Metformin is preferred over phenformin because

Questions 15

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ATI RN Test Bank

Diabetic drugs Questions

Question 1 of 5

Metformin is preferred over phenformin because

Correct Answer: B

Rationale: Metformin has a lower risk of lactic acidosis than phenformin, though it still requires caution in renal impairment.

Question 2 of 5

Which of the following features disfavors use of oral hypoglycaemics in diabetes mellitus?

Correct Answer: B

Rationale: High insulin needs (>40 U/day) suggest severe disease or type 1 DM, where oral agents are ineffective.

Question 3 of 5

Select the drug which tends to reverse insulin resistance by increasing cellular glucose transporters.

Correct Answer: B

Rationale: Troglitazone (a thiazolidinedione) enhances insulin sensitivity by increasing GLUT4 transporters.

Question 4 of 5

Nephrogenic diabetes insipidus is seen with

Correct Answer: A

Rationale: Demeclocycline inhibits ADH action in the kidney, causing nephrogenic diabetes insipidus.

Question 5 of 5

Diabetic ketoacidosis is best managed by

Correct Answer: A

Rationale: IV crystalline (regular) insulin allows rapid correction of hyperglycemia and acidosis in DKA.

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