ABFM KSA Diabetes Latest Update -

ABFM KSA Diabetes Latest Update - Actual Exam from Credible Source with 60 Questions and 100% Verified Detailed Correct Answers Guaranteed A+ Approved by Professor

• A 35-year-old male sees you for a routine health maintenance visit. He has gained a

few pounds over the past few years. He is 173 cm (68 in) tall and weighs 82 kg (181 lb), giving him a BMI of 27 kg/m2.According to current American Diabetes Association guidelines, which one of the following additional factors would warrant screening him for

prediabetes and diabetes? - CORRECT ANSWER: E. Physical inactivity

• A 42-year-old female with a BMI of 31 kg/m2 has a 3-week history of polyuria and

polydipsia, accompanied by a 10-lb weight loss. Her fasting plasma glucose level is 320 mg/dL, and her hemoglobin A1c is 11.1%.Which one of the following single agents is most likely to reverse her glucose toxicity

and improve her glycemic response? - CORRECT ANSWER: B. Insulin

• A 63-year-old male with a 10-year history of type 2 diabetes and hypertension sees

you for the first time. On examination he is found to have mild nonproliferative diabetic retinopathy with a few microaneurysms seen on ophthalmic examination. His current medications are simvastatin (Zocor), 40 mg daily; hydrochlorothiazide, 25 mg daily; lisinopril (Prinivil, Zestril), 10 mg daily; extended-release metformin (Glucophage XR), 1000 mg daily; extended-release glipizide (Glucotrol XL), 10 mg daily; and aspirin, 81 mg daily.Laboratory Findings Serum sodium............140 mEq/L (N 135-145) Serum potassium............4.3 mEq/L (N 3.5-5.0) Serum chloride............105 mEq/L (N 100-108) CO2............26 mEq/L (N 24-30) Serum creatinine............1.2 mg/dL (N 0.6-1.5) BUN............22 mg/dL (N 8-25) LDL-cholesterol............98 mg/dL 1 / 3

HDL-cholesterol............39 mg/dL Triglycerides............245 mg/dL

Hemoglobin A1c - CORRECT ANSWER: B. Fenofibrate (Tricor)

• A 38-year-old patient with a 20-year history of type 1 diabetes is found to have

reduced vibratory sensation in both feet, as well as reduced sensation to 10-g monofilament. Which one of the following exercise activities would NOT be

recommended? - CORRECT ANSWER: B. Jogging

• A 58-year-old male with type 2 diabetes has a blood pressure of 147/92 mm Hg. You

start him on benazepril (Lotensin) and order a baseline serum creatinine level, which is 1.7 mg/dL (N 0.7-1.3). Two weeks later his blood pressure is 128/80 mm Hg, and his serum creatinine level is 2.1 mg/dL. His creatinine level is unchanged 1 week later.Which one of the following would be most appropriate at this point? - CORRECT

ANSWER: A. Continue benazepril at the same dosage

• A 67-year-old male presents with a 3-month history of heaviness and fatigue in his

right lower thigh and calf when he walks more than three to four blocks. His medical history is notable for hypertension and type 2 diabetes. His current medications include simvastatin (Zocor), 40 mg daily; amlodipine (Norvasc), 10 mg daily; lisinopril (Prinivil, Zestril), 10 mg daily; extended-release metformin (Glucophage XR), 1500 mg daily; canagliflozin (Invokana), 300 mg daily; and aspirin, 81 mg daily. He smokes half a pack of cigarettes a day. A physical examination is notable for a normal blood pressure and reduced pedal pulses on the right. His resting ankle-brachial index is 0.80 at the right dorsalis pedis.You recommend that he stop smoking. Which one of the following would also be appropriate in the management of his peripheral artery disease? - CORRECT ANSWER: D. Prescribing a structured exercise program to improve functional status and walking distance

• A 16-year-old female is admitted to the hospital with a 1-week history of polyuria,

polydipsia, and polyphagia. On examination she is lethargic and volume-depleted and her breath smells of acetone. Her blood pressure is 96/70 mm Hg, her pulse rate is 120 beats/min, and she has Kussmaul respirations at a rate of 32/min.Laboratory Findings Serum glucose............525 mg/dL 2 / 3

Serum sodium............122 mEq/L (N 135-145) Serum potassium............3.1 mEq/L (N 3.5-5.0) Serum chloride............95 mEq/L (N 100-108) CO2............7 mEq/L (N 24-30) Arterial blood gases pH............7.10 (N 7.35-7.45) pCO2............15 mm Hg (N 35-45) pO2............98 mm Hg (N 80-100)

After initiation of intravenous fluid therapy, which one of the following should be given

next? - CORRECT ANSWER: E. Potassium

• At a routine health maintenance visit, an obese 42-year-old male is found to have a

fasting plasma glucose level of 118 mg/dL. Which one of the following is the most appropriate initial intervention for preventing or delaying the development of diabetes

mellitus in this patient? - CORRECT ANSWER: A. Lifestyle modification

• A 66-year-old female sees you for a routine follow-up visit. Her past medical history

is notable for type 2 diabetes and hypertension. Her current medications include extended-release metformin (Glucophage XR), 1000 mg daily; lisinopril (Prinivil, Zestril), 40 mg daily; and aspirin, 81 mg daily. A physical examination is unremarkable except for a BMI of 28 kg/m2, a blood pressure of 132/80 mm Hg, and a grade 2/6 midsystolic ejection murmur.The patient's hemoglobin A1c is 6.7%, her serum creatinine level is 1.5 mg/dL (N 0.6- 1.1), and her estimated glomerular filtration rate is 51 mL/min/1.73 m2. An echocardiogram reveals moderate aortic sclerosis and concentric left ventricular hypertrophy with a left ventricular ejection fraction of 60%-65%.Based on current American Diabetes Association Guidelines, which one of the following

would be most appropriate? - CORRECT ANSWER: C. Add Liraglutide (Victoza)

• Which one of the following lipid-lowering agents can worsen glycemic control? -

CORRECT ANSWER: A. Atorvastatin (Lipitor)

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