Question 1 2
/ 2 points
When blood glucose levels are difficult to control in type 2
diabetes some form of insulin may be added to the treatment regimen to control
blood glucose and limit complication risks. Which of the following statements
is accurate based on research?
Question options:
Premixed insulin analogues are better at lowering HbA1C and
have less risk for hypoglycemia.
Premixed insulin analogues and the newer premixed insulins
are associated with more weight gain than the oral antidiabetic agents.
Newer premixed insulins are better at lowering HbA1C and
postprandial glucose levels than long-acting insulins.
Patients who are not controlled on oral agents and have
postprandial hyperglycemia can have neutral protamine Hagedorn insulin added at
bedtime.
Question 2 2
/ 2 points
Prior to prescribing metformin, the provider should:
Question options:
Draw a serum creatinine to assess renal function
Try the patient on insulin
Tell the patient to increase iodine intake
Have the patient stop taking any sulfonylurea to avoid
dangerous drug interactions
Question 3 2
/ 2 points
Insulin preparations are divided into categories based on
onset, duration, and intensity of action following subcutaneous injection.
Which of the following insulin preparations has the shortest onset and duration
of action?
Question options:
Lispro
Glulisine
Glargine
Detemir
Question 4 2
/ 2 points
The drugs recommended for older adults with type 2 diabetes
include:
Question options:
Second-generation sulfonylureas
Metformin
Pioglitazone
Third-generation sulfonylureas
Question 5 2
/ 2 points
Women with an intact uterus should be treated with both
estrogen and progestin due to:
Question options:
Increased risk for endometrial cancer if estrogen alone is
used
Combination therapy provides the best relief of menopausal
vasomotor symptoms
Reduced risk for colon cancer with combined therapy
Lower risk of developing blood clots with combined therapy
Question 6 2
/ 2 points
Bisphosphonate administration education includes:
Question options:
Taking it on a full stomach
Requiring sitting erect for at least 30 minutes afterward
Drinking it with orange juice
Taking it with H2 blockers or proton pump inhibitors (PPI)
to protect the stomach
Question 7 2
/ 2 points
Long-term use of androgens requires specific laboratory
monitoring of:
Question options:
Glucose, calcium, testosterone, and thyroid function
Calcium, testosterone, PSA, and liver function
Calcium, testosterone, PSA, liver function, glucose, and
lipids
CBC, testosterone, PSA, and thyroid level
Question 8 2
/ 2 points
Patients taking hormonal contraceptives and hormone
replacement therapy need to take the drug daily at the same time to prevent:
Question options:
Nausea
Breakthrough bleeding
Breast tenderness
Pregnancy
Question 9 2
/ 2 points
The mechanism of action of oral combined contraceptives that
prevents pregnancy is:
Question options:
Estrogen prevents the luteinizing hormone surge necessary
for ovulation.
Progestins thicken cervical mucus and slow tubal motility.
Estrogen thins the endometrium making implantation
difficult.
Progestin suppresses follicle stimulating hormone release.
Question 10 2
/ 2 points
When starting a patient with hypothyroidism on thyroid
replacement hormones patient education would include:
Question options:
They should feel symptomatic improvement in 1 to 2 weeks.
Drug adverse effects such as lethargy and dry skin may
occur.
It may take 4 to 8 weeks to get to euthyroid symptomatically
and by laboratory testing.
Because of its short half-life, levothyroxine doses should
not be missed.
