•
Willow is a 67-year-old female and her bone mineral density is more than 1 SD below
the young adult reference mean. What is her diagnosis?
•
Normal bone mineral density
•
Osteopenia
•
Osteoporosis
•
Severe osteoporosis
ANS: B
PTS:
1
Section 11. Endocrine and Metabolic Problems
MULTIPLE CHOICE
•
A patient is 66 inches in height, weighing 200 lbs, and newly diagnosed with type 2
diabetes mellitus (DM). The A1c is 7.1%. What is the best initial treatment?
•
No treatment at this time
•
Diet and exercise
•
Diet, exercise, and metformin
•
Diet, exercise, and exogenous insulin
ANS: C
PTS:
1
•
The clinician suspects that a patient seen in the office has hyperthyroidism. Which test
should the clinician order on the initial visit?
•
Sensitive thyroid-stimulating hormone (TSH) assay and T
4
•
Free T
4
and serum calcium
•
Nuclear scintigraphy with radiolabeled iodine (
123
I)
•
Magnetic resonance imaging
ANS: A
PTS:
1
•
Which statement made by a patient with type 1 diabetes indicates successful teaching
regarding general guidelines for exercise?
•
“I
will not exercise if my blood sugar is
315.”
•
“I
should just check my blood glucose after
exercise.”
•
“I
should eat more carbohydrates if my blood glucose is less than
200.”
•
“I
will exercise when my urine ketones are positive but blood sugar is
260.”
ANS: A
PTS:
1
•
A male patient with type 1 diabetes comes to the clinic complaining of feeling
nervous and clammy. He states that he took his insulin this morning but was late
for work and did not eat breakfast. Which action should the clinician take first?
•
Administer glucagon subcutaneously.
•
Have him drink 4 ounces of juice.
