NR 661 Family Nurse Practitioner Quiz For Endocrine

(NR 661 Family Nurse Practitioner Quiz For Endocrine)

1. ADA Diagnostic Criteria for T2DM
2. ADA Diagnostic Criteria for IFG (pre-diabetics)
3. Intial Management
4. What is a reasonable A1C goal for a newly diagnosed patient with diabetes?
5. Treatment Goals
6. ADA treatment for IFG or A1C 5.7-6.4%
7. When to consider Metformin
8. ADA first line treatment Evidence Level A:
9. What is a contraindication for initiating metformin in a newly diagnosed patient with diabetes>
10. A person who binges on metformin?
11. Metformin is often chose for
12. How much metformin expected to decrease A1C% in a patient who take moderate dose daily?
13. Exercise decreases A1C to
14. Metformin plus what other meds:
15. Sulfonylurea
16. DPP4 agents
17. TZDs
18. GLP-1 Agonists (injectable)
19. Jones is a active 60 y/o retired patient who was diagnosed with type 2 diabetes 6 months ago. what is the appropriate action today according to ADA?
20. What meds are safe when combined?
21. *Usually discontinue sulfonylureas, glitazones after initiating insulin
22. A1C 5.9%, newly diagnosed with IFG
23. 55 y/o female, intolerant of metformin,
24. 79 y/o male, A1C 8.9%, newly
25. 62 y/o female taking metformin, A1C
26. 27 y/o male, A1C 6.9%, newly
27. 62 y/o female who takes metformin,
28. 55 y/o female, takes metformin plus
29. Cashopenic
30. When should you consider insulin?
31. Insulin Type: Immediate
32. Regular
33. Mixed (rapid plus
34. NPH
35. Long Acting
36. Basal Insulin Formulations
37. Initiating Basal Insulin
38. Once you need better control…
39. Thyroid Stimulating Hormone
40. Common Signs and Symptoms:Hypothyroidism
41. Hyperthyroidism
42. Hypothyroidism
43. What lab abnormalities are associated with hypothyroidism? Select all that apply
44. Hyperthyroidism
45. A 27 year old male has suspected hyperthyroidism. How should he … screened?
46. Thyroid Values – TSH is thyrotropin
47. Elevated TSH
48. Decreased TSH
49. Serum TSH normal: no further testing
50. Primary Hypothyroidism
51. Subclinical Hypothyroidism
52. Hyperthyroidism
53. Once HYPOTHYROIDISM is DIAGNOSED and treatment is started
54. Primary Hypothyroidism:
55. How do we replace?
56. How do we replace?
57. A 27 year old female has been diagnosed with primary hypothyroidism. She
    asks, “How long before I feel better?” A correct reply is:
58. Replacement in Middle/Older Adults
59. Presence of cardiac disease or comorbids:
60. A patient has been diagnosed with hypothyroidism today. What should …
    evaluated in order to determine how much levothyroxine to prescribe? Select all that apply
61. A 75 year old female has the following lab values. She complains of fatigue.
62. Subclinical Hypothyroidism – Treatment is controversial
63. A 45 year old patient who has subclinical hypothyroidism requests levothyroxine for her symptoms. What are the risks of prescribing levothyroxine?
64. A 51 year old patient has been diagnosed with hypothyroidism. How should her levothyroxine dose be managed today?
65. Taking levothyroxine with food
66. … 2 pills daily instead of one
67. Taking levothyroxine with vitamins
68. Switching to a generic form of levothyroxine
69. Follow Up
70. A 27 year old male reports a recent 12 pound weight loss, extreme fatigue, and feeling “edgy”. What is the most appropriate action for the NP? Select all that apply. TSH0.1 mU/L, B/p 150/90, HR120, t: 99.5
71. A 35 year old female was diagnosed with hypothyroidism 6 weeks ago and is being replaced with 88 mcg of levothyroxine daily. Based on today’s labs, what action is appropriate? TSH 2.4 mU/L
72. A 60 year old patient has 7.8% A1C on 1000 mg metformin BID. What drug
    class could … considered to achieve better glucose control if cost is major
    determinant of drug choice?
73. A 49 year old male takes maximum doses of metformin daily. His A1C has
    risen to 10.2%. What insulin could … used initially to attain better glucose
    control? Select all that apply.
74. A 30 year old female with normal BMI has symptoms of hypothyroidism. Her – TSH is: 35.6 mU/L. What must 
75. The NP is initiating levothyroxine for primary hypothyroidism in a 75 year old female. Her projected levothyroxine needs are 88 mcg per day. What dose would … the most appropriate for initial therapy in this client?