Clinincal Care of the Endocrine System

Question 1

What is whipple triad consist of

Answer 1

Blood glucose lower than 70mg/dl

clinical S/S of hypoglycemia

Clinical S/S resolve with glucose elevation

Question 2

at what level does plasma glucose levels begin to show symptoms

Answer 2

60mg/dL

Question 3

at what level does plasma glucose level start to have impairment of brain function

Answer 3

50 mg/dL

Question 4

fasting hypoglycemia is often categorized as what

Answer 4

subacute

chronic

Question 5

Fasting hypoglycemia usually presents with what as its principle manifestation

Answer 5

neuroglycopenia

Question 6

postprandial hypoglycemia has what kind of onset

Answer 6

acute

Question 7

postprandial hypoglycemia has what precursor symptoms

Answer 7

neurogenic autonomic discharge

Question 8

hypoglycemia is divided into what two broad categories

Answer 8

Neuroglycopenic

Sympathomimetic

Question 9

what are symptoms neuroglycopenic hypoglycemia

Answer 9

CNS DYSFUNCTIONS

alterations in consciousness

lethargy

confusion

combativeness

agitation

unresponsiveness

seizures

focal neurologic deficit

Question 10

what are symptoms of sympathomimetic hypoglycemia

Answer 10

anxiety

nervousness

irritability

nausea

vomiting

palpitations

tremors

Question 11

what is the treatment for hypoglycemia

Answer 11

immediate glucose

do not give PO glucose if pt has altered mental status

Question 12

once a pt with hypoglycemia has stabilized with dose of glucose what should be done

Answer 12

consume a meal with:

carbs

proteins

fats

Question 13

what are risk factors for prediabetes

Answer 13

family history

obesity

diet

physical therapy

Race

Question 14

pt.with prediabetes fasting glucose will be

Answer 14

100-125mg/dL

Question 15

pt.with prediabetes Hgb-A1C will be

Answer 15

5.7-6.4

Question 16

pt.with prediabetes 2 hr post prandial glucose lab value will be what

Answer 16

140-199mg/dL