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Endocrine 2 Diabetes Test

Enter the letter for the matching Answer
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1.
What is the initial 2-part therapy recommended for most type 2 diabetics?
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2.
NAME THAT DRUG!: also helps lower triglycerides and LDL levels
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3.
What are the 3 reasons for involuntary psych hospitalization?
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4.
NAME THAT DRUG!: should be avoided in pts with renal or liver failure
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5.
NAME THAT DRUG!: Decreases heaptic gluconeogenesis and increases tissue sensitivity to insulin
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6.
You have a well-controlled DM II pt who needs a CT scan with IV contrast. What med is this pt likely on that must be temporarily held?
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7.
NAME THAT DRUG!: stimulates insulin release
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8.
A type 2 diabetic well-controlled on a regimen of metformin, piolglitazone, and glyburide is now developing some episodes of sweating, tachycardia, and confusion. These episodes resolve quickly if he eats something. Which med is causing his hypoglycemia?
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9.
NAME THAT DRUG!: Oldest and cheapest of oral hypoglycemic agents?
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10.
NAME THAT DRUG!: lactic acidosis is a rare but serious SE
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11.
NAME THAT DRUG!: should not be used in pts with IBD
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12.
Name 2 oral hypoglycemic drug classes that can cause hypoglycemia.
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13.
At what point should a type 2 diabetic be considered for addition of a second drug to metformin? Name 2 drug classes commonly added.
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14.
At what point should insulin be added to a type 2 diabetics regimen?
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15.
What is the psych condition in which a person travels a long distance, takes a new name, and has no memory of his prior life?
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16.
NAME THAT DRUG!: cause fluid retention so should be avoided in heart failure pts
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17.
NAME THAT DRUG!: inhibits DPP-IV leading to dec glucagon, incr insulin, delayed gastric emptying
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18.
What medications other than stimulants are used in the treatment of ADHD?
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19.
How do meglitinides (repaglinide, nateglinide) work?
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20.
What are the most common SE of metformin?
A.
TZDs/glitazones
B.
Metformin. Hold 24h prior and 48h after.
C.
Sitagliptin and saxagliptin
D.
1. Danger to self 2. Danger to others 3. Gravely disabled (cannot care for self)
E.
Metformin
F.
If Hgb A1c remains >8.5 or if pt shows signs of decreased insulin production
G.
Glyburide
H.
acarbose/alpha-glucosidase inhibitor
I.
Stimulate insulin release from beta cells (diff mech from sulfonylureas tho)
J.
TCAs, bupropion, alpha 2 agonists (clonidine)
K.
Metformin and sulfonylureas
L.
If Hgb A1c remains >7 after 2-3mos. Add a sulfonylurea and/or TZD (rosi, pio)
M.
sulfonylurea and meglitinides
N.
1. Lifestyle changes (excercise, stop putting so much food in your mouth) 2. Metformin
O.
Dissociative fugue (kinda like a FUGUtive!). HY!
P.
TZDs/glitazones (rosi and pio)
Q.
1. Sulfonylureas (tolbutamide, glyburide, and glipizide) 2. Meglitinides (repaglinide, nateglinide) *#2 is low yield, so just remember the glidy slidy drugs make your blood sugar slide down*
R.
metformin
S.
Sulfonylureas
T.
GI disturbance: nausea, vomiting, diarrhea. Metformin should NOT cause hypoglycemia.
Type the Answer that corresponds to the displayed Question.
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21.
NAME THAT DRUG!: often used in combo with the other oral agents
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22.
NAME THAT DRUG!: An amylin analog which decreases glucagon and delays gastric emptying
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23.
NAME THAT DRUG!: in the biguanide class
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24.
NAME THAT DRUG!: mimcs action of GLD-1 (dec glucagon, inc insulin, delays gastric emptying)
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25.
NAME THAT DRUG!: stimulates insulin release which requires a functioning pancreas
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26.
NAME THAT DRUG!: hepatic serum transaminases should be carefully monitored while using these agents
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27.
NAME THAT DRUG!: decreases heaptic gluconeogenesis, increases insulin activity
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28.
NAME THAT DRUG!: oral hypoglycemic that increases risk of MI
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29.
What skin finding can be a sign of having insulin resistance?
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30.
Which diabetic medications should be avoided in pts with heart failure?

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