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CDCES

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A community pharmacy wants to offer a fee-for-service diabetes patient education program to its customers. Which of the following is the MOST appropriate way to market this new program? A. Place an ad in the regional paper B. Place flyers in every prescription bag C. Send out letters to local hospital administrators D. Contact the top 3 insurance companies in the state - ANSWER-B. Place flyers in every prescription bag In a fee-for-service environment, where patients pay out-of-pocket, the most efficient advertising needs to be directly to the consumer. A 35 year-old woman with T1DM present to the clinic for f/u of self monitoring blood glucose. Her A1c is 12%, and during the interview she reports that she thinks her boyfriend is interested in a younger, thinner woman. Which of the following is the best f/u question related to this patient's concerns? A. Do you think that your boyfriend might stay with you if you become blind? B. Are you afraid that insulin might cause you to gain weight? C. Do your parents know that your blood glucose levels are poorly controlled? D. What time of the day do you check your glucose? - ANSWER-B. Are you afraid that insulin might cause you to gain weight? The question's focus is on assessment and screening for eating disorders, of which intentional insulin omission is one. Effective assessments reveal lifestyle issues and facts, are patient centered, and facilitate honest self-disclosure. Routine labs for a patient with a history of normal glucose tolerance revealed a fasting glucose level of 113 mg/dL. What does the result indicate? A. Normal blood glucose B. Impaired fasting glucose C. Diabetes D. Gestational diabetes - ANSWER-B. Impaired fasting glucose A blood glucose level between 100 and 125 mg/dL indicates impaired fasting glucose. A normal fasting glucose is 100 gm/dL and diabetes is indicated by a fasting blood glucose of 126 mg/dL. SQ presents for a routine visit. While performing a foot exam you note

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CDCES Exam Questions With Correct 100%
Answers.


1. What are the EKG signs of hyperkalemia-ANSWER- Tall, peaked,
symmetrical T waves and shortening of the QT interval
2. Glucocorticoids are associated with elevations in glucose levels for up to
how many hours post administration-ANSWER- 48 hours
3. What is the A1C goals for those under 19 of years who have type 1 diabetes
is age-ANSWER- < 7.5%
4. What is the Blood glucose goals for a school-aged child who has 1 diabetes
type before meals-ANSWER- 90-180
5. Blood glucose goals for a school-aged child who has 1 diabetes type at
bedtime and overnight.: 100-180
6. The American Diabetes Association (ADA) defines impaired fasting glucose
(IFG) as a fasting glucose value of: 100-125 mg/ dl.
7. What is the Endocrine Society guideline for patients on tube feedings who
has a persistent blood glucose level of > 140 mg/dl-ANSWER- They
recommend that a scheduled subcutaneous insulin regimen be given
8. Higher-than-normal estrogen levels may sensitivity to insulin: increase
9. When progesterone levels are high, action and it can to temporary insulin-
: resistance.
10. Women with diabetes have a higher incidence of bacteriuria
than women without diabetes and than men with diabetes.: two- to fourfold
11. Is it recommended to screen for asymptomatic bacteriuria in women with
diabetes-ANSWER- No , there is no evidence that therapy for asymptomatic
bacteriuria is beneficial
12. What does CCM stand for-ANSWER- Chronic Care Model
13. What are the six core elements of the CCM mean to optimize patient
care-ANSWER- 1. Delivery System Design
2. Self-management Support
3. Decision Support
4. Clinical information systems
5. Community resources and policies
6. Health Systems
14. What are the results of the CCM-ANSWER- Reduced incidence of DM
related compli- cations and all-cause mortality.


,Decreased health care utilization --> health care savings
15. What are improvement strategies in the System-Level-ANSWER- 1. Care
teams
2. Telemedicine
3. Behaviors and well-being
4. Cost considerations
5. Access to care and quality improvement






, 16. Social Context Treatment Tailoring includes:: 1. Assessment of food insecu-
rities, housing stability and financial barriers.
2. Local Community Resources
3. Self-Management support from lay health coaches, navigators, or community
health workers
17. Which living conditions are considered to be part of the Social Determi-
nants of Health (SDoH)-ANSWER- Economic
Environmental
Political
Social
18. What are the classifications of Diabetes-ANSWER- 1. DM1
2. DM2
3. GDM
4. Other
19. What is T1DM-ANSWER- Autoimmune ß-Cell destruction that leads to
absolute insulin deficiency
20. What is T2DM-ANSWER- Progressive loss of ß-Cell insulin secretion
frequently on the background of insulin resistance.
Related to inflammation and metabolic stress.
21. What are other causes of DM-ANSWER- 1. Monogenic Diabetes Syndromes
2. Diseases of the exocrine pancreas
3. Chemical-Induced Diabetes
22. What are examples of Monogenic Diabetes Syndrome-ANSWER- 1.
Neonatal Dia- betes
2. Maturity-Onset diabetes of the young (MODY)
23. What are examples of diseases of the exocrine pancreas-ANSWER- 1. Cyst
fibrosis
2. Pancreatitis
24. What are examples of chemically induced DM-ANSWER- 1. Glucocorticoid
(HIV treat- ment and/or post transplant)
25. What does DSMES stand for-ANSWER- Diabetes Self Management
Education and Support
26. What stage of T1DM do patients become symptomatic-ANSWER- Stage 3
27. What stage of T1DM do patients exhibit IGT and IFG-ANSWER- Stage 2
28. What are the three glucose readings that can be used to diagnoses DM?-
: IFG, IGT, and A1C
29. When should A1C not be used for DM diagnosis-ANSWER-
Sickle cell Pregnancy
glucose-6-phosphate dehydrogenase deficiency
HIV hemodialysis

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