Free Practice Quiz Question List

6 Endocrine Pharmacology: Integrated Review Online Quiz Questions

Use this free practice quiz with 20 questions to review 6 Endocrine Pharmacology: Integrated Review, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

A patient’s TSH has risen while they take levothyroxine with breakfast and calcium. True or false: food and calcium can reduce levothyroxine absorption.

A
True
B
False

Fill in the blank

1 point

A patient takes prednisone each morning. Their fasting glucose is near usual, but steroid-related glucose elevations may be most apparent in the .

Choose one

1 point

A person with type 1 diabetes uses rapid-acting insulin with meals and basal insulin once daily. Nausea prevents them from keeping food down before a meal. What is the safest general guidance about the mealtime insulin?

A
Take the usual meal dose, then stop both types of insulin until eating normally.
B
Skip the meal dose while following the prescribed sick-day and correction-dose plan and checking glucose as directed.
C
Stop basal insulin and take a double meal dose later.
D
Take an extra dose of rapid-acting insulin to prevent high glucose.

Fill in the blank

1 point

A patient taking glipizide skips lunch. Because glipizide is a sulfonylurea, a skipped or delayed meal can increase the risk of .

True or false

1 point

True or false: A patient who has taken oral prednisone for a prolonged period should not stop it abruptly without a prescriber-directed plan, because natural cortisol production may be suppressed.

A
True
B
False

Written response

1 point

A patient taking desmopressin develops confusion and recent weight gain after retaining excess water. What electrolyte abnormality is a key concern?

Written response

1 point

A patient taking an SGLT2 inhibitor has nausea, vomiting, abdominal pain, and rapid breathing during an illness. Their glucose is 185 mg/dL. What serious condition must still be considered?

Choose one

1 point

A patient taking methimazole calls about a fever and severe sore throat. What is the safest next action?

A
Continue the medication and wait a week to see whether symptoms resolve.
B
Seek urgent medical advice for evaluation, including a blood count, and do not take further doses until cleared by the treating clinician.
C
Double the dose to control thyroid activity faster.
D
Take an iron supplement and continue the medication as usual.

Choose all

1 point

A patient taking an SGLT2 inhibitor develops nausea, vomiting, abdominal pain, and rapid breathing during an illness. Their glucose is 185 mg/dL. Select all appropriate responses.

A
Arrange urgent assessment for possible ketoacidosis, including ketone evaluation.
B
If ketoacidosis is suspected, stop the SGLT2 inhibitor and obtain prompt treatment.
C
Reassure the patient that ketoacidosis is impossible below 250 mg/dL.
D
Recommend extra exercise and reassess the next day.
E
Take an extra dose of the SGLT2 inhibitor.

Choose one

1 point

A patient with type 2 diabetes, heart failure, and chronic kidney disease has an eGFR of $28\ \mathrm{mL/min/1.73\,m^2}$ . Which statement best reflects medication-selection principles?

A
Continue metformin because it is suitable at any eGFR.
B
Consider an SGLT2 inhibitor with demonstrated benefit for kidney and heart-failure protection; metformin should not be used at this eGFR.
C
Prefer a sulfonylurea because it prevents heart-failure hospitalization.
D
Choose diabetes medications only by comparing their A1C effects.

Choose all

1 point

A patient who has taken oral prednisone for a prolonged period feels better and wants to stop today. Select all appropriate counseling points.

A
Do not stop prednisone abruptly without a prescriber-directed plan.
B
Replace prednisone with an over-the-counter anti-inflammatory drug without asking the prescriber.
C
Recognize that prolonged corticosteroid use can suppress natural cortisol production.
D
Follow a prescriber-determined taper or other discontinuation plan if one is needed.
E
Double the dose for several days and then stop.

Open ended

1 point

A patient with type 2 diabetes starts taking prednisone each morning. Fasting glucose stays close to usual, but afternoon and evening readings rise substantially. Explain how the timing of prednisone can account for this pattern and what should guide monitoring and any medication adjustment, including when the steroid dose changes.

Choose one

1 point

A patient taking glipizide reports shakiness and sweating after skipping lunch. Which counseling point is most appropriate?

A
Sulfonylureas do not cause hypoglycemia, so no follow-up is needed.
B
Skipped or delayed meals can increase hypoglycemia risk; review meal planning and the medication plan with the prescriber.
C
Take an additional glipizide dose before the next meal.
D
Stop checking glucose because symptoms alone are enough to guide treatment.

Choose one

1 point

A patient takes levothyroxine with breakfast and a calcium supplement, and their TSH has risen. Which change best addresses a possible absorption problem?

A
Take levothyroxine only when thyroid symptoms occur.
B
Take levothyroxine consistently on an empty stomach and separate calcium according to clinician or pharmacist guidance.
C
Take levothyroxine with breakfast and calcium because calcium improves absorption.
D
Stop levothyroxine and use an over-the-counter thyroid supplement.

Choose one

1 point

A patient taking desmopressin develops headache, nausea, confusion, and recent weight gain. Which adverse effect is most concerning, and what general response is appropriate?

A
Hypercalcemia; increase fluid intake without contacting the care team.
B
Hyponatremia from water retention; seek prompt medical assessment and review fluid intake and treatment.
C
Hyperthyroidism; take an extra dose of desmopressin.
D
Hypoglycemia caused by increased insulin release; stop glucose monitoring.

Written response

1 point

For a patient with type 2 diabetes, chronic kidney disease, and heart failure whose eGFR is 28, which medication class with demonstrated benefit may be appropriate for kidney and heart-failure protection?

Choose one

1 point

A patient takes levothyroxine with breakfast and a calcium supplement, and their TSH has risen. Which counseling best addresses a possible cause?

A
Take levothyroxine with breakfast and calcium to make absorption more consistent.
B
Take levothyroxine consistently on an empty stomach and separate calcium according to clinician or pharmacist guidance.
C
Take levothyroxine only when symptoms occur.
D
Stop levothyroxine and use an over-the-counter thyroid supplement.

Choose one

1 point

A patient taking glipizide feels shaky and sweaty after skipping lunch. Which counseling is most appropriate?

A
Skipped meals do not affect the risk of low blood glucose with glipizide.
B
A skipped or delayed meal can increase hypoglycemia risk; review meal planning and the medication plan with the prescriber.
C
Take an additional glipizide dose before the next meal.
D
Stop checking glucose because symptoms alone are sufficient.

True or false

1 point

A patient taking morning prednisone has fasting glucose near their usual level but substantially higher readings in the afternoon and evening. This pattern can be consistent with steroid-related hyperglycemia.

A
True
B
False

Written response

1 point

A person with type 1 diabetes is ill and cannot keep food down. Which type of insulin should not be stopped without clinician direction?

6 Endocrine Pharmacology: Integrated Review Online Quiz Questions

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