MN568 MIDTERM EXAM NEWEST 2025 ACTUAL EXAM

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MN568 MIDTERM EXAM NEWEST 2025 ACTUAL EXAM|

COMPLETE 200 REAL EXAM QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY

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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?

• 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) 1 / 4

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• Random plasma glucose level 175 mg/dL - ANSWER - Oral glucose

tolerance test 250 mg/dL (2-hour level)

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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pg. 3 The patient presents to the clinic with a "buffalo hump," weight gain, easy bruising, and hyperpigmentation. Which initial diagnostic test should the clinician order?

• 1 mg overnight dexamethasone suppression test
• Abdominal computer tomography scan
• RAI uptake testing
• Early-morning salivary cortisol - ANSWER - 1 mg overnight

dexamethasone suppression test

The clinician suspects a patient has Addison's disease. Which clinical manifestation would the clinician observe upon a physical examination?

• Moon face
• Central obesity
• Hyperpigmentation
• Myxedema coma - ANSWER - Hyperpigmentation

Which hydrocortisone dose would the clinician prescribe for a patient with Addison's disease?

• 25 to 50 mg daily
• 0.5 to 0.2 mg daily
• 20 mg in the morning and 10 mg in early evening
• 2 to 4 mg in the morning and 1 to 2 mg in the evening - ANSWER -

20 mg in the morning and 10 mg in early evening

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pg. 4 The patient with type 1 diabetes is exhibiting Kussmaul respirations, anorexia, fatigue, and increased thirst. Which condition should the clinician manage?

• Hypoglycemia
• Somogyi effect
• Diabetic ketoacidosis
• Hyperosmolar hyperglycemic syndrome - ANSWER - Diabetic

ketoacidosis

The patient has hyperosmolar hyperglycemic syndrome. Which laboratory findings would the clinician observe?

• Plasma bicarbonate 8 mEq/L
• Blood glucose level 40 mg/dL
• Serum osmolality 420 mOsm/kg
• Blood pH 7.20 - ANSWER - Serum osmolality 420 mOsm/kg

A patient with type 1 diabetes has diabetic ketoacidosis. Which first-line treatment should the clinician prescribe?

• NPH insulin
• Regular insulin
• IV normal saline
• Thiazolidinedione - ANSWER - Regular insulin

A nondiabetic patient has idiopathic hypoglycemia. Which dietary instruction should the clinician share with the patient?

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