MedU Case 6

Question 1

DKA pH is usually

Question 2

Hyperosmolar Hyperglycemic state usually caused by

Answer 2

infection

dehydration

Question 3

if patient has no risk factors for DM, start screening at what age

Answer 3

45

Question 4

tx for diabetic retinopathy

Answer 4

laser photocoagulation therapy

Question 5

things to look for in non proliferative retinopathy

Answer 5

cotton wool spots
retinal hemorrhages
microaneurysms

Question 6

things that test protective sensation

Answer 6

monofilament plus one of the following

• vibration
• pinprick
• ankle (Achilles) reflex

Question 7

3 things in diabetic foot exam

Answer 7

protective sensation
palpate pulses
inspection

Question 8

metformin can decrease levels of what vitamin

Answer 8

B12

Question 9

screening for TSH guidelines

Answer 9

T1DM
newly diagnosed dyslipidemia
women > 50

Question 10

indication for adding moderate intensity statin

Answer 10

age 40-75 w/ LDL > 70

Question 11

indication for adding high intensity statin

Answer 11

age 40-75 w/ LDL > 70 and ASCVD > 7.5%

Question 12

A1c goal

Question 13

indication for pioglitazone

Answer 13

can’t tolerate the GI side effects of metformin

have hypoglycemia with sulfonylureas

Question 14

ADRs of pioglitazone

Answer 14

increase risk of heart failure, edema, and bone fracture

Question 15

addition to metformin

Answer 15

sulfonylurea or glimepiride

Question 16

vaccines for diabetics

Answer 16

flu
pneumococcal
hep B

Question 17

eye exams for T1DM and T2DM

Answer 17

T1DM: 5 yrs after dx
T2DM: when diagnosed

Question 18

eye exams for T1DM and T2DM

Answer 18

T1DM: 5 yrs after dx
T2DM: at diagnosis

Question 19

optimal ranges for blood glucose

Answer 19

fasting 80-120

postprandial (1-2 hrs after meal):