{"id":113104,"date":"2023-08-15T22:51:21","date_gmt":"2023-08-15T22:51:21","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113104"},"modified":"2023-08-15T22:51:23","modified_gmt":"2023-08-15T22:51:23","slug":"nr-565-nr565-final-exam-nr-565-pharm-final-exam-2-latest-versions-2023-2024-each-version-contains-75-questions-and-detailed-answersalready-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/15\/nr-565-nr565-final-exam-nr-565-pharm-final-exam-2-latest-versions-2023-2024-each-version-contains-75-questions-and-detailed-answersalready-graded-a\/","title":{"rendered":"NR 565\/NR565 FINAL EXAM\/NR 565 PHARM FINAL EXAM 2 LATEST VERSIONS 2023-2024 EACH VERSION CONTAINS 75 QUESTIONS AND DETAILED ANSWERS|ALREADY GRADED A+"},"content":{"rendered":"\n<p>1<br>NR 565\/NR565 FINAL EXAM\/NR 565 PHARM FINAL EXAM 2 LATEST<br>VERSIONS 2023-2024 EACH VERSION CONTAINS 75 QUESTIONS<br>AND DETAILED ANSWERS|ALREADY GRADED A+<\/p>\n\n\n\n<p>VERSION A<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>How do Glucagon-like peptide-1 receptor agonist (Byetta, Victoza, trulicity) work to decrease blood<br>sugar levels?<br>o they slow gastric emptying, stimulate glucose-dependent release of insulin, inhibit<br>postprandial release of glucagon, and suppress appetite.<\/li>\n\n\n\n<li>What is the most common side effect of Byetta?<br>o Nausea and + weight loss<\/li>\n\n\n\n<li>For a new diagnosis of diabetes, insulin should be started if the A1c is greater than what?<br>o &gt;10<\/li>\n\n\n\n<li>What is the typical starting insulin dose?<br>o patients should be started on 10 IU a day<\/li>\n\n\n\n<li>How do you calculate a starting insulin dose?<br>o OR 0.1-0.2 IU\/kg a day<\/li>\n\n\n\n<li>Which cardiac medication can mask the symptoms of hypoglycemia?<br>o \u03b2-Blockers can delay awareness of and response to hypoglycemia by masking signs<br>that are associated with stimulation of the sympathetic nervous system (e.g.,<br>tachycardia, palpitations) that hypoglycemia normally causes.<\/li>\n\n\n\n<li>What are the most common adverse effects of Metformin?<br>o Gastrointestinal (GI) symptoms: decreased appetite, nausea, diarrhea, Lactic acidosis<br>(rarely)<\/li>\n\n\n\n<li>Is Metformin or sulfonylureas more likely to significantly drop a patients blood sugar?<br>o sulfonylureas<\/li>\n<\/ul>\n\n\n\n<p>2<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Which oral hypoglycemic is associated with heart failure?<br>o Pioglitazone is associated with heart failure (HF) secondary to renal retention of fluid.<br>If HF is diagnosed, pioglitazone should be discontinued or used in reduced dosage and<br>Thiazolidinediones<\/li>\n\n\n\n<li>Which medication should we use caution when prescribing to a patient with history of pancreatitis?<br>o Dipeptidyl Peptidase-4 Inhibitors (Gliptins)<\/li>\n\n\n\n<li>How does metformin work?<br>o 1.decreases glucogenesis and insulin resistance and increases glucose uptake.<\/li>\n\n\n\n<li>What is first-line treatment for a new diagnosis of diabetes type 2?<br>o Lifestyle + metformin<\/li>\n\n\n\n<li>What is the A1c goal for people with diabetes?<br>o &lt;7<\/li>\n\n\n\n<li>What is the premeal glucose goal for someone with diabetes?<br>o 70-130<\/li>\n\n\n\n<li>What is the typical onset of short acting insulin?<br>o 30-60<br>\u2022<\/li>\n\n\n\n<li>Is a fasting blood glucose of 126 consistent with pre-diabetes or diabetes?<br>o Diabetes<\/li>\n\n\n\n<li>What is a hemoglobin A1C of 5.7?<br>o Prediabetes<\/li>\n\n\n\n<li>What is a hemoglobin A!C of 6.5?<br>o Diabetes<\/li>\n\n\n\n<li>What are the \u201cclassic\u201d signs of diabetes?<br>o polyuria, polydipsia, and unexplained weight loss.<\/li>\n\n\n\n<li>A random plasma glucose of is suggestive of diabetes.<br>o 200<\/li>\n\n\n\n<li>When mixing short-acting insulin and NPH which one should be drawn up first in the syringe?<br>o the short-acting insulin should be drawn into the syringe first to avoid contaminating<br>the stock vial of the short-acting insulin with NPH insulin<\/li>\n\n\n\n<li>A BG less than what is considered hypoglycemia?<\/li>\n<\/ul>\n\n\n\n<p>3<br>o &lt;70 and it can be caused by what? excessive consumption of alcohol (which promotes<br>hypoglycemia), unusually intense exercise (which promotes cellular glucose uptake and<br>metabolism), and childbirth (which reduces insulin requirements).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>When glucose levels fall rapidly what symptoms may a patient exhibit?<br>o tachycardia, palpitations, sweating, and nervousness.<\/li>\n\n\n\n<li>When glucose levels fall gradually how might symptoms be different?<br>o Mild CNS symptoms include headache, confusion, drowsiness, and fatigue. If<br>hypoglycemia is severe, convulsions, coma, and death may follow.<\/li>\n\n\n\n<li>How often should HgbA1c be drawn?<br>o Q3 Months<\/li>\n\n\n\n<li>What is black-box warning for Metformin and what are the signs?<br>o 1.lactic acidosis, early signs of lactic acidosis\u2014hyperventilation, myalgia, malaise, and<br>unusual somnolence<\/li>\n\n\n\n<li>What would thyroid hormone levels look like in hyperthyroidism?<br>o decreased TSH, increases T3 or T4<\/li>\n\n\n\n<li>What are some s\/s of hyperthyroidism?<br>o nervousness, insomnia, rapid thought flow, and rapid speech. Skeletal muscles may<br>weaken and atrophy. Metabolic rate is raised, resulting in increased heat production,<br>increased body temperature, intolerance to heat, and skin that is warm and moist.<br>Appetite is increased, weight loss<\/li>\n\n\n\n<li>What are s\/s of thyroid storm?<br>o 1.hyperthermia (105\u00b0F or even higher), severe tachycardia, restlessness, agitation, and<br>tremor. Unconsciousness, coma, hypotension, and heart failure may ensue.<\/li>\n\n\n\n<li>What is the first-line drug for hyperthyroidism?<br>o Methimazole (for Graves disease, adjunct to radiation therapy, to suppress thyroid<br>hormone synthesis in preparation for thyroid gland surgery, it can be given to patients<br>experiencing thyrotoxic crisis.<\/li>\n\n\n\n<li>What is the most dangerous adverse effect of the above drug?<br>o Agranulocytosis is the most dangerous toxicity.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>1NR 565\/NR565 FINAL EXAM\/NR 565 PHARM FINAL EXAM 2 LATESTVERSIONS 2023-2024 EACH VERSION CONTAINS 75 QUESTIONSAND DETAILED ANSWERS|ALREADY GRADED A+ VERSION A 2 3o &lt;70 and it can be caused by what? excessive consumption of alcohol (which promoteshypoglycemia), unusually intense exercise (which promotes cellular glucose uptake andmetabolism), and childbirth (which reduces insulin requirements).<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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