Old Test 2

Front 1

What is the cause of type 2 diabetes?

Back 1

-Insulin resistance and impaired insulin secretion (Not an autoimmune disorder??? -OSG)

Front 2

What are the short term effects of diabetes?

Back 2

- Hyperglycemia, Hypocalemia, Ketoacidosis

Front 3

What are the long term effects of diabetes?

Back 3

-microvascular damage to EYES, KINDNEYS NERVES (neuropathy, retinopathy-OSG)

Front 4

4. How many times should a pregnant woman check her blood glucose?

Back 4

- 6-7 times a day

Front 5

Glycosated Hemoglobin test shows what results?

Back 5

–Glucose level over last 3 months

Front 6

There is only one form of insulin that can be given IV. What is it?

Back 6

-Regular Insulin

Front 7

When should you advise a patient to give Lantus?

Back 7

- Once a day at bedtime

Front 8

Beta-Adrenergic blocking agent can do what?

Back 8

- Mask symptoms of hypoglycemia

Front 9

What should you monitor with Metformin (Glucophage)?

Back 9

- Serum Creatine Levels
(Metformin raises Creatine levels?? OSG)

Front 10

Who should not receive Glitizones?

Back 10

- Cardiac Patients with heart failure.

Front 11

What is the difference between PRECOSE AND GLYSET?

Back 11

- Glyset has no association with Hepatic Dysfunction

Front 12

What do you use to help treat Ketoacidosis?

Back 12

- Give normal saline IV

Front 13

Where should the majority of calories for type 1 diabetics come from?

Back 13

Carbohydrates and monostaurated fats.

Front 14

When should you expect to see effects of Methotrexate?

Back 14

- 3-6 Weeks (What does Hydrochloroquine have to do with this??-OSG)

Front 15

What is a major risk when using Placqenil?

Back 15

- Irreversible Retinal Damage

Front 16

16. What should you avoid if using Enbrel?

Back 16

- Live Vaccines

Front 17

Who should avoid Arava… or discontinue Arava?

Back 17

PREGNANT WOMEN!!
(OSG-Taking Leflunomide ???)

Front 18

How is Kinaret approved to be administered?

Back 18

Subcutaneous injections

Front 19

What is the purpose and use of Colchicine?

Back 19

Anti-Inflammatory drug

Front 20

What do you need to ensure before administering Colchicine IV?

Back 20

- Make sure the IV line is Patent!!

Front 21

When taking Zyloprim (Allopurinol)and warfarin, what should you do?

Back 21

Decrease the Warfarin dose!

Front 22

What foods should you avoid due to their interference with calcium?

Back 22

- Bran and whole grains

Front 23

How do you administer Calcium IV?

Back 23

Push IV slowly after warming it to body temperature

Front 24

What should you assess for when giving Digoxin and Calcium?

Back 24

Assess for bradycardia

Front 25

What is the only drug that increases bone formation?

Back 25

- Forteo

Front 26

How and when should you advise a pt. to take Fosamax?

Back 26

- in the morning on an empty stomach

Front 27

Evista increases the risk for what?

Back 27

- DVT

Front 28

Vitamin D needs what else besides sunlight to be absorbed?

Back 28

- Bile… (ewww gross) =)

Front 29

29. Exoptthalmoses (Bugged Eyes) is a common sign for what disease?

Back 29

-Grave’s Disease

Front 30

How should Plummer's Disease be treated?

Back 30

- With surgery and radiation

Front 31

What happes when you combine Warfarin and Levothyroxine?

Back 31

- it increases the levels of warfarin so the warfarin does needs to be decreased

Front 32

What do you need to check when administering PTU?

Back 32

-Serum WBC’s

Front 33

Radioactive Iodine has effects on what part of the body?

Back 33

- Distructs THYROID tissue (OSG-Iodine 131- drug is taken up by the thyroid)

Front 34

The drug Octreotide is used to treat what disorder??

Back 34

- Acromegaly

Front 35

What do you test periodically when administering Somatropin?

Back 35

-Serum TSH levels

Front 36

What does the drug Dostinex do?

Back 36

- Suppresses prolactin release

Front 37

What do you need to watch for in patients receiving DDAVP?

Back 37

-Water intoxication

Front 38

DVVAP can be administered in everyway ACCEPT?

Back 38

–no IM injections

Front 39

Glucocorticoids works by metabolizing what?

Back 39

-Carbohydrates, Protein and Fats

Front 40

Hyper secretion of Adrenal Corticosteroids is a sign of what?

Back 40

Cushing’s Syndrome

Front 41

What drug is often given to treat Cushing’s syndrome?

Back 41

- Ketoconazole (OSG-surgical removal of gland???)

Front 42

You have to be cautious when administering Florinef due to its possibility of what?

Back 42

- Water and salt retention

Front 43

You use the drug Dexamethasone in testing for what?

Back 43

-Cushing’s

Front 44

If you have a vial of Humalong regular insulin and its cloudy what should you do?

Back 44

Throw it away

Front 45

Teach Patient that an effect of Precose is what?

Back 45

- Flatulence

Front 46

What do you always check in a patient experiencing a hypoglycemic episode?

Back 46

Gag Reflex

Front 47

Who is at high risk for type II diabetes?

Back 47

- Obesity (55yr old woman?? OSG)

Front 48

Insulin is absorbed best where?

Back 48

-abdomen

Front 49

Discontinue Colchicine if… ?

Back 49

experience n/v diarrhea and abdominal pain

Front 50

Pt. is diagnosed with hypothyroidism and want to know how long they have to take their medicine, what do you tell them?

Back 50

Treatment is life long

Front 51

What do you look for in hyperthyroidism?

Back 51

Decreased TSH levels

Front 52

How long do you use Growth Horomone treatment?

Back 52

Until height desired is met then discontinue meds

Front 53

How do you conduct a fasting test?

Back 53

Check blood glucose after fasting for EIGHT HOURS (but if YOU HAVE EATEN....Blood glucose was 125- If you have eaten in the last 8 hours, you may not be diabetic-OSG)

Front 54

What insulin can you mix with NPH insulin?

Back 54

Novolog

Front 55

With type 2 diabetics, NSAIDs can increase the risk of what?

Back 55

Hypoglycemia

Front 56

Pt is a diabetic about to have surgery, what kind of insulin do you give?

Back 56

Humilin R

Front 57

A patient calls in complainind of Severe GI problems and they are taking Colchicine. What do you tell them to do?

Back 57

Discontinue the medicine!!!

Front 58

What is a way to treat hypercalcemia?

Back 58

Loop Diuretics (OSG- IV isotonic??)

Front 59

Who is at the highest risk of not meeting Vitami D requirements?

Back 59

Elderly

Front 60

Hyporthyroidism has what lab values?

Back 60

Low serum T4 and high TSH levels

Front 61

What do you advise pts to do when they are taking Levothyroxine and iron supplements?

Back 61

Give them 2 hrs apart

Front 62

Pt calls saying their Somatropin Growth Horomone is cloudy, what do you tell them to do?

Back 62

Dont give injection and discard it1

Front 63

Why do you look for hypothyroidism in pregnant women?

Back 63

It may cause neuroligical deficits (OSG-hypo- neuro in baby)

Front 64

Radioactive iodine is used to treat what disease?

Back 64

Grave's Disease. (OSG- Radioactive- life long hypo)