Diabetes, Metabolic Syndrome, & Thyroid Disorders....Oh my!

Medications

100

First-line therapy for hyperthyroidism

Methimazole 

200

This type of insulin has the highest risk of hypoglycemia

Rapid-acting insulin

300

Which 2 types of insulins can be mixed and which one is drawn up 1st? 

Regular then NPH (clear then cloudy)

400

DOUBLE JEOPARDY!!!

This medication class can mask hypoglycemia symptoms

500

What time should you instruct a client to take levothyroxine and name a medication that can interfere with absorption

1 hour before meals/3 hours after

Fiber, Calcium, iron, and antacids interfere with absorption

Diagnostics

100

To be diagnosed with diabetes, what is the A1C? 

>6.5%

200

High TSH, low T3/T4 indicate this disorder

Hypothyroidism 

300

This test is positive for diabetes if it is greater than 126 mg/dL

Fasting glucose test

400

Ketonuria can indicate this disease is not controlled well

Type 1 Diabetes

500

pH 7.24, CO2 44, HCO3 19: What do these ABGs indicate?

Metabolic acidosis 

Clinical Manifestations

100

This gastrointestinal symptom commonly occurs in hypothyroidism

Constipation

200

Name the 3P's of diabetes

Polyphagia, polydipsia, polyuria

300

DOUBLE JEOPARDY!!

Name 2 factors that must be present in metabolic syndrome

400

Name of the hyperpigmented area on the neck/axilla

Acanthosis nigricans 

500

A patient is extremely agitated and vital signs are Temp 104 F, HR 140, BP 180/90, RR 24, O2 92% RA. Which metabolic disorder is occurring?

Thyroid storm

Back to the Basics

100

Autoimmune dysfunction of the pancreatic beta cells leads to this chronic disease

Type 1 Diabetes

200

The cells responsible for making glucagon

Alpha cells

300

The pituitary gland releases which hormone to regulate the thyroid 

TSH

400

A unique eye symptom of Grave's disease

Exophthalmos

500

How often should you check blood glucose in clients with enteral feeding through a PEG tube

Every 6 hours 

Complications

100

This term is a complication of gestational diabetes meaning large baby

Macrosomia

200

Deep, rapid breathing with a blood sugar of 300

Kussmaul respirations

300

Type of neuropathy of the stomach

Gastroparesis

400

Bradycardia, hypotension, hypothermia, and facial swelling may indicate this endocrine disorder

Myxedema Coma

500

Seizures, blood sugar 710, severe dehydration indicate this disorder

Hyperosmolar Hyperglycemic State