Endocrine Flashcards
Which of the following drugs is not associated with causing hypoglycaemia?
A. Metformin
B. Gliclazide
C. Gliblenclamide
D. Tolbutamide
A. Metformin
What should the Hb1Ac be before you offer an additional antidiabetic agent to help control her diabetes?
A. 46mmol/mol
B. 52mmol/mol
C. 54mmol/mol
D. 58mmol/mol
D. 58mmol/mol
Which one of the drugs below may be contributing to Mrs Chloe Trimazol recurrent episodes of vaginal thrush?
A. Atorvastatin
B. Metformin
C. Levothyroxine
D. Dapagliflozin
D. Dapagliflozin
Which of the following statements below would NOT warrant Mrs Eve O’Roll to stop taking HRT and seek immediate medical attention?
A. Sudden severe chest pain
B. Sudden onset of diarrhoea
C. Raised BP> 160/95mmHg
D. Unexplained swelling or severe pain in calf of one leg
B. Sudden onset of diarrhoea
What are mineral corticoid side effects
hypertension,
sodium retention,
water retention,
potassium loss,
calcium loss
When someone’s thyroid level is stabilised how often should you monitor TSH levels?
A. Monthly
B. Every 3 months
C. Every 6 months
D. Yearly
D. Yearly
When should GLP-1 mimetics should be continued to treat Type 2 diabetes?
Patient has a reduction of at least 3% initial body weight and 1% reduction of Hb1Ac
within 6 months
What action length is Insulin Isophane
Intermediate
What action length are Aspart and Lispro
Rapid
What action length is insuline glargine
Long
Usually how long would you expect this “block and replace” regimen to be given?
A. 3 months
B. 6 months
C. 12 months
D. 18 months
D. 18 months
What symptoms should you stop taking Bisphosphanates
oesphageal reactions
What is an example of Insulin glargine
Lantus
What is an example of Isophane Insulin
Humulin I
What is an example of Insulin Aspart
NovoRapid
What is an example of Insulin Lispro
Humalog
What are ACEi cautioned in and why
diabetes (as they can lower blood glucose levels)
What is the HB1AC levels of someone with Type 1 diabetes
48mmol/L
Which of the following is used to treat hyponatraemia due to the above, if fluid restriction alone does not restore sodium levels?
A. Tetracycline
B. Desmopressin C. Vasopressin
D. Lymecycline
E. Demeclocycline
E. Demeclocycline
Which antidiabetic medication has a higher risk of gential / urinary infections
SGLT-2i
Mr C 82 years old has come to see you at the practice for his annual diabetes review. He is a Type II diabetic, with a very stable HBA1C of 53 mmol/mol, which has been the same for a number of years. He does not have any other medical conditions. He is very keen to manage his health as much as he can, and often monitors blood pressure at home to ensure that it is well controlled.
What should a target HBPM be for Mr C?
A. <140/90 mmHg
B. <135/85 mmHg
C. <150/90 mmHg
D. <145/85 mmHg
D. <145/85 mmHg
