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USMLE Step 1

USMLE Step 2

Blood Glucose Lab Value

70-100 mg/dL

Which of the following is the most accurate normal Blood Glucose Lab Value?

Diabetic Ketoacidosis (DKA) Diagnosis and Labs

Diagnosis

Blood glucose Increased > 250 mg/dL

Which of the following lab values or conditions would most likely lead to a positive diagnosis of diabetic ketoacidosis (DKA)?

Anion gap metabolic acidosis

Which is typically seen in diabetic ketoacidosis?

Decreased pH < 7.3

Decreased serum bicarbonate < 18

Plasma ketones

Which of the following facts is best associated with diabetic ketoacidosis (DKA)?

Other Labs

Hyperkalemia

Which of the following diseases, disorders, or conditions is most commonly associated with diabetic ketoacidosis (DKA)?

Diabetic Ketoacidosis (DKA) Signs and Symptoms

Kussmaul respirations

During your assessment of a patient with severe diabetic ketoacidosis which of the following is most likely to be seen?

Dehydration

During your assessment of a patient with diabetic ketoacidosis which of the following is most likely to be seen?

Abdominal Pain

Nausea/vomiting

Psychosis

Fruity breath Odor

Diabetic Ketoacidosis (DKA) Treatment

Initial Management

IV Normal Saline

Which of the following is part of the initial management of a patient with DKA?

Regular Insulin Drip

Subsequent Management (correction of electrolytes)

Potassium (K+)

In DKA, serum ____________ is high due to a shift from acid/base status, but total body ____________ is actually depleted.

Glucose

After the initial, live-saving management of a patient with DKA, which of the following should monitored closely and given if needed?

Treat Underlying Cause

Which of the following is an important part of the subsequent management of a patient with DKA?

Monitoring

Venous pH

________________ is monitored in patients with DKA, in order to see if their acidosis has been corrected.

Serum Bicarbonate (HCO3)

______________ levels are monitored, but not typically replaced, as they will improve with stabilization of DKA.

Hemoglobin A1c Lab Value

4-6%

Which of the following is the most accurate Hemoglobin A1c Lab Value?

Insulin

Rapid Acting

Insulin Lispro is most likely which of the following types?

Insulin Lispro (Humalog)

Which of the following medications is associated with rapid acting insulin?

Insulin Aspart (Novolog)

Insulin Glulisine (Apidra)

Short Acting

Regular Insulin is most likely which of the following types?

Regular Insulin (Humulin R)

Which of the following medications is associated with short acting insulin?

Intermediate Acting

NPH Insulin is most likely characterized as which of the following types?

Isophane NPH (Humulin N)

Which of the following medications is associated with intermediate acting insulin?

Long Acting

Detemir Insulin is most likely characterized as which of the following types?

Glargine (Lantus)

Which of the following medications is associated with long acting insulin?

Detemir (Levemir)

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