NR565 Week 5 Endocrine System Case Study - Helen Smith August 2021 (Graded)

Question 2 Use the Helen Smith case study to answer the following question.

Which of the following medical conditions will determine Helen’s diabetes treatment regimen?

Group of answer choices

Dyslipidemia

Obesity

Heart Failure

Osteoarthritis

Question 3 Use the Helen Smith case study to answer the following question.

Which of the following agents should be prescribed for Helen? (Independent searching may be required to find the answer to this question)

Group of answer choices

Glimepiride

Pioglitazone

Dapagliflozin

Glipizide

Question 4 What are the Black Box Warnings associated with NSAIDs? Select all that apply.

Increases risk for serious skin reactions

Increases all-cause mortality

Increases risk for cardiovascular thrombotic event

Increases risk for GI bleeding, ulceration, and perforation

Question 5 Use the Helen Smith case study to answer the following question.

There is still one important issue to address with Helen today.  Which of the following concerns requires addressing?

Group of answer choices

Cholesterol

Weight

Fatigue

Heart failure

Question 6 Use the Helen Smith case study to answer the following question.

If the standard starting dose of levothyroxine 1.6 mcg/kg/dose is prescribed for Helen, what is the correct dose?

Group of answer choices

175mcg

200mcg

300mcg

150mcg

Question 7 Use the Helen Smith case study to answer the following question.

Helen’s has abnormal thyroid values:

TSH 24 mU/L

Free T4 0.2 ng/dl

What condition do these tests indicate?

Group of answer choices

Hashimoto’s thyroiditis

Hyperthyroidism

Hypothyroidism

Grave’s Disease

Question 8 Use the Helen Smith case study to answer the following question.

What is the daily maximum dose of levothyroxine?

Group of answer choices

1000mcg/day

300mcg/day

500mcg/day

700mcg/day

Question 9 Use the Helen Smith case study to answer the following question.

Which of the following lab values require consideration for possible treatment?

Group of answer choices

LDL?120mg/dl

Free T4 0.2 ng/dl

TSH 24 mU/L

Hgb?15.3?g/dL

Hct?48%

AST?(aspartate aminotransferase): 20

HDL?35?mg/dl

Triglycerides?260?mg/dl

Total?Cholesterol?240?mg/dl

ALT?(alanine aminotransferase): 18 U/L

Alkaline phosphatase: 50 U/L

Question 10 Use the Helen Smith case study to answer the following question.

Which of the following drug classes should be prescribed for Helen? 

Group of answer choices

SGLTi

DPP-4i

GLP-1

Biguanide

Question 11 Use the Helen Smith case study to answer the following question.

Which medication should be prescribed for Helen to address her thyroid levels?

Group of answer choices

Triiodothyronine

Propylthiouracil

Methimazole

Levothyroxine

Question 12 Use the Helen Smith case study to answer the following question.

Why is caution indicated if metformin was prescribed for Helen?

Group of answer choices

Because heart failure can predispose patients to lactic acidosis.

Because metformin interacts with her Irbesartan.

Because only diabetic medication should be prescribed.

Because metformin is contraindicated with her age.

Question 13 Use the Helen Smith case study to answer the following question.

Which DM drug class is contraindicated in patients with heart failure?

Group of answer choices

GLP-1

Sulfonylurea

Biguanide

TZD

Question 14 Use the Helen Smith case study to answer the following question.

Which of the following criteria support’s Helen’s diagnosis of DM? Select all that apply.

Group of answer choices

Triglycerides?260?mg/dl

nocturia

polyuria

T.?Cholesterol?240?mg/dl

HgbA1C: 9.2%

Question 15 Use the Helen Smith case study to answer the following question.

Medication lists should always be reviewed for evidence-based prescribing practices. Helen is taking Naproxen 500 mg PO every 12 hours.

What is the maximum dose of Naproxen per day (for 6 months)?

Group of answer choices

2000mg per day

1500mg per day

1000mg per day

2500mg per day

Question 16 Use the Helen Smith case study to answer the following question.

Which of the following is the recommended initial dose of levothyroxine for the general population?  

Group of answer choices

1.2mcg/kg/dose daily

1.6 mcg/kg/dose daily

1.8 mcg/kg/dose daily

2.0 mcg/kg/dose daily

Question 17 Which of the following diabetic drug classes should be prescribed with metformin for a patient with a BMI of 52? Select all that apply.

Group of answer choices

TZD

SGLT2i

Insulin

GLP-1

DPP-4i

Question 18 Exercise is recommended for all youth with type 1 diabetes with the goal of ____ min of moderate-to-vigorous intensity aerobic activity daily, with vigorous muscle-strengthening and bone-strengthening activities at least __ days per week.?

Group of answer choices

45;5

30;3

50;5

60;3

Question 19 Which of the following agents are recommended when hypoglycemia is a concern? Select all that apply,

Group of answer choices

SGLT2i

TZD

GLP-1

DPP-4i

Sulfonylurea

Insulin

Question 20 Which of the following is the preferred medication for treating hyperglycemia in gestational diabetes? 

Group of answer choices

Metformin

GLP-1

SGLT2i

Insulin

TZD

Glyburide

DPP-4i

Question 21 Match the A1C testing recommendations to the correct patient. 

Group of answer choices

Perform the A1C test?at least?two times a year

Perform the A1C test quarterly

Question 22 When considering older adults in the treatment and management of diabetes, what special considerations apply? Select all that apply.

Group of answer choices

Social geriatric domains

Screening for geriatric syndromes

Mini-Cognitive Assessment Instrument

Self-management abilities

Question 23 According to the ADA Standards of Medical Care in Diabetes-2020, what are the goals of care for diabetes? Select all that apply.

Group of answer choices

Empower patients to manage their own disease process

Prevent diabetic complications

Maintain constant control of blood sugar

Optimize quality of life

Question 24 Which of the following DM drug class has a warning that it can cause severe and disabling joint pain at any point in time during treatment?

Group of answer choices

Glyburide

GLP-1

TZD

SGLT2i

Metformin

Insulin

DPP-4i

Question 25  In youth who are overweight or obese and have a new onset of diabetes with an A1C>8.5%, how much basal insulin is recommended? 

Group of answer choices

 1 unit/kg/day

 0.5 units/kg/day

 0.1 units/kg/day

 0.8 units/kg/day

Question 26 Which of the following hypertension drug classes are NOT recommended for the primary prevention of chronic kidney disease in patients who have diabetes with normal blood pressure and GFR?  (Select all that apply)

Group of answer choices

Thiazide diuretics

Angiotensin converting enzyme inhibitors

Calcium channel blockers

Angiotensin II receptor blockers

Question 27  A diabetic construction worker is seen for follow-up care. He has been taking metformin 1000mg PO twice daily for the last 3 months and his A1C is 8.7.  Which section of the Standards of Medical Care in Diabetes—2020 best describes his treatment plan? 

Group of answer choices

 Compelling need to minimize weight gain or promote weight loss

 Compelling need to minimize hypoglycemia

 ASCVD Predominates

 Cost is a major issue

Question 28  Which of the following exams is important for diabetics and requires a referral? 

Group of answer choices

 Foot exam

 Eye exam

 Gait evaluation

 Colonoscopy

Question 29  A single mom who makes minimum wage and struggles financially needs an additional diabetic medication after experiencing minimal A1C improvement with metformin.  Which of the following DM drugs is appropriate? Select all that apply. 

Group of answer choices

 Sitagliptin

 Dulaglutide

 Glucophage

 Canagliflozin

 Pioglitazone

 Glyburide

 Humalog

Question 30  Which classes of oral diabetic drugs carry a higher risk for hypoglycemia?

Group of answer choices

 SGLT-2 inhibitors

 α-glucosidase inhibitors

 Sulfonylureas

 Biguanides

 Glinides