NR-601 Primary Care of the Maturing & Aged Family Practicum Final Exam Questions And Answers
Graded A+
Type 1 Diabetes - (ANSWER)Characterized by severe insulin deficiency related to beta cell destruction.
Immune mediated- 1A
Idiopathic - 1B
Type 2 Diabetes - (ANSWER)Characterized by abnormal secretion of insulin or insulin resistance.
Prediabetes - (ANSWER)Elevated glucose with impaired tolerance. Does not meet type 2 diabetes
diagnosis criteria.
Type 1 Diabetes Risk Factors - (ANSWER)Younger age, Caucasian/European decent,
Type 2 Diabetes Risk Factors - (ANSWER)Genetics, Obesity, AA, HTN, older than 45yo, HDL <35mg/dl,
Triglycerides > 250mg/dl, minorities.
Diabetes Diagnostic Criteria - (ANSWER)A1c >6.5, Fasting Glucose >126, Random Glucose >200,
Symptoms, Glucose Tolerance Test >200. Confirmation with repeat testing.
Type 1 Diabetes Initial Treatment - (ANSWER)Normalize blood glucose with insulin. Goal sugar level AC
80-130. A1C <7%
Type 2 Diabetes Initial Treatment - (ANSWER)Lifestyle changes, nutrition and exercise counseling,
balance and flexibility training. 500-700calories/day for weight loss. 150min/week divided x3 days for
exercise.
If A1C >10- insulin
If A1C >7.5- metformin and 2nd agent
If A1C<7.5- metformin and lifestyle changes
Insulin side effects - (ANSWER)hypoglycemia
, NR-601 Primary Care of the Maturing & Aged Family Practicum Final Exam Questions And Answers
Graded A+
Metformin side effects - (ANSWER)GI upset, lactic acidosis
Diabetes treatment in Healthy older adult - (ANSWER)A1C goal <7.5%, FBS 90-130, HS glucose 90-150,
BP <140/90, RX -Statin unless contraindicated
Diabetes treatment in Complex older adult - (ANSWER)With multiple chronic illnesses; A1C goal <8%,
FBS 90-150, HS glucose 100-180, BP <140/90, RX -Statin unless contraindicated
Diabetes treatment in End-Stage older adult - (ANSWER)Poor health/end stage diseases; A1C goal
<8.5%, FBS 100-180, HS glucose 110-200, BP <150/90, consider -Statin benefit for secondary prevention.
A1C level denoting strong control - (ANSWER)A1C 7% or below
A1C level denoting low risk for complications - (ANSWER)A1C <6.5%
Weight Loss in Diabetes - (ANSWER)Aids in decreasing A1C, decreases insulin resistance, Metformin can
be used to assist if BMI >35 or patient has gestational DM.
This is not recommended in frail elderly r/t risk of sarcopenia.
Diabetes Evaluations Required at F/U visit - (ANSWER)Response and toleration of treatment, BP, home
glucose control, medication reconciliation, foot exam, urine/kidney check (Labs), A1C check (every 3-6
mos), Neuro check (r/o neuropathies), immunization check, and oral examination.
Diabetes Evaluations Required Annually - (ANSWER)Eye examination, EKG, Lipid panel.
Diabetes Referrals - (ANSWER)When complications are present (per complication specialty)
A1C>13 or FBS >300 (endocrine specialty)
For annual eye exam
Diabetes Educator
Graded A+
Type 1 Diabetes - (ANSWER)Characterized by severe insulin deficiency related to beta cell destruction.
Immune mediated- 1A
Idiopathic - 1B
Type 2 Diabetes - (ANSWER)Characterized by abnormal secretion of insulin or insulin resistance.
Prediabetes - (ANSWER)Elevated glucose with impaired tolerance. Does not meet type 2 diabetes
diagnosis criteria.
Type 1 Diabetes Risk Factors - (ANSWER)Younger age, Caucasian/European decent,
Type 2 Diabetes Risk Factors - (ANSWER)Genetics, Obesity, AA, HTN, older than 45yo, HDL <35mg/dl,
Triglycerides > 250mg/dl, minorities.
Diabetes Diagnostic Criteria - (ANSWER)A1c >6.5, Fasting Glucose >126, Random Glucose >200,
Symptoms, Glucose Tolerance Test >200. Confirmation with repeat testing.
Type 1 Diabetes Initial Treatment - (ANSWER)Normalize blood glucose with insulin. Goal sugar level AC
80-130. A1C <7%
Type 2 Diabetes Initial Treatment - (ANSWER)Lifestyle changes, nutrition and exercise counseling,
balance and flexibility training. 500-700calories/day for weight loss. 150min/week divided x3 days for
exercise.
If A1C >10- insulin
If A1C >7.5- metformin and 2nd agent
If A1C<7.5- metformin and lifestyle changes
Insulin side effects - (ANSWER)hypoglycemia
, NR-601 Primary Care of the Maturing & Aged Family Practicum Final Exam Questions And Answers
Graded A+
Metformin side effects - (ANSWER)GI upset, lactic acidosis
Diabetes treatment in Healthy older adult - (ANSWER)A1C goal <7.5%, FBS 90-130, HS glucose 90-150,
BP <140/90, RX -Statin unless contraindicated
Diabetes treatment in Complex older adult - (ANSWER)With multiple chronic illnesses; A1C goal <8%,
FBS 90-150, HS glucose 100-180, BP <140/90, RX -Statin unless contraindicated
Diabetes treatment in End-Stage older adult - (ANSWER)Poor health/end stage diseases; A1C goal
<8.5%, FBS 100-180, HS glucose 110-200, BP <150/90, consider -Statin benefit for secondary prevention.
A1C level denoting strong control - (ANSWER)A1C 7% or below
A1C level denoting low risk for complications - (ANSWER)A1C <6.5%
Weight Loss in Diabetes - (ANSWER)Aids in decreasing A1C, decreases insulin resistance, Metformin can
be used to assist if BMI >35 or patient has gestational DM.
This is not recommended in frail elderly r/t risk of sarcopenia.
Diabetes Evaluations Required at F/U visit - (ANSWER)Response and toleration of treatment, BP, home
glucose control, medication reconciliation, foot exam, urine/kidney check (Labs), A1C check (every 3-6
mos), Neuro check (r/o neuropathies), immunization check, and oral examination.
Diabetes Evaluations Required Annually - (ANSWER)Eye examination, EKG, Lipid panel.
Diabetes Referrals - (ANSWER)When complications are present (per complication specialty)
A1C>13 or FBS >300 (endocrine specialty)
For annual eye exam
Diabetes Educator
