which of
ANSWER -b. add a dosage of long-acting the following antidiabetic drugs?
insulin at bedtime to the regime a. glipizide
, 623 Adult - Endocrine/Metabolic - AG and FNP Certification Exam 4th ed.
Winland-Brown and Dunphy Test Questions and Answers Rated A+
b. metformin to lower the serum concentration of thyroid
c. glargine (lantus) hormones and reestablish a eumetabolic state in
d. exenatide (Byetta) - ANSWER -d. the clt with Graves' disease, which of the
exenatide (Byetta) following tx may be used?
a. radiation
b. antithyroid drugs
Mary, age 72, has been taking insulin for several c. chemotherapy
yrs. She just called you because she realized d. parathyroid surgery - ANSWER -b.
that yesterday she put her short-acting insulin in antithyroid drugs
the long-acting insulin box and vice versa. She
just took 22 units of regular insulin when she was
supposed to take only 5 units. Melody has hypoparathyroidism. Which of the
She says that she tried to do a fingerstick to test following would you assess during your exam?
her glucose level but was unable to obtain any a. skin turgor
blood. She states she feels fine. What do you tell b. heart tones
her to do first? c. Chvostek's sign
a. keep trying to get a finger-stick and call me d. Homan's sign - ANSWER -c. Chvostek's
back with the results sign
b. call 911 before you collapse
c. drive immediately to the ER
d. drink 4 oz of fruit juice - ANSWER -d. Sandy has secondary obesity. Which of the
drink 4 oz of fruit juice following may have caused this?
a. an intake of more calories than are expended
b. polycystic ovary disease
Janice has insulin-dependent diabetes mellitus c. her antihypertensive medications
and has been experiencing hyperglycemia d. her sedentary lifestyle - ANSWER -b.
before dinner. A possible solution to this problem polycystic ovary disease
is to:
a. adjust her am dose of rapid acting insulin
b. increase her mid-afternoon snack early-morning increases in blood glucose
c. add physical activity between lunch and dinner concentration that occur with no corresponding
d. reduce the amt of carbohydrates at dinner - hypoglycemia during the night are referred to as:
ANSWER -c. add physical activity between a. the Somogyi phenomenon
lunch and dinner b. insulin shock
c. diabetic ketoacidosis
d. the dawn phenomenon - ANSWER -d.
when you inspect the integumentary system of the dawn phenomenon
clts with endocrine disorders, coarse hair may be
in an indicator of:
a. Addison's disease which blood test should be obtained before
b. diabetes mellitus initialing antithyroid drugs for Graves' disease?
c. Cushing's syndrome a. serum electrolytes
d. hypothyroidism - ANSWER -d. b. lipid profile
hypothyroidism c. white blood cell count
d. complete chemistry profile - ANSWER -c.
white blood cell count
Winland-Brown and Dunphy Test Questions and Answers Rated A+
which of the following statements is true about
insulin lispro?
c. abnormal deposits of mucin in the skin the following is a self-monitoring blood glucose
b. when taken 30 minutes before a meal, it (SMBG) log on a clt receiving 20 units Novolin
reduces after-meal hyperglycemia 70/30 in the am and 20 unites of Novolin 70/30 in
c. its duration of action is about 4-5 hrs the pm: fasting am pre-dinner: 90, 150, 105, 144,
d. it is taken with the first bite of food - 101, 172, 98, 201. What changes would you
ANSWER -c. abnormal deposits of mucin in make?
the skin a. increase the pm insulin
b. increase the am insulin
c. add NovoLog at bedtime (hs)
Jane has diabetes and is now experiencing d. increase the am and pm insulin -
anhidrosis on the hands and feet, increased ANSWER -b. increase the am insulin
sweating on the face and trunk, dysphagia,
anorexia, and heartburn. Which complication of
diabetes do you suspect? an elderly clt presents with atrial fibrillation.
a. macrocirculation changes Which of the following lab tests is important in
b. microcirculation changes forming the dx?
c. somatic neuropathies a. CBC
d. visceral neuropathies - ANSWER -d. b. CRP
visceral neuropathies c. CMP
d. TSH - ANSWER -d. TSH
a clt with diabetes c/o paresthesia. Which of the
following medications can cause sensory Annie, age 32 has type 2 diabetes. She said that
changes? she heard that she should taken an aspirin a day
a. glipizide after she reaches menopause for its
b. sitagliptin (Januvia) cardioprotective action. She does not have
c. metformin coronary artery disease, but her father does. How
d. exenatide (Byetta) - ANSWER -c. do you respond?
metformin a. you are right, your hormones protect you
against coronary artery diseases until
menopause; then you should start aspirin tx
Mike has type 2 diabetes. His tx, which includes b. the American Diabetes Association
diet, exercise, and oral antidiabetic agents, is recommends that you start on aspirin tx now
insufficient to achieve acceptable glycemic c. aspirin tx is recommended only if you have a
control. Your next course of action is to: family hx of coronary artery disease
a. increase the dosage of the oral antidiabetic d. if you maintain good glycemic control, you
agents don't need aspirin tx - ANSWER -b. the
b. add a dosage of long-acting insulin at bedtime American Diabetes Association recommends that
to the regime you start on aspirin tx now
c. d/c the oral antidiabetic agents and start
insulin tx
d. suggest tx using an insulin pump - Pancreatitis has been associated with which of
ANSWER -b. add a dosage of long-acting the following antidiabetic drugs?
insulin at bedtime to the regime a. glipizide
, 623 Adult - Endocrine/Metabolic - AG and FNP Certification Exam 4th ed.
Winland-Brown and Dunphy Test Questions and Answers Rated A+
b. metformin to lower the serum concentration of thyroid
c. glargine (lantus) hormones and reestablish a eumetabolic state in
d. exenatide (Byetta) - ANSWER -d. the clt with Graves' disease, which of the
exenatide (Byetta) following tx may be used?
a. radiation
b. antithyroid drugs
Mary, age 72, has been taking insulin for several c. chemotherapy
yrs. She just called you because she realized d. parathyroid surgery - ANSWER -b.
that yesterday she put her short-acting insulin in antithyroid drugs
the long-acting insulin box and vice versa. She
just took 22 units of regular insulin when she was
supposed to take only 5 units. Melody has hypoparathyroidism. Which of the
She says that she tried to do a fingerstick to test following would you assess during your exam?
her glucose level but was unable to obtain any a. skin turgor
blood. She states she feels fine. What do you tell b. heart tones
her to do first? c. Chvostek's sign
a. keep trying to get a finger-stick and call me d. Homan's sign - ANSWER -c. Chvostek's
back with the results sign
b. call 911 before you collapse
c. drive immediately to the ER
d. drink 4 oz of fruit juice - ANSWER -d. Sandy has secondary obesity. Which of the
drink 4 oz of fruit juice following may have caused this?
a. an intake of more calories than are expended
b. polycystic ovary disease
Janice has insulin-dependent diabetes mellitus c. her antihypertensive medications
and has been experiencing hyperglycemia d. her sedentary lifestyle - ANSWER -b.
before dinner. A possible solution to this problem polycystic ovary disease
is to:
a. adjust her am dose of rapid acting insulin
b. increase her mid-afternoon snack early-morning increases in blood glucose
c. add physical activity between lunch and dinner concentration that occur with no corresponding
d. reduce the amt of carbohydrates at dinner - hypoglycemia during the night are referred to as:
ANSWER -c. add physical activity between a. the Somogyi phenomenon
lunch and dinner b. insulin shock
c. diabetic ketoacidosis
d. the dawn phenomenon - ANSWER -d.
when you inspect the integumentary system of the dawn phenomenon
clts with endocrine disorders, coarse hair may be
in an indicator of:
a. Addison's disease which blood test should be obtained before
b. diabetes mellitus initialing antithyroid drugs for Graves' disease?
c. Cushing's syndrome a. serum electrolytes
d. hypothyroidism - ANSWER -d. b. lipid profile
hypothyroidism c. white blood cell count
d. complete chemistry profile - ANSWER -c.
white blood cell count
