1. The answer is A
- A fasting blood glucose >126 mg/dl on more than one occasion is diagnostic.
- A Hgb A1C is not typically used for diagnosis as it will can have false negatives about 10% of the time.
- With only the one elevated lab value it is to early to begin treatment with medication
- With only the one elevated lab value it is to early to begin treatment with medication
2. The answer is C
- See the explanation for C
- See the explanation for C
- Hgb A1C is used to monitor glucose levels over the preceding 3 months. It is a measurement of the glycosylation of the red blood cells. Red blood cells live about 120 days providing an average over the past 3 months.
- See the explanation for C
3. The answer is B
- Metformin inhibits production of glucose in the liver.
- Pioglitazone functions to increase sensitivity to insulin in the tissue.
- Lispro is a form of insulin
- Glyburide is a sulfonylurea. This class of drug increases production of insulin in the body.
4. The answer is B Regular
5. The answer is C
- DM 1 can may lead to ketoacidosis but is not the best choice
- DM 2 patients are do not typically become as ill as ketoacidosis
- Ketoacidosis patients may have fruity smelling breath
- Decreased insulin sensitivity patients will not present in ketoacidosis
————————————————————————————————————————-
If you are preparing for the PANRE/PANCE check back for weekly updates, and physician assistant review questions which are typically posted on Thursdays. Bookmark this site or add it to your feed reader and never miss an update. You can also subscribe to our news letter by clicking here! Spend a few minutes a week with us and never have to cram again.