ABFM KSA Diabetes V1 Latest

ABFM + KSA Diabetes V1 (Latest Update 2025 / 2026) Questions & Answers | Grade A | 100% Correct (Verified Answers)

Question:

A 39-year-old female with type 2 diabetes develops microalbuminuria and is started on enalapril (Vasotec). At a follow-up visit 2 months later an electrolyte panel reveals an unchanged serum creatinine level of 1.4 mg/dL (N 0.6-1.1), but her potassium level has risen from a baseline of 4.0 mEq/L to a level of 5.4 mEq/L (N 3.5-5.0).Which one of the following is the most likely cause of her potassium elevation?

Answer:

• Hyporeninemic hypoaldosteronism

Question:

Which one of the following types of insulin should never be mixed with any other form of insulin?

Answer:

• Insulin glargine 1 / 4

Question:

A 36-year-old male sees you for a health maintenance visit. Although his medical history is completely unremarkable he mentions that two of his cousins have been diagnosed with type 2 diabetes and asks if he should be screened for this.For patients in this age group, the American Diabetes Association recommends using BMI to determine whether screening is appropriate. Using a threshold of 23 kg/m2 is recommended for which one of the following ethnic groups?

Answer:

• Asian-American

Question:

An overweight 48-year-old female sees you for a routine follow-up visit. Her medical history is notable for type 2 diabetes, dysmenorrhea, and osteoarthritis in her left knee. Her current medications include metformin (Glucophage), 850 mg twice daily; extended-release glipizide (Glucotrol XL),

• mg daily; atorvastatin (Lipitor), 40 mg daily; and ibuprofen as need for

arthritis pain. She also began taking vitamin E, 800 IU daily, about a year ago.The patient is surprised to learn that her hemoglobin A1c has risen to 7.9%, from 6.8% 6 months ago, despite the fact that she has lost 3 kg (7 lb). Based on her home glucose monitoring log, her fasting and prandial glucose levels have consistently been below 130 mg/dL and 170 mg/dL, respectively.Which one of the following is the most likely cause of the rise in this patient's hemoglobin A1c?

Answer:

• Iron deficiency anemia
• / 4

Question:

A 55-year-old male sees you for a routine visit. His past medical history is notable for an 8-year history of diabetes mellitus and a past history of hypercholesterolemia. His current medications are atorvastatin (Lipitor), 20 mg daily; extended-release metformin (Glucophage XR), 1000 mg daily; and aspirin, 81 mg daily. His serum creatinine level is 1.3 mg/dL (N 0.7-1.3) and his estimated glomerular filtration rate is 61 mL/min/1.73 m2.On examination he has a blood pressure of 124/80 mm Hg. His hemoglobin A1c is 6.7%. A spot urine sample contains 40 µg albumin/mg creatinine. At a follow-up visit 6 months later he has an albumin/creatinine ratio of 48 µg/mg on a spot urine sample.Which one of the following would be most appropriate?

Answer:

• Begin an angiotensin receptor blocker

Question:

A 75-year-old female sees you for a routine follow-up visit. Her medical history is notable for a 15-year history of type 2 diabetes and hypercholesterolemia. Her current medications include extended-release metformin (Glucophage XR), 2000 mg daily; extended-release glipizide (Glucotrol XL), 5 mg daily; atorvastatin (Lipitor), 20 mg daily; and aspirin, 81 mg daily.The patient's blood pressure is 128/78 mm Hg and her BMI is 29 kg/m2. A physical examination is otherwise unremarkable. Laboratory testing reveals a hemoglobin A1c of 7.3%, an LDL-cholesterol level of 95 mg/dL, an HDL- cholesterol level of 36 mg/dL, and a serum triglyceride level of 190 mg/dL.The patient tells you that she had one episode of mild chest discomfort while participating in an exercise program at the community center. An exercise 3 / 4

nuclear stress test reveals findings suspicious for exercise-induced ischemia.Subsequent coronary angiography r

Answer:

• The atorvastatin dosage should be increased

Question:

A 68-year-old female with long-standing type 2 diabetes and hypertension sees you for an annual follow-up visit. Her current medications are metformin (Glucophage), 850 mg twice daily; glipizide (Glucotrol), 10 mg daily; atorvastatin (Lipitor), 40 mg daily; lisinopril (Prinivil, Zestril), 20 mg daily; and aspirin, 81 mg daily. She eats a well balanced diet.Which vitamin deficiency is most likely to occur in this patient?

Answer:

• Vitamin B12

Question:

Which one of the following endocrinopathies is NOT associated with diabetes mellitus?

Answer:

• Gastrinoma

• / 4