PTCE Handout 7: Diabetes Pharmacy Technician Program 2011-12 a. b. c. d. b Which is the best size needle and syringe for a very thin, 20 yr. old patient injecting 23 units of insulin daily? 25 g, 1cc syringe, 3/8” needle 25 g, 3/10cc syringe whole unit markings, 3/8” needle 30 g ½ cc syringe, 3/8” needle 30 g, 3/10cc syringe, ½ unit markings, 3/8” needle a. b. c. d. Glucagon is used When a patient has high blood sugar As a substitute for sugar in diet When a patient has low blood sugar Daily with insulin to prevent hypoglycemia When a patient has low blood sugar a. b. c. d. Type 1 diabetics would not use which medication? Lantus Glucagon Glucotrol Lispro Glucotrol (it is an oral diabetes med). a. b. c. d. Which insulin is cloudy? Humulin R Humulin N Lantus All of the above Humulin N a. b. c. d. Which is true regarding insulin and refrigeration? Insulin should never be refrigerated. It should never be left outside of the refrigerator. It is good for approx. 28 days outside of refrigerator. It burns more when injected at room temp. Is good for approx. 28 days at room temp. a. b. c. d. Which statement is true regarding Type 2 diabetics? Usually diagnosed during pregnancy. Only use insulin. Can use both insulin and oral meds. All of the above. Can use both insulin and oral meds. True or False: Type 1 diabetics can increase their pancreatic output of insulin by changing their diet and exercise. False a. b. c. d. Which insulin comes in an inhalation dosage form? Exubera Lantus Humalog Humulin 70/30 mix Exubera a. b. c. d. Which insulin can be given IV? Humulin R Humulin N Lantus Humalog mix 75/25 Humulin R a. b. c. d. Which drug is used to treat diabetes? Metformin Synthroid Coreg Ritalin Metformin a. b. c. d. Which class of drugs is used to treat diabetes? Sulfonylureas Ace inhibitors Aminoglycosides Tetracyclines Sulfonylureas a. b. c. d. Glyburide is used to treat: Hyperlipidemia Bipolar disorder Depression Diabetes mellitus Diabetes mellitus a. b. c. d. Insulin is used to treat which: Hyperglycemia Hypoglycemia Hyperlipidemia Hypercalcemia Hyperglycemia a. b. c. d. Where is insulin stored in the pharmacy? Freezer Refrigerator On a shelf at room temperature None of the above Refrigerator a. b. c. d. What is the proper temp for insulin storage? 10-20 degrees F 53-63 degrees F 45-55 degrees F 36-46 degrees F 36-46 degrees F a. b. c. d. Hypoglycemia is defined as: Elevated cholesterol Low blood sugar High blood sugar Low calcium Low blood sugar a. b. c. d. Which type of diabetes is usually diagnosed in childhood? Type 2 Type 1 Gestational Type 4 Type 1 a. b. c. d. Which type of diabetes is known as insulin dependent diabetes mellitus? Type 4 Type 1 Type A Type 2 Type 1 a. b. c. d. How many units are in a standard bottle of Regular U-100 insulin? 10 50 100 1000 1000 a. b. c. d. SC Humulin N is injected by which route of administration? IV IM SC IV Push a. b. c. d. IV Which type of injection offers the quickest onset of action? IM SC IV ID a. b. c. d. An HbA1C test will show glucose control over what period of time? 3 months 10 days 1 month 1 week 3 months How long can insulin be left at room temp before it must be discarded? a. Approximately 1 month b. Approximately 2 months c. Approximately 3 months d. Until the insulin reaches the expiration date listed on the bottle Approximately 1 month True or False: Insulin injections should be given at the same injection site to maintain a constant level of absorption. False; the sites should be rotated.