Endo

Question 1

Diagnostic criteria for DM

Answer 1

A1C >6.5
Fasting glucose > or = to 126
2 hr random glucose > or = to 200
Symptoms of hyperglycemia (polyuria, polydipsia, polyphagia)

Question 2

A1C check q

Answer 2

Q 3 months until controlled, then q 6 months
Goal 6.5 or 7. Elderly < 8

Question 3

Thyroid check tsh q

Answer 3

Q 6-8 weeks. When stable check Q 12 months

Don’t treat subclinical - recheck in 6-8 weeks

Question 4

This class ends in “-flozin” and blocks glucose reabsorption in the proximal nephrons

Answer 4

SGLT2 inhibitors

Question 5

Metformin works by

Answer 5

Decreasing gluconeogenesis and decreasing insulin resistance

Question 6

Addison’s disease

Answer 6

The adrenal cortex produces cortisol and Aldosterone. Aldosterone regulates sodium retention and potassium excretion so we would expect hyperkylemia (high K) and low sodium (Na)

Question 7

What diabetes med classes are cardio protective?

Answer 7

GLP-1 (-tide) and SGLT-2 inhibitors (-flozin)