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MN 568 MIDTERM EXAM NEWEST 2024 -2025 ACTUAL
EXAM COMPLETE 190 QUESTIONS AND CORRECT
DETAILED ANSWE RS (VERIFIED ANSWERS )
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Which of the following is diagnostic for DM?-A1C 7 on one occasion -Fasting blood sugar (FBS) of 100mg/dL on 2 occasions -Random glucose of 200mg/dL on 2 occasions -2hr post-load plasma glucose of 300mg/dL on 1 occasion - ANSWER- Random glucose of 200mg/dL on 2 occasions
Which of the following meds for T2DM should not be prescribed during pregnancy?-Insulin -Metformin -Glucotrol -Precose - ANSWER- Glucotrol
A 35yo woman presents w/symptoms of hypoglycemia. There is no h/o DM. Which of the following should be included in the differential dx? 1 / 4
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-Anxiety disorder -Pheochromocytoma -Psychosis -All of the above - ANSWER- Pheochromocytoma
T/F Metformin is the first line of pharm treatment for T2DM. - ANSWER- True
T/F Fruit juice with added sugar is the tx of choice for anyone experiencing hypoglycemia. - ANSWER- False
T/F Lifestyle modification is the tx of choice for metabolic syndrome. - ANSWER- True
T/F A BMI of 29 is considered obesity. - ANSWER- False
T/F Urine-free cortisol is one of four diagnostic tests recommended for Cushing's syndrome. - ANSWER- True
A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine. Which condition that the patient also has would be a contraindication to taking metformin? 2 / 4
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- Ulcerative colitis
- Inflammatory bowel disease
- Chronic obstructive pulmonary disease
- Renal disease - ANSWER- Renal Disease
The clinician sees a patient who has a body mass index (BMI) of 32.4 kg/m2. How would the clinician classify this patient?
- Overweight
- Obesity Class 1
- Obesity Class 2
- Obesity Class 3 - ANSWER- Obesity Class 1
Which blood test would confirm a diagnosis of diabetes mellitus?
- A1c 5.5%
- Fasting plasma glucose level of 120 mg/dL
- Oral glucose tolerance test 250 mg/dL (2-hour level)
- Random plasma glucose level 175 mg/dL - ANSWER- Oral
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glucose tolerance test 250 mg/dL (2-hour level)
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Which test should the clinician order to confirm Charcot foot?
- Bone scan of lower extremities
- Computed tomography (CT) scan
- X-ray of the foot
- Culture of the foot ulcer - ANSWER- X-ray of the foot
The clinician should question the patient with suspected gout about use of which of these medications?
- Antihypertensives
- Thiazide diuretics
- Cardiac glycosides
- Potassium supplements - ANSWER- Thiazide diuretics
A woman presents with new-onset hoarseness with hemoptysis.For which condition should the clinician focus an examination?
- Hyperthyroidism
- Pheochromocytoma
- Cushing's syndrome
- Thyroid cancer - ANSWER- Thyroid cancer
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