What process does metformin primarily reduce to lower glucose? Enter a concise physiological process.
2 Medications for Type 2 Diabetes Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 Medications for Type 2 Diabetes, test your knowledge, and prepare for your next test or exam.
A patient taking glipizide skips lunch and later feels sweaty, shaky, and confused. These symptoms may indicate hypoglycemia because sulfonylureas can stimulate insulin secretion.
- A
True
- B
False
A patient with type 2 diabetes has an eGFR of 28. Which statement about metformin is supported by the material?
- A
Do not use metformin because the eGFR is below the contraindication threshold.
- B
Use metformin because the contraindication applies only when eGFR is above 30.
- C
Use metformin because eGFR does not affect its safety.
- D
Use metformin only if the patient takes it with food.
SGLT2 inhibitors lower glucose by reducing the of glucose in the kidneys, thereby increasing in urine.
Besides a personal or family history of medullary thyroid carcinoma, which syndrome is listed as a contraindication to semaglutide?
A patient taking sitagliptin is prescribed a GLP-1 receptor agonist. Which approach is generally recommended?
- A
Continue both because sitagliptin prevents GLP-1 receptor agonists from causing gastrointestinal effects.
- B
Generally do not combine them, because the DPP-4 inhibitor does not provide additional glucose lowering beyond the GLP-1-based treatment.
- C
Continue both because the combination is required to prevent hypoglycemia.
- D
Replace the GLP-1 receptor agonist with a sulfonylurea in every case.
A patient starting a GLP-1 receptor agonist asks about common adverse effects. Which effects should be discussed? Select all that apply.
- A
Nausea
- B
Vomiting
- C
Diarrhea
- D
Constipation
- E
Fluid retention
- F
Genital fungal infection
Diabetic ketoacidosis associated with an SGLT2 inhibitor can occur even when blood glucose is not markedly elevated.
- A
True
- B
False
Take oral semaglutide in the on an empty stomach with a small amount of plain water. Wait at least before eating, drinking anything else, or taking other oral medicines.
A patient taking empagliflozin is planning surgery. Which precaution is consistent with the medicine's labeling?
- A
Withhold empagliflozin for at least three days before surgery when possible.
- B
Take an extra dose of empagliflozin the day before surgery.
- C
Continue empagliflozin until the procedure unless blood glucose is high.
- D
Stop empagliflozin only after surgery.
A patient using once-weekly injectable semaglutide is scheduled for a procedure requiring deep sedation. What should the patient do?
- A
Tell the clinical team about the semaglutide before the procedure.
- B
Do not mention semaglutide unless the procedure is performed on the thyroid.
- C
Take an extra dose of semaglutide before anesthesia.
- D
Stop semaglutide permanently before any procedure.
A clinician is individualizing a patient's non-insulin diabetes treatment. Which factors should inform the medication choice? Select all that apply.
- A
Glucose goals
- B
Heart and kidney conditions
- C
Weight goals
- D
Risks of adverse effects
- E
Cost
- F
Patient preferences
- G
Favorite tablet color
- H
Day of the week the prescription is written
A patient with type 2 diabetes has chronic kidney disease. Which approach to medication selection is supported by the material?
- A
Choose therapy only by the A1C, because heart and kidney conditions do not affect medication selection.
- B
Consider an SGLT2 inhibitor with demonstrated benefit for heart or kidney protection, alongside the patient's other clinical factors.
- C
Avoid all SGLT2 inhibitors in people with heart failure or chronic kidney disease.
- D
Use a GLP-1 receptor agonist in every patient, regardless of health conditions or preferences.
A patient with a history of heart failure is being considered for pioglitazone. Describe the major adverse effects and the precaution that should guide its use.
A patient is starting metformin and is concerned about nausea and diarrhea. Which counseling advice is most likely to help with tolerability?
- A
Take each dose on an empty stomach and increase the dose quickly.
- B
Take it with food and increase the dose gradually as directed.
- C
Stop the medicine permanently if mild nausea occurs.
- D
Take it only when blood glucose is elevated.
True or false: Continuing sitagliptin after starting a GLP-1 receptor agonist generally provides additional glucose-lowering benefit.
- A
True
- B
False
A patient with type 2 diabetes has a history of heart failure and is being considered for pioglitazone. Which consideration is most appropriate?
- A
A history of heart failure means pioglitazone is preferred because it removes excess fluid.
- B
New swelling is expected and does not need to be reported.
- C
Heart failure history or symptoms should prompt careful assessment before use.
- D
Pioglitazone commonly causes dehydration and low blood pressure.
Which statement best describes DPP-4 inhibitors when used alone?
- A
They are generally weight-neutral and have low hypoglycemia risk when used alone.
- B
They commonly cause substantial weight gain and frequent hypoglycemia when used alone.
- C
They work by increasing glucose excretion in urine.
- D
They are insulin medicines that must be injected.
A patient who has taken metformin for years develops symptoms that raise concern about a nutritional deficiency. Which vitamin deficiency is associated with long-term metformin use?
A patient taking an SGLT2 inhibitor asks whether recurring genital irritation could be a medicine-related concern. Which type of infection is important to discuss?
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