Endocrine

Question 1

Diabetes screening

Answer 1

Begins at age 45 every 3 years, annually if risk factors present

Question 2

Lifestyle management of impaired fasting glucose

Answer 2

Lifestyle management, consider Metformin for co-morbids

Question 3

Suggested A1C for most adults

Answer 3

< 7%

Question 4

Suggested A1C for healthy older adults

Answer 4

< 7.5 %

Question 5

Suggested A1C for older adults with co-morbids

Answer 5

< 8.0-8.5%

Question 6

Suggested A1C for type 1 diabetics and most pregnant patients

Answer 6

< 6%

Question 7

A1C testing frequency

Answer 7

Every three months if not in control, twice annually if in control

Question 8

Name the sulfonylureas

Answer 8

Glimepiride, Glipizide, Glyburide “meds that end in ide”

Question 9

DPP-4 inhibitors

Answer 9

Think meds that end in “ptin” such as sitagliptin

Question 10

SGLT2’s

Answer 10

Think meds that end in “flozin” examples are Invokana and Jardiance

Question 11

GLP-1’s

Answer 11

Think meds that end in “tide”

Question 12

First line mediation for diabetes

Answer 12

Metformin

Question 13

Labs to check before giving Metformin

Answer 13

LFT’s, kidney function

Question 14

Second line for diabetes

Answer 14

SGL2’s or GLP-1’s (great choices for patients with cardiovascular disease)

Question 15

Metformin dose is based on what?

Answer 15

GFR

Question 16

Dual therapy should be considered in patients with what A1C?

Answer 16

A1C > 9%

Question 17

Best initial dose of basal insulin

Answer 17

10 units

Question 18

Adjustment recommendation

Answer 18

2-4 units 1-2 weekly until BGL goal is achieved

Question 19

Levothyroxine is dosed based of what?

Answer 19

Ideal body weight, not actual body weight

Question 20

When to treat subclinical hypothyroidism

Answer 20

Only if TSH is > 10

Question 21

After levothyroxine is started, TSH is checked how often?

Answer 21

4-6 weeks until normal, then monitor annually unless symptoms

Question 22

Dawn effect

Answer 22

BGL rises throughout night, caused by increase in growth hormone

Question 23

What anemia is Metformin associated with

Answer 23

B12 anemia

Question 24

Max dose of Metformin

Answer 24

2550 mg per day

Question 25

How to remember all the long acting insulins

Answer 25

Think all the “L’s” like Lantus

Question 26

Addison’s disease and cortisol

Answer 26

Not enough cortisol

Question 27

Cushing’s disease

Answer 27

Too much cortisol