24 & 26. Diabetes Pharm I & II

Question 1

Todd is a 27 year old man with DMI that is well managed. One day he is very irritable,sweating and then faints. What may have precipitated these symptoms?

A. Metformin
B. Diuretics 
C.  Clonidine 
D. Salicylates
E.  Epinephrine 

RFA

Answer 1

Ans. D Salicylates- Todd is suffering from hypoglycemia.

A. Metformin- doesn’t cause hypoglycemia

All the other will cause hyperglycemia

Question 2

Tony is a 48 year old man he was recently diagnosed with DM II. Tony’s BMI is 32 and and his doctor want to manage his symptoms while also trying to reduce his wait. Which medication would be the best to achieve these goals?

A. Repaglinide 
B. Metformin 
C. Chlorpropamide 
D. Pioglitazone
E. Glucagon 

RFA

Answer 2

Ans. B. Metformin- may reduce body weight and treats DM II. Main side effect: B12 def and lactic acidosis

A , C, D all have side effect of not increasing patients weight

E. Glucagon- wouldn’t treat the patients DM II