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Endocrine Medications: How much do you know?

Total questions: 20

Worksheet time: 15mins

Name
Class
Date
1.

A patient newly diagnosed with Diabetes Mellitus type 2 has been prescribed metformin. Which of the following items, if noted within the patient history, would be a cause for concern?

a)

Elevated blood pressure readinge

b)

alcohol use disorder

c)

heart failure

d)

bladder cancer

2.

Concurrent use of thiazide diuretics and glucocorticoids can:

a)

raise blood sugar.

b)

lower blood sugar.

3.

Assessing your medication administration knowledge! Which of the following is True?

a)

Sitagliptin can be taken with or without food

b)

repaglinide should be taken within 1-2 hours of a regularly scheduled meal

c)

glipizide can be taken at any time

4.

NSAIDS, sulfonamide antibiotics, ranitidine and cimetidine when used concurrently with glipizide can:

a)

create a disulfiram-like reaction (N/V, flushing, palpitations).

b)

decrease the effectiveness of glipizide.

c)

increase the hypoglycemic effect.

d)

lead to fluid retention.

5.

Which medication is used in emergency management of hypoglycemic reactions?

a)

glucagon

b)

incretin mimetics

c)

rapid acting insulin

d)

glipizide

6.

Sitagliptin is effective in the treatment of DKA

a)

True

b)

False

7.

Which of the following are complications of Pioglitazone ?

Select all that apply.

a)

Fluid retention

b)

Decrease in LDL

c)

Folic Acid deficiency

d)

Fluid Loss

e)

Hepatoxicity

8.

Assessment: Which of the following is a guideline that clients must meet before being prescribed oral antidiabetic therapy?

a)

The client must have an onset of diabetes mellitus at age 30 years or older

b)

They must have normal blood pressure readings

c)

The cannot be underweight

d)

Must have tried insulin first.

9.

Which of the following is not considered an oral antidiabetic?

a)

Glipizide

b)

Metformin

c)

Repaglinide

d)

Exenatide

10.

Your patient's blood sugar reading is 50 mg/dL per bedside glucose monitor. The patient is unconscious. Which of the following medications will you expect to administer?

a)

regular Insulin

b)

metformin

c)

glipizide

d)

glucagon

11.

Levothyroxine is used to treat:

a)

overactive thyroid.

b)

underactive thyroid.

c)

hypopituitarism.

d)

hyperpituitarism.

12.

Mrs. Jones, who has a history of cardiac dysrhythmias, has been prescribed levothyroxine. Which of the following, if also noted on the MAR, would require follow up prior to administration?

a)

epinephrine

b)

digoxin

c)

acetaminophen

d)

olemesartan

13.

Methimazole belongs to what class of medications:

a)

Radioisotopes

b)

Incretin mimetics

c)

Sulfonylureas

d)

Thionamides

14.

What route can methimazole be administered?

a)

Sub Q

b)

Oral

c)

IV

d)

IM

15.

Which of the following are possible complications of radioactive iodine 131I?

a)

Tachycardia

b)

Hyperthyroidism

c)

Bone marrow depression

d)

Elevation of Liver enzymes

16.

Your patient is ordered to undergo a CT scan with contrast and you notice the following medications on the patient's MAR: pioglitazone p.o., D5W IV and metformin p.o.. Which medication would you hold prior to the test?

a)

metformin

b)

D5W

c)

pioglitazone

17.

Which of the following medications can increase the anticoagulant effects of warfarin?

a)

desmopressin

b)

somatropin

c)

levothyroxine

18.

Somatropin belongs to which class of medication?

a)

Growth Hormone

b)

Antidiuretic Hormone

c)

Adrenal hormone

d)

Hyperpituitarism Medications

19.

Hyperglycemia is a complication of somatropin. What clinical manifestation(s) would you observe for? Select all that apply.

a)

polydipsia

b)

polyphagia

c)

oliguria

d)

anuria

e)

blurred vision

20.

Propylthiouracil, a Thionamide, can lead to ____________ injury.

a)

Liver

b)

Pancreatic

c)

Kidney

d)

Cardiac