Chapter 18 Diabetes Sample Questions
1. Melchor, a 68-year-old-man with type 2 diabetes comes to visit your pharmacy complaining about not being able to see the blood glucose readings on his meter. He tells you it was 2 years ago when he began experiencing blurry vision so, he consulted an optometrist hoping to get new glasses. His optometrist after assessment referred Melchor directly to the emergency department because he was found to have severe bilateral diabetic retinopathy. Since that visit, Melchor has had several laser treatments and surgeries of both eyes. Melchor is now essentially blind. Melchor has medical history of hypertension, dyslipidemia and hypothyroidism for which he takes lisinopril, atorvastatin, and levothyroxine respectively. He complains impairment in his vision and eye pain. He asks for recommendation to protect his eyes. What information should the pharmacist provide?
- A. Recommend to optimize control of his blood sugar levels, blood pressure and, dyslipidemia.
- B. Recommend to be more compliant with his antidiabetic drugs.
- C. Regular exercise and blood glucose control
- D. As he developed impairment of vision and eye pain, he should be referred to an ophthalmologist.
Ans:
D
Tips: Diabetic retinopathy is a microvascular complication with risk increased by numerous factors including duration of diabetes, degree of glycemic control, nephropathy and other macrovascular conditions such as high blood pressure, and dyslipidemia. If patients develop any vision impairment and eye pain, patient should be evaluated by ophthalmologist immediately.
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