Deck 186: Diabetes Mellitus

Question 1

A patient diagnosed with diabetes has a blood pressure of 140/90 mm Hg and albuminuria. Which initial action by the primary care provider is indicated for management of this patient?

A) Consulting with a nephrologist
B) Limiting protein intake
C) Prescribing an antihypertensive medication
D) Referring to an ophthalmologist

Answer 1

A

Question 2

An obese patient has recurrent urinary tract infections and reports feeling tired most of the time. What initial diagnostic test will the provider order in the clinic at this visit?

A) C-peptide level
B) Hemoglobin A1C
C) Random serum glucose
D) Thyroid studies

Answer 2

B

Question 3

A patient diagnosed with type 2 diabetes mellitus becomes insulin dependent after a year of therapy with oral diabetes medications. When explaining this change in therapy, the provider will tell the patient

A) it is necessary because the patient cannot comply with the previous regimen.
B) that strict diet and exercise measures may be relaxed with insulin therapy.
C) the use of insulin therapy may be temporary.
D) this is because of the natural progression of the disease.

Answer 3

D

Question 4

A patient recently diagnosed with type 1 diabetes mellitus is in clinic for a follow-up evaluation. The provider notes that the patient appears confused and irritable and is sweating and shaking. What intervention will the provider expect to perform once the point of care blood glucose level is known?

A) Dipstick urinalysis for ketones
B) Giving a rapid-acting carbohydrate
C) Injection of rapid-acting insulin
D) Performing a hemoglobin A1C