Insulins & Lab values

Question 0

Short acting insulins

Answer 0

Regular (Humulin R, Novolin R, ReliOn R)

Question 1

Rapid acting insulins

Answer 1

Lispro (humalog)
Aspart (novolog)
Glulisine (apidra)

Question 2

Intermediate-acting insulins

Answer 2

NPH (Humulin N, Novolin N , ReliOn N)

Question 3

Long-acting insulins

Answer 3

glargine ( Lantus)

detemir (Levemir)

Question 4

Rapid-acting onset, peak, duration

Answer 4

Onset: 15 min
Peak: 60-90 min
Duration: 3-4hr

Question 5

Short-acting onset, peak, duration

Answer 5

Onset: 1/2-1 hr
Peak:2-3 hr
Duration:3-6 hr

Question 6

Intermediate acting onset, peak, duration

Answer 6

Onset: 2-4 hr
Peak:4-10 hr
Duration: 10-16 hr

Question 7

Long-acting onset , peak, duration

Answer 7

Onset: 1-2 hr
Peak: no pronounced peak
Duration: 24+ hr

Question 8

Albumin

Answer 8

3.4 - 5

Question 9

Bilirubin

Answer 9

< 1.5

Question 10

Ammonia

Answer 10

10 - 80

Question 11

Hematocrit

Answer 11

35 - 52%

Question 12

Hemoglobin

Answer 12

12 - 16

Question 13

WBC

Answer 13

4500 - 11,000

Question 14

Creatinine

Answer 14

0.6 - 1.3

Question 15

BUN

Answer 15

8 - 25

Question 16

T 3

Answer 16

80 - 230

Question 17

T 4

Answer 17

5 - 12

Question 18

urine specific gravity

Answer 18

1.016 - 1.022

Question 19

amylase

Answer 19

60-120

Question 20

lipase

Answer 20

0-160

Question 21

Hepatitis A

Answer 21

Route- Fecal-oral, parenteral, sexual
Severity- Mild
Prophylaxis- Hygiene, immune serum globulin, HAV vaccine, Twinrix

Question 22

Hepatitis B

Answer 22

Route- Parenteral, sexual
Severity- Severe, may be prolonged or chronic
Prophylaxis- Hygiene, HBV vaccine, Twinrix

Question 23

Hepatitis C

Answer 23

Route- Parenteral
Severity- Mild to Severe
Prophylaxis- Hygiene, screening blood, interferon-alpha

Question 24

Hepatitis D

Answer 24

Route- Parenteral, fecal-oral, sexual
Severity- Severe
Prophylaxis- Hygiene, HBV vaccine

Question 25

Hepatitis E

Answer 25

Route- Fecal-oral
Severity- Severe in pregnant women
Prophylaxis- Hygiene, safe water

Question 26

Labs for pancreatitis

Answer 26

Decreased- Calcium, Potassium, Albumin

Increased- amylase, lipase, WBCs, Glucose, Bilirubin, AST, LDH, Alkaline phosphatase.

Question 27

Common symptoms of pancreatitis

Answer 27

severe abdominal pain (radiating to back), nausea, vomiting, fever, dehydration, abdominal guarding, distention, Grey Turner’s sign, Cullen’s sign

Question 28

Causes of Acute Pancreatitis

Answer 28

Biliary disease (Gallstones, common bile duct obstruction)
Alcohol
Traumatic injury