blood glucose

blood glucose

100

Q1. Which insulin is rapid-acting?
A. Lispro
B. Glargine
C. NPH
D. Regular

✅ Answer: A. Lispro
Lispro and Aspart act within minutes, given before meals

200

Q2. Which insulin is long-acting?
A. NPH
B. Glargine
C. Regular
D. Aspart

✅ Answer: B. Glargine
Glargine provides steady 24-hour basal insulin coverage

300

Q3. Which oral drug decreases hepatic glucose production?
A. Glyburide
B. Metformin
C. Acarbose
D. Sitagliptin

✅ Answer: B. Metformin
Metformin reduces gluconeogenesis in the liver

400

Q4. Which drug delays carbohydrate absorption in the gut?
A. Pioglitazone
B. Acarbose
C. Liraglutide
D. Glargine

✅ Answer: B. Acarbose
Alpha-glucosidase inhibitors slow carb digestion, lowering post-meal spikes

500

Q5. Which sulfonylurea increases insulin release?
A. Sitagliptin
B. Glyburide
C. Metformin
D. Pioglitazone

✅ Answer: B. Glyburide
Sulfonylureas stimulate pancreatic beta cells

blood glucose

100

Q6. Which drug is a DPP-4 inhibitor?
A. Liraglutide
B. Sitagliptin
C. Metformin
D. Regular insulin

✅ Answer: B. Sitagliptin
DPP-4 inhibitors prolong incretin activity, boosting insulin secretion

200

Q9. Which lab reflects long-term glucose control?
A. Potassium
B. Hemoglobin A1C
C. Fasting glucose
D. Serum insulin

✅ Answer: B. Hemoglobin A1C
HgbA1C shows average glucose over 2–3 month

300

Q10. Which assessment is essential before giving insulin?
A. Sodium level
B. Potassium and glucose
C. Hemoglobin
D. Albumin

✅ Answer: B. Potassium and glucose
Insulin lowers both glucose and potassium

400

Q11. Which drug must be held before IV contrast studies?
A. Glyburide
B. Metformin
C. Acarbose
D. Sitagliptin

✅ Answer: B. Metformin
Risk of lactic acidosis if continued with contrast dye

500

Q12. Which medication elevates blood glucose during severe hypoglycemia?
A. Lispro
B. Pioglitazone
C. Glucagon
D. Metformin

✅ Answer: C. Glucagon
Glucagon is given IM, IV, or SQ for severe hypoglycemia

blood glucose

100

Q13. Which insulin requires the patient to eat immediately after injection?
A. Glargine
B. NPH
C. Lispro
D. Regular

✅ Answer: C. Lispro
Rapid-acting insulin peaks quickly and should be taken with meals

200

Q14. Which GLP-1 agonist must be stopped before surgery?
A. Sitagliptin
B. Liraglutide
C. Metformin
D. Glyburide

✅ Answer: B. Liraglutide
GLP-1 agonists delay gastric emptying, raising aspiration risk

300

 What is the best treatment for a conscious patient with BG 40 mg/dL?
A. IV insulin
B. Oral glucose (juice/crackers)
C. Long-acting insulin
D. NPO status

✅ Answer: B. Oral glucose (juice/crackers)
Awake patients with mild hypoglycemia should be treated with oral carbs