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ACNP Certification Exam Review: Endocrine – Qs & As
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ACNP Certification Exam Review: Endocrine – Qs & As
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ACNP Certification Exam Review: Endocrine – Qs & AsPrimary intervention for DKA?
A. Insulin
B. Potassium
C. Sodium bicarbonate
D. Normal Saline infusions Right Ans - A. Decreasing the glucose level will
correct the acidosis. Repletion of potassium and volume is important in DKA
but does not correct the acidosis. Administration of sodium bicarbonate is
controversial.
The principle electrolyte abnormality in primary aldosteronism is?
A. Hypomagnesemia
B. Hyperkalemia
C. Hyponatremia
D. Hypokalemia Right Ans - D
Initial treatment of adrenal crisis includes:
A. D5W followed by 100 mg cortisol
B. 1 G solumedrol
C. Epinephrine infusion
D. Dobutamine infusion Right Ans - A. Initial goal is directed at Na
repletion, water deficit, and increasing circulating glucocorticoids
Treatment of choice for familial combined hyperlipidemia is:
A. gemfibrozil (Lopid)
B. lovastatin (Mevacor)
C. Fish oils
D. nicotinic acid Right Ans - D. Nicotinic acid lowers VLDL apo-B synthesis
Cardinal symptom of Addison's Disease is:
A. asthenia
B. anorexia
C. weight loss
D. diarrhea Right Ans - A. Asthenia- weakness is slowly progressive and
debilitating. Other symptoms include: anorexia, weight loss, nausea/vomiting,
abdominal pain, salt craving, and syncope
Clinical features of diabetes insipidus include polyuria, excessive thirst, and:
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