DM1
DM2
Random Fun
Famous Pimps
Random Medicine
100
Which cells produce insulin in the pancreas?
Beta cells
100
Once diagnosis is established, what is the typical target A1c goal?
<7.0% HbA1c
100
How many alcoholic beverages did I have yesterday?
0!
I had to make this presentation... but the night before was craaaaaazzzzzzy
100
Furosemide 40mg PO converts to X mg IV?
20 mg IV
100
Which of the two is the extended release version?
Metoprolol Succinate or Tartrate?
Metoprolol Succinate
200
Measuring this protein helps indirectly assess insulin production.
C-Peptide
200
How can you diagnosis diabetes in a single visit?
In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose ≥200 mg/dL (11.1 mmol/L)
200
Lucky Square FREE POINTS
Lucky Duck
200
Using the 4-2-1 Rule, what is the maintenance fluid rate (cc/hr) for a patient that weighs 100 kgs
140cc/hr
(4(10kg) + 2(10kg) + 1(80kg))
200
What's beck's triad?
Hypotension, JVD, Muffled Heart Sounds
300
Greater than what % TIR (CGM Time in range) is the target goal?
70%
Pay attention to time very low as well
300
What A1c% and above is it recommended to start patient on insulin?
10% HbA1c
300
What is the code to this door?
357#
300
Too much Normal Saline (NS) can cause what metabolic derangement?
Metabolic Acidosis (Hyperchloremic)
Due to bicarbonate loss in exchange for the extra chloride
300
What is the diagnostic criteria for an AKI?
1. Increase in serum creatinine of ≥0.3 mg/dL within 48 hours
2. Increase in serum creatinine of ≥50% within 48 hours
3. Urine output of <0.5 mL/kg/hour for >6 hours
400
Using the "half" rule (0.5 units/kg), what is the long acting insulin (basal) dosing of a patient that weighs 80 kg?
20 u (glargine, lantus)
80/2 = 40 total
40/2 = 20 Basal + 20/3 meals = ~ 7 Bolus/Prandial
400
Glipizide's drug class is?
Sulfonylurea's (2nd Generation)
(When insulin would be overkill, and their kidney's are cooked)
400
What is the FMC Clinic's phone number?
805-739-3561
400
This syndrome was discovered by a family medicine doctor where shearing of RBC's across aortic stenosis causes anemia
Heyde's Syndrome
400
Eliquis (Apixaban) is typically dosed 5mg BID but is lowered to 2.5 mg BID if they have 2 of which 3 criteria
2.5 mg twice daily for those with any 2 of the following
1. Age ≥80 years
2. Body weight ≤60 kg
3. Serum creatinine ≥1.5 mg/dL
500
Which HTN medication is being studied for use in disease slowing modification of newly diagnosed type I diabetes?
Verapamil
500
Insulin, rather than oral hypoglycemic agents, is often indicated for initial treatment of symptomatic or severe hyperglycemia if the A1c is above?
A1C >10
(fasting plasma glucose >250 mg/dL, random glucose consistently >300 mg/dL, A1C >10)
500
What is Dr. Yorke's Middle name?
Stephen
500
How much K mEq is in a bag of LR?
4 mEq
500
What is the FiO2 % being delivered in a patient receiving 6L O2/min?
21% + 4%(6L) = 45% FiO2