NAPLEX Practice Question # 52
NAPLEX Examination.
Practice Question # 52.
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1. Question
A 400-lb male has just been diagnosed with type 2 diabetes. His A1c is greater than 15% and his kidney and liver function are normal. Which would be the most appropriate initial agent for monotherapy?
CorrectAnswer & Explanation:
The answer is C
Explanation:
Metformin would typically be the initial agent of choice in a patient diagnosed with type 2 diabetes. However, with this patient’s A1c greater than 15%, insulin is the most appropriate choice. Metformin can be started in addition to the insulin, but not as monotherapy. Oral agents and non-insulin injections will bring the A1c down no greater than 1%.
IncorrectAnswer & Explanation:
The answer is C
Explanation:
Metformin would typically be the initial agent of choice in a patient diagnosed with type 2 diabetes. However, with this patient’s A1c greater than 15%, insulin is the most appropriate choice. Metformin can be started in addition to the insulin, but not as monotherapy. Oral agents and non-insulin injections will bring the A1c down no greater than 1%.
- 9.0%
- Symptomatic: Insulin with or without additional oral agents
- Asymptomatic: Dual or triple oral therapy with metformin as the backbone.