ATI RN
Quiz Endocrine Reproductive System & Respiratory Drugs Questions
Question 1 of 5
A patient is receiving a daily dose of NPH insulin
Correct Answer: D
Rationale: NPH insulin is an intermediate-acting insulin that typically peaks around 4-12 hours after administration. Since the patient is receiving a daily dose, the peak effect of NPH insulin would most likely occur around 10:30 a.m. This time frame aligns with the typical peak window for NPH insulin, making option D the correct answer.
Question 2 of 5
A patient with ulcerative colitis presents to your clinic with the classical signs of hyperglycemia. After doing all the necessary diagnostic workup, you diagnose the patient with type 2 Diabetes Mellitus. Which of the following antidiabetic drugs should NOT be given to this patient?
Correct Answer: D
Rationale: Miglitol is an alpha-glucosidase inhibitor, which is contraindicated in patients with inflammatory bowel disease (IBD) such as ulcerative colitis. This is because Miglitol causes undigested carbohydrates to accumulate in the intestines, which can exacerbate the inflammation and symptoms of IBD. Additionally, alpha-glucosidase inhibitors are also contraindicated in patients with renal failure. Therefore, Miglitol should not be prescribed to this patient, and alternative antidiabetic medications should be considered.
Question 3 of 5
Why are NaI and KI given to a patient before undergoing thyroidectomy?
Correct Answer: C
Rationale: Iodides (NaI and KI) are given before thyroidectomy to decrease the size and vascularity of the hyperplastic thyroid gland. This reduction in vascularity minimizes the risk of excessive bleeding during surgery. By shrinking the gland and reducing blood flow, iodides make the surgical procedure safer and more manageable. This preoperative preparation is crucial for ensuring a successful thyroidectomy with minimal complications.
Question 4 of 5
Which of the following drugs is more active when applied topically because it poorly passes cell membranes? (Thus used to treat severe eczema).
Correct Answer: D
Rationale: Budesonide is more effective when applied topically because it has poor cell membrane permeability, allowing it to remain localized at the site of application. This makes it particularly useful for treating severe eczema and other inflammatory skin conditions. Its localized action minimizes systemic side effects, making it a safer option for long-term topical use compared to other glucocorticoids.
Question 5 of 5
The production of testosterone in the interstitial cells is stimulated by
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.