A 55-Year-Old Man Comes to the Emergency Department Due to Progressive

question 382

Multiple Choice

A 55-year-old man comes to the emergency department due to progressive weakness and lethargy.  The patient says that over the past 3 months he has been excessively thirsty and waking up several times at night to urinate.  He has also lost 5 kg (11 lb) during this time despite no change in appetite.  The patient has not seen a doctor in several years.  Family history is significant for type 2 diabetes mellitus in his mother and father.  Blood pressure is 108/60 mm Hg, and pulse is 98/min.  BMI is 38 kg/m².  Physical examination shows dry mucous membranes and poor skin turgor.  Laboratory testing reveals a blood glucose concentration of 600 mg/dL.  Serum beta-hydroxybutyrate is normal, and hemoglobin A1c is 14%.  The patient is admitted, and intravenous fluids and insulin infusion are begun.  The next day, his symptoms significantly improve, and the blood glucose levels normalize.  In preparation for discharge, his insulin infusion is changed to a subcutaneous regimen that closely mimics the physiologic pattern of insulin release.  This patient's insulin therapy was most likely transitioned to which of the following regimens?

• A)Combination NPH insulin plus regular insulin twice daily
• B)Insulin aspart before each meal
• C)Insulin detemir twice daily
• D)Insulin glargine once daily
• E)Insulin glargine once daily plus insulin lispro before each meal

Know how to compute and interpret the times interest earned ratio.

Understand the relationship between market interest rates and bond issuance values.

Comprehend the differences between operating leases and capital leases and their accounting treatment.

Recognize bond-related terminology and the significance of bond indenture documents.

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Definitions:

Observations

Data collected during an experiment or survey; each observation represents an individual unit of measured data.

Confidence Levels

The probability or percentage that specifies how confident one can be in the method used to construct a confidence interval estimate of a population parameter.

Confidence Intervals

Ranges of values, based on sample data, that are used to estimate the likelihood of containing the population parameter of interest within a specified level of certainty.

Standard Error

A statistical measure that indicates the accuracy with which a sample distribution represents a population by using its standard deviation and sample size.