MedU Case 6 Flashcards

1
Q

DKA pH is usually

A
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2
Q

Hyperosmolar Hyperglycemic state usually caused by

A

infection

dehydration

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3
Q

if patient has no risk factors for DM, start screening at what age

A

45

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4
Q

tx for diabetic retinopathy

A

laser photocoagulation therapy

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5
Q

things to look for in non proliferative retinopathy

A

cotton wool spots
retinal hemorrhages
microaneurysms

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6
Q

things that test protective sensation

A

monofilament plus one of the following

  • vibration
  • pinprick
  • ankle (Achilles) reflex
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7
Q

3 things in diabetic foot exam

A

protective sensation
palpate pulses
inspection

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8
Q

metformin can decrease levels of what vitamin

A

B12

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9
Q

screening for TSH guidelines

A

T1DM
newly diagnosed dyslipidemia
women > 50

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10
Q

indication for adding moderate intensity statin

A

age 40-75 w/ LDL > 70

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11
Q

indication for adding high intensity statin

A

age 40-75 w/ LDL > 70 and ASCVD > 7.5%

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12
Q

A1c goal

A
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13
Q

indication for pioglitazone

A

can’t tolerate the GI side effects of metformin

have hypoglycemia with sulfonylureas

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14
Q

ADRs of pioglitazone

A

increase risk of heart failure, edema, and bone fracture

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15
Q

addition to metformin

A

sulfonylurea or glimepiride

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16
Q

vaccines for diabetics

A

flu
pneumococcal
hep B

17
Q

eye exams for T1DM and T2DM

A

T1DM: 5 yrs after dx
T2DM: when diagnosed

18
Q

eye exams for T1DM and T2DM

A

T1DM: 5 yrs after dx
T2DM: at diagnosis

19
Q

optimal ranges for blood glucose

A

fasting 80-120

postprandial (1-2 hrs after meal):