CDCES Practice Questions (Set 2)
Based on the most recent ADA guidelines, to improve outcomes in people with
diabetes who have atherosclerotic cardiovascular disease, which of the following
is true?
A. Initiate low carb meal plan and refer to RD
B. Niacin is recommended if HDL is less than 50 mg/dL
C. Start ezetimibe (Zetia) if LDL>100mg/dl
D. Start high dose statin to reduce LDL by at least 50%
D. Start high dose statin to reduce LDL by at least 50%
According to the ADA Standards which of the following groups meets the criteria
to screen for prediabetes and diabetes?
Everyone starting at age 35
LS is 43 with T2DM, with an A1C of 8.8%, UACR is 32 mg/g, GFR is 48, and blood
pressure is 136/74 or greater on 2 different occasions. Current medications
include metformin 1000mg BID, lovastatin 20mg, glipizide 20mg. Based on the
ADA standards of care, the addition of which medications would most improve
outcomes?
A. SGLT-2 inhibitor and ACE or ARB
B. GLP-1 RA and low dose aspirin
C. Basal insulin and a diuretic
D. ACE and ARB for blood pressure management
A. SGLT-2 inhibitor and ACE or ARB
When looking at the Ambulatory Glucose Profile, which is the most accurate
statement?
A. Keep hypoglycemic events to less than 10% of readings
B. Strive for 70% Time in Range
C. Keep hyperglycemic readings to less than 15%
D. Call provider immediately if more than 5% of glucose levels are more than 180
mg/dl
B. Strive for 70% Time in Range
Lower extremity amputation prevention (LEAP)
1) annual foot screening
(perform initial foot screening on all pts at diagnosis and annually thereafter)
2) patient education
(teach self management skills)
3)daily self inspection
(early detection of foot injuries is necessary to prevent more serious problems)
, 4) footwear selection
(avoid narrow toe shoes or boots, heeled shoes, shoes with vinyl tops, thongs, or any
shoe that is too tight or too loose
5) mgmt of simple foot problems
(report injuries to health care provider)
Chronic care model
1) From reactive to proactive (team based approach)
2) self management support
3) decision support (evidenced based care)
4) clinical information systems
5) community resources
6) health systems to create a quality oriented culture
***studies show using the CCM model decreases death and disease and improves
outcomes
Diabetes A1C, fasting and random plasma glucose
A1C > or equal to 6.5%
FPG > or equal to 126 mg/dL
Random plasma glucose > or equal to 200 (any time of day with hyperglycemia
symptoms)
Normal A1C, FPG, and OGTT
A1C <5.7%
FPG <100 mg/dL
OGTT (2-hr) <140 mg/dL
Prediabetes A1C, FPG, and IGT
A1C 5.7-6.4%
FPG 100-125 mg/dL
Impaired Glucose Tolerance (2hr) 140-199 mg/dL
Screening T2DM in Youth
Test youth with excess weight BMI>85th percentile
plus one risk factor
-maternal DM or GDM during child's gestation
-family hx of T2DM in 1st or 2nd degree
-Native American, African American, Latin, Asian, Pacific Islander
-signs of insulin resistance
Diabetes Prevention Program
Based on the most recent ADA guidelines, to improve outcomes in people with
diabetes who have atherosclerotic cardiovascular disease, which of the following
is true?
A. Initiate low carb meal plan and refer to RD
B. Niacin is recommended if HDL is less than 50 mg/dL
C. Start ezetimibe (Zetia) if LDL>100mg/dl
D. Start high dose statin to reduce LDL by at least 50%
D. Start high dose statin to reduce LDL by at least 50%
According to the ADA Standards which of the following groups meets the criteria
to screen for prediabetes and diabetes?
Everyone starting at age 35
LS is 43 with T2DM, with an A1C of 8.8%, UACR is 32 mg/g, GFR is 48, and blood
pressure is 136/74 or greater on 2 different occasions. Current medications
include metformin 1000mg BID, lovastatin 20mg, glipizide 20mg. Based on the
ADA standards of care, the addition of which medications would most improve
outcomes?
A. SGLT-2 inhibitor and ACE or ARB
B. GLP-1 RA and low dose aspirin
C. Basal insulin and a diuretic
D. ACE and ARB for blood pressure management
A. SGLT-2 inhibitor and ACE or ARB
When looking at the Ambulatory Glucose Profile, which is the most accurate
statement?
A. Keep hypoglycemic events to less than 10% of readings
B. Strive for 70% Time in Range
C. Keep hyperglycemic readings to less than 15%
D. Call provider immediately if more than 5% of glucose levels are more than 180
mg/dl
B. Strive for 70% Time in Range
Lower extremity amputation prevention (LEAP)
1) annual foot screening
(perform initial foot screening on all pts at diagnosis and annually thereafter)
2) patient education
(teach self management skills)
3)daily self inspection
(early detection of foot injuries is necessary to prevent more serious problems)
, 4) footwear selection
(avoid narrow toe shoes or boots, heeled shoes, shoes with vinyl tops, thongs, or any
shoe that is too tight or too loose
5) mgmt of simple foot problems
(report injuries to health care provider)
Chronic care model
1) From reactive to proactive (team based approach)
2) self management support
3) decision support (evidenced based care)
4) clinical information systems
5) community resources
6) health systems to create a quality oriented culture
***studies show using the CCM model decreases death and disease and improves
outcomes
Diabetes A1C, fasting and random plasma glucose
A1C > or equal to 6.5%
FPG > or equal to 126 mg/dL
Random plasma glucose > or equal to 200 (any time of day with hyperglycemia
symptoms)
Normal A1C, FPG, and OGTT
A1C <5.7%
FPG <100 mg/dL
OGTT (2-hr) <140 mg/dL
Prediabetes A1C, FPG, and IGT
A1C 5.7-6.4%
FPG 100-125 mg/dL
Impaired Glucose Tolerance (2hr) 140-199 mg/dL
Screening T2DM in Youth
Test youth with excess weight BMI>85th percentile
plus one risk factor
-maternal DM or GDM during child's gestation
-family hx of T2DM in 1st or 2nd degree
-Native American, African American, Latin, Asian, Pacific Islander
-signs of insulin resistance
Diabetes Prevention Program
