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Diabetic autonomic neuropathy (DAN) is the earliest and most common complication of diabetes. Symptoms associated with DAN include:1.Resting tachycardia, exercise intolerance, and orthostatic hypotension2.Gastroparesis, cold intolerance, and moist skin3.Hyperglycemia, erectile dysfunction, and deficiency of free fatty acids4.Pain, loss of sensation, and muscle weakness____29.Drugs used to treat diabetic peripheral neuropathy include:1.Metoclopramide2.Cholinergic agonists3.Cardioselective beta blockers4.Gabapentin____30.The American Diabetic Association has recommended which of the following tests for ongoing management of diabetes?1.Fasting blood glucose2.HbA1C3.Thyroid function tests4.Electrocardiograms____31.Allison is an 18-year-old college student with type 1 diabetes. She is on NPH twice daily and Novolog before meals. She usually walks for 40 minutes each evening as part of her exercise regimen. She is beginning a 30-minute swimming class three times a week at 1 p.m. What is important for her to do with this change in routine?1.Delay eating the midday meal until after the swimming class.2.Increase the morning dose of NPH insulin on days of the swimming class.3.Adjust the morning insulin injection so that the peak occurs while swimming.4.Check glucose level before, during, and after swimming.____32.Allison is an 18-year-old college student with type 1 diabetes. Allison’s pre-meal BG at 11:30 a.m. is130. She eats an apple and has a sugar-free soft drink. At 1 p.m. before swimming her BG is 80. What should she do?1.Proceed with the swimming class.2.Recheck her BG immediately.3.Eat a granola bar or other snack with CHO.4.Take an additional dose of insulin.____33.Bart is a patient is a 67-year-old male with T2 DM. He is on glipizide and metformin. He presents to the clinic with confusion, sluggishness, and extreme thirst. His wife tells you Bart does not follow his meal plan or exercise regularly, and hasn’t checked his BG for 1 week. A random glucose is drawn and it is 500. What is a likely diagnosis based on preliminary assessment?1.Diabetic keto acidosis (DKA)2.Hyperglycemic hyperosmolar syndrome (HHS)3.Infection4.Hypoglycemia
____34.What would one expected assessment finding be for hyperglycemic hyperosmolar syndrome?1.Low hemoglobin2.Ketones in the urine3.Deep, labored breathing4.pH of 7.35____35.A patient on metformin and glipizide arrives at her 11:30 a.m. clinic appointment diaphoretic and dizzy. She reports taking her medication this morning and ate a bagel and coffee for breakfast. BP is 110/70 and random finger-stick glucose is 64. How should this patient be treated?1.12 oz apple juice with 1 tsp sugar2.10 oz diet soda3.8 oz milk or 4 oz orange juice4.4 cookies and 8 oz chocolate milk