Focused Testlet 8

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Scenario:

During morning sick call you evaluate a female swimmer complaining of fatigue, excessive urination, and a heightened sense of thirst. Your initial assessment included a urinalysis, which demonstrated that the athlete’s urine was high in glucose and ketones.

Question 1

BOOKMARK
You have chosen to refer this athlete to another healthcare provider. Which providers are best qualified to handle the initial referral for this athlete?

Select all that apply.

Orthopedic surgeon

Gastroenterologist

Internal medicine physician

Family medicine physician

Nurse practitioner

Physician assistant

Registered nurse

Emergency medical technician

Rheumatologist

Urologist

Scenario:

During morning sick call you evaluate a female swimmer complaining of fatigue, excessive urination, and a heightened sense of thirst. Your initial assessment included a urinalysis, which demonstrated that the athlete’s urine was high in glucose and ketones.

Question 2

BOOKMARK
You have decided to refer the athlete to a physician. The physician tells you that he has ordered a urinalysis with urine culture. The physician is likely attempting to rule out which differential diagnoses with these tests?

Select all that apply.

Sexually transmitted infection

Urinary tract infection

Thyroid levels

Bladder infection

Kidney infection

Diabetes

Steroid use

Illicit drug use

Pregnancy

Scenario:

During morning sick call you evaluate a female swimmer complaining of fatigue, excessive urination, and a heightened sense of thirst. Your initial assessment included a urinalysis, which demonstrated that the athlete’s urine was high in glucose and ketones.

Question 3

BOOKMARK
You have decided to refer this patient to a physician. The physician tells you that he has ordered a complete blood count, Epstein-Barr virus screen, thyroid-stimulating hormone test, and fasting blood glucose test. The physician is likely attempting to rule out which differential diagnoses with these tests?

Select all that apply.

Pregnancy

Mononucleosis

Chronic fatigue syndrome

Diabetes

Thyroid disorder

Lyme disease

Systemic infection

Scenario:

During morning sick call you evaluate a female swimmer complaining of fatigue, excessive urination, and a heightened sense of thirst. Your initial assessment included a urinalysis, which demonstrated that the athlete’s urine was high in glucose and ketones.

Question 4

BOOKMARK
Based on physical findings and diagnostic testing the physician has determined that the athlete has type 1 diabetes mellitus. Which statement regarding insulin replacement therapy is correct?

Basal insulin is used to maintain glycemic stability during fasting periods

Basal insulin is used to lower blood glucose levels during hyperglycemia

Bolus insulin delivers a steady, low dose of insulin 24 hours a day

The basal insulin dose is determined by the carbohydrate content of the meal

Basal insulin is used after eating to control elevations in blood glucose levels that occur after eating

Scenario:

During morning sick call you evaluate a female swimmer complaining of fatigue, excessive urination, and a heightened sense of thirst. Your initial assessment included a urinalysis, which demonstrated that the athlete’s urine was high in glucose and ketones.

Question 5

BOOKMARK
Based on physical findings and diagnostic testing the physician has determined that the athlete has type 1 diabetes mellitus. You and the physician are discussing the treatment option of administering insulin via an insulin pump. What are some advantages of using an insulin pump?

Select all that apply.

Uses a single rapid-acting insulin to achieve a close-to-normal insulin profile

Ability to alter the basal rate before or during exercise

Ability to determine an estimated amount of insulin in circulation

Allows for flexible meal schedules

Avoids the regular use of needles

Has a lower cost of operation compared with multiple daily injections

Allows insulin contained within the pump to be resistant to extreme ambient temperatures

STUDENT NAME:

DATE COMPLETED:

TIME TRACKED:

Question Number

Your Score

Possible Score

Answer Key

1

0

4

View Answer Key

2

0

6

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3

0

5

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4

0

1

View Answer Key

5

0

5

View Answer Key

Total Points

0

21

Percentage

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