WorksheetsDM for medical students
Total questions: 10
Worksheet time: 5mins
In a patient with T2DM and established atherosclerotic cardiovascular disease (ASCVD) or high ASCVD risk, which drug class should be considered first?
Metformin
Sulfonylureas
GLP-1 RA or SGLT2i
DPP-4 Inhibitors
Which diabetes medication is most associated with a high risk of hypoglycemia?
Metformin
SGLT2i
Sulfonylureas
DPP-4 Inhibitors
Which diabetes medication should be avoided in patients with heart failure?
Thiazolidinediones
Metformin
GLP-1 RA
SGLT2i
Which of the following is NOT a common side effect of Metformin?
Nausea
Weight gain
Lactic acidosis
Diarrhea
Which of the following is NOT a recognized benefit of SGLT2 Inhibitors?
Cardiovascular disease (CVD) risk reduction
Improvement in insulin sensitivity in peripheral tissues
Reduction in heart failure (HF) hospitalization
Slowing of chronic kidney disease (CKD) progression
According to current guidelines, what is the most common initial insulin type recommended for patients with Type 2 Diabetes when insulin therapy is needed?
Basal insulin
Premixed insulin
Mealtime (bolus) insulin
Intravenous insulin
Which of the following statements is NOT generally true about DPP-4 Inhibitors?
They carry a high risk of hypoglycemia as monotherapy.
They primarily work by enhancing incretin hormone effects.
They are oral medications.
They are weight-neutral.
How should unopened insulin be stored to maintain its efficacy until the expiration date indicated on the label?
At room temperature
In the freezer
In the refrigerator, at 2-8 degrees Celsius
In a dark and dry place, no refrigeration needed
Why should diabetic patients who inject insulin regularly rotate their injection sites?
To reduce the risk of infection
To make the drug act faster
To prevent lipohypertrophy and ensure good drug absorption
To reduce injection pain
Which of the following statements best explains why prandial insulin is necessary for many patients with diabetes, even if they are on basal insulin?
Basal insulin cannot fully suppress gluconeogenesis from the liver.
Prandial insulin is needed to cover the rapid rise in blood glucose after carbohydrate-containing meals.
Basal insulin has a very short duration of action, requiring prandial insulin for sustained control.
Prandial insulin helps prevent hypoglycemia between meals.
