Diabetic Medication Test Question

CORRECT ANSWER:

B) Glipizide (Glucotrol), This medication is a sulfonylurea. Other Sulfonylureas include glimepiride and glyburide. This class is more likely to cause hypoglycemia than other diabetic medications. Sulfonylurea’s increase insulin produced by pancreas (2). Other classes of meds such as biguanides (metformin) and thiazolidinediones (TZD) are less likely to cause hypoglycemia in comparison to Sulfonylureas. TZD’s “reduce glucose produced by the liver”(1). Biguanides decreases the amount of glucose produced by liver and increases the amount of glucose absorbed by the body (3). MEDICATION TIP:

–Sulfonylureas generally end in -ide. –TZD usually end in -zone. 

A) Metformin-(Glucophage) Biguanide

B) Glipizide (Glucotrol)-sulfonylurea

C) Pioglitizone (Actos)-TZD

D) Rosiglitazone (Avandia)-TZD
1)http://www.webmd.com/diabetes/thiazolidinediones-for-type-2-diabetes

2)http://www.webmd.com/diabetes/sulfonylureas-for-type-2-diabetes
3)http://www.webmd.com/diabetes/biguanides-for-type-2-diabetes. #nursingschool #nursingschoolprobs #nursesneverstoplearning #nclextypequestions #nclex #nclexstudying #nclexquestions #nurses #diabeticmedicine #sulfonylurea #glipizide #metformin #glucotrolalternative #avandia #actos #diabetestype2 #diabeticmeds #nursepractitioner #nursepratitionerreview #nursepractitionerstudent #physicianassistant #physicianassistantstudent #LPNschool #medicalschool #medicalstudent #nursingstudytips #nursing

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Physical exam test question


CORRECT ANSWER:

A) Cullen sign, necrotizing pancreatitis. It can sometimes be seen in other emergent diagnosis as well, specifically different types of internal hemorrhage. If you can just simply think of the U in Cullen to remember the umbilicus
Grey Turner sign is similar but the area differs. Ecchymosis is seen around the flank areas. Sometimes Cullen & Grey Turner sign are seen at the same time. I would definitely consider these signs emergent and it needs to be addressed immediately!
REFERENCE

http://m.cmaj.ca/content/183/16/E1221.full. #cullensign #greyturner #pancreatitis #necrotizingpancreatitis #abdomenpain #bruisingaroundbellybutton #bruisingaroundflankarea #nursingstudent #nursingstudying #nursingstudents #futurenurse #nclex #nclextypequestions #nclextypequestions #nclexquestions #nursepractitioner #nursepractitionerstudent #pastudent #nursescme #nursesday #nurseslife #nurseslearning #nursesalwayslearning #medmadeez #medicalschool #medicalstudent #futuredoctor #futuredoc

Guillain-Barre Test Question

CORRECT ANSWER:

A) Ascending Numbness & Tingling. A key finding is that Guillain-Barre progressively moves from the lower extremities to upper ones. This is very characteristic of this disease. Many other nerve disorders move down-descending. Guillain-Barre is when “your body’s immune system attacks your nerves” (mayoclinic). 

Other symptoms include progressive weakness, areflexia or hyporelfexia, speech disturbances, respiratory distress (epocrates). 

OTHER ANSWERS WHICH DX THEY ARE CHARACTERISTIC OF:

B) Koplik spots-measles

C) Rash on palms and soles-Syphilis

D) Erythema migrans-Lyme Disease

E) Absent temporal artery pulse-Temporal arteritis

#nursepractitioner #nurselife💊💉 #nursingstudent #nclex #nclexstudying #nursingschool #guillainbarresyndrome #guillainbarre #nursescme