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NAPLEX Diabetes Exam Questions with complete solutions 2024/2025( A+ GRADED 100% VERIFIED).
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NAPLEX Diabetes Exam Questions with complete solutions 2024/2025( A+ GRADED 100% VERIFIED).
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NAPLEX DiabetesC-peptide - ANS What test is done to determine if a patient is still producing insulin?
Very low or absent (undetectable) - ANS How do you diagnose T1DM with C-peptide test?
insulin (preferred; metformin and glyburide are sometimes used) - ANS What medications are
preferred in diabetes in pregnancy?
35 years old - ANS When should patients be screened for diabetes?
Diabetes: 6.5% or higher
Prediabetes: 5.7-6.4% - ANS Diagnostic criteria for diabetes and prediabetes (A1c)?
Diabetes: 126 or higher
Prediabetes: 100-125 - ANS Diagnostic criteria for diabetes and prediabetes (FPG)?
Diabetes: 200 or higher
Prediabetes: 140-199 - ANS Diagnostic criteria for diabetes and prediabetes (OGTT)?
A1c: <7%
Pre-prandial: 80-130
2-hr PPG: <180 - ANS Glycemic targets in diabetes (not pregnant)?
Pre-prandial: 95 or lower
1-hr PPG: 140 or lower
2-hr PPG: 120 or lower - ANS Glycemic targets in diabetes (pregnant)?
6% = 126 mg/dL
Each additional 1% = 28 mg/dL - ANS A1c and eAG (estimated average glucose)
<35 inches (females)
<40 inches (males) - ANS What is the goal waist circumference?
- retinopathy
- diabetic kidney disease (nephropathy)
- peripheral neuropathy
- autonomic neuropathy (gastroparesis, loss of bladder control, erectile dysfunction) - ANS
What are examples of microvascular complications with diabetes?
- CAD (including MI)
, - Cerebrovascular disease (including stroke, CVA)
- PAD - ANS What are examples of macrovascular complications with diabetes?
pregabalin, duloxetine, gabapentin - ANS What are some treatment options to treat peripheral
neuropathy?
Diabetes + ASCVD
Age 50-75 years + multiple ASCVD risk factors - ANS When is a high-intensity statin indicated
in patients with diabetes?
Diabetes + age 40-75 years (no ASCVD)
Diabetes + age <40 years + ASCVD risk factors - ANS When is a moderate-intensity statin
indicated in patients with diabetes?
Ezetimibe - ANS What add on therapy can be considered for cholesterol control in diabetic
patients when the patients ASCVD 10-yr risk >20%
Icosapent ethyl - ANS What add on therapy can be considered for cholesterol control in
diabetic patients when the patients LDL is controlled but TGs are 135-499 mg/dL
ACE-I or ARB - ANS What medication is recommended in diabetic patients with albuminuria?
SGLT2 inhibitor
(or Finerenone in patients unable to take SGLT2i) - ANS What medication is recommended in
diabetic patients with eGFR 25 or more and urine albumin 300 or more?
GLP-1a or SGLT2i - ANS Which medications have been proven beneficial at baseline
regardless of A1C in patients who have ASCVD, HF, or CKD?
metformin + non-insulin drug - ANS What should be done at baseline of A1C 8.5-10%
Insulin - ANS What can be started initially if hyperglycemia is severe (A1c >10% or BG 300 or
more)?
DPP-4i, GLP-1a, SGLT2i, TZD - ANS Which antibiotics are best for hypoglycemia risk?
GLP-1a and SGLT2i - ANS Which antidiabetics are best for weight loss?
SU or TZD - ANS Which antibiotics are best for cost?
DPP4i + GLP-1a
SU + insulin - ANS Which antibiotics should not be combined?
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