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_Family Medicine > TBL Dec 6 Chronic Diseases > Flashcards

TBL Dec 6 Chronic Diseases Flashcards

1
Q

Diagnose diabetes: A1c

A

> 6.5

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2
Q

Diagnose diabetes: fasting plasma glucose

A

> 126

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3
Q

Diagnose diabetes: 75g glucose load

A

> 200 after two hours

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4
Q

Diagnose diabetes: w/ hyperglycemic symptoms of polyuria/polydipsia – ?

A

random plasma glucose > 200

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5
Q

What give T1 or T2DM for kidney disease prevention?

A

ACEi or ARB

- indicated if elevated urine albumin or hypertension

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6
Q

NEVER use ACEi/ARB in ??

A

Pregnancy!!!

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7
Q

How treat DM retinopathy?

A

Laser photocoagulation

anti-VEGF

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8
Q

What do on annual DM foot exam?

A

Check pulses
Test sensation
Look for ulcers
need for amputation?!

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9
Q

When use statin for ASCVD?

A

Age 40-75 w/ diabetes
LDL > 190
10 year ASCVD risk > 7.5%

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10
Q

How calculate LDL cholesterol?

A

TC - HDL - (TG/5)

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11
Q

What is BP goal for pt’s > 60?

A

under 150/90

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12
Q

What is BP goal for pt’s 30-59?

A

under 140/90

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13
Q

1st line BP control African-American?

A

CCB

Thiazide diuretic

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14
Q

1st line BP control Caucasian?

A

ACEi/ARB
CCB
Thiazide

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15
Q

What add to CKD pt’s who are HTN to improve kidney function?

A

ACEi/ARB

- regardless of race

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16
Q

What is NEVER a 1st line for HTN for any age/race?

A

Never use beta-blocker for 1st line HTN control

17
Q

When screen pregger for GDM?

A

1st prenatal visit

18
Q

When screen all women for GDM w/ glucose tolerance test?

A

24-26 weeks

19
Q

If pregger had GDM, what do postpartum?

A

Screen for persistent DM at 6-12 wks

20
Q

What do w/ women w/ hx GDM lifelong?

A

Screen DM every 3 years

21
Q

Cutoff for Asian-Americans and Caucasians for pre-diabetes based on?

A

BMI
AA > 23
Cauc > 25

22
Q

What is A1c target for children and adolescents with diabetes?

A

< 7.5%

23
Q

Exercise recommendation kids and adults with DM or pre-diabetes?

A

150 min/week adult

60 min/day kid

_Family Medicine (9 decks)

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