Endocrinology & Diabetes — Flashcards

Flashcard 511: During sick day rules for T1DM, patients should try to maintain a normal meal pattern but can replace meals with _____ if their appetite is reduced

Answer: carb-containing drinks

Flashcard 512: If attempts to resolve the underlying cause of nephrogenic diabetes insipidus FAIL → patients can take _____ and NSAIDs (indomethacin)

Answer: thiazide diuretics

Flashcard 513: _____ is a condition where the kidneys do not sufficiently concentrate urine which results in hypotonic polyuria

Answer: Diabetes insipidus

Flashcard 514: Painful diabetic neuropathy is managed with one of the following medications: _____, duloxetine, gabapentin or pregabalin

Answer: amitriptyline

Flashcard 515: Renal failure in diabetics can cause _____ due to decreased clearance of insulin

Answer: hypoglycaemia

Flashcard 516: During sick day rules for T1DM, patients should contact medical services urgently if they are _____ or unable to tolerate fluids

Answer: drowsy

Flashcard 517: _____ serum sodium/serum osmolality is more likely to be primary polydipsia (instead of DI)

Answer: Low

Flashcard 518: Diabetic neuropathy causes _____ ankle jerk reflexes

Answer: decreased

Flashcard 519: Target HbA1c in T1DM is ≤_____ mmol/mol (may vary patient to patient)

Answer: 48

Extra: The target HbA1c for most adults with Type 1 Diabetes Mellitus (T1DM) is 48 mmol/mol (6.5%) or lower to minimize the risk of long-term microvascular complications. However, targets should be individualized based on the risk of hypoglycemia and patient circumstances.

Flashcard 520: Severe dehydration in HHS may cause the blood to become _____ increasing the risk of MI, stroke, peripheral arterial occlusion etc. Therefore all patients should be treated with prophylactic LMWH

Answer: hyperviscous