CDE PRACTICE EXAM 1 QUESTIONS
WITH COMPLETE SOLUTIONS
GRADED A+
wall to prevent/delay the breakdown of certain carbohydrates?
Sulfonylureas
Thiazolidinediones
, D. HMG-CoA reductase inhibitors
Statin drugs are category X and should not be used in pregnant women. Insulin,
metformin, and methyldopa have adequate safety date to support use during
pregnancy.
C. Teenage demonstration of injection technique
D. Alpha-glucosidase inhibitors
Sulfonylureas improve insulin secretion. Thiazolidnediones increase insulin
senstivity. DPP-4 inhibitors work within the gut to inhibit the breakdown of
GLP-1 an incretin hormone.
C. Willingness to learn
While a willingness to learn is important, the others are essential for effective
pattern management.
Don't know?
2 of 166
Term
Quality improvement in a diabetes education program
A. is a systemic review of process and outcome data to measure the
effectiveness of the education and support and to correct program
shortcomings
B. is conducted by management staff only
C. focuses exclusively on patient outcomes
D. is not a process recommended in the National Standards for
Diabetes Self-Management Education and Support
Give this one a try later!
,C. Check for urine ketones and continue only if ketones are negative
Worsening of hyperglycemia and ketosis can occur in the presence of absolute
insulin deficiency. As a rule of thumb, ketone levels should be checked with bg
levels above 250 mg/dL. If ketones are present, then the elevated bg level is a
result of insulin deficiency and corrective action should be taken immediately. In
the absence of ketones, this higher value should not pose a medical threat,
however, some people experience bad headaches, blurry vision, or lack of
energy with higher levels, and may avoid exercise.
C. Patient expectations and personal education goals
Assessment is the first step in the process of providing diabetes education. By
understanding what the interests, needs, and problems of the person with
diabetes are, the educator is more likely to provide appropriate and useful
information that will assist the individual to meet desired outcomes.
D. Use a bg meter with alternate test site testing capabilities
Although a glucose sensor may be useful to augment capillary testing, the
sensors must be calibrated each day with several finger sticks. Because stress
can affect bg, this patient may need to test more often before a concert to
appropriately adjust his insulin dose.
A. is a systemic review of process and outcome data to measure the
effectiveness of the education and support and to correct program
shortcomings
A QI process is a systemic review of process and outcome data to measure
the effectiveness of the education and support and looks for ways to
improve any identified gaps in service or service quality. The process
includes staff from a variety of levels and department that are relevant to
the specific QI project. A QI project can select a number of groups as the
customer, including patients with diabetes, third-party mayors, regulatory
agencies, etc. Implementing a QI process in a DSME program is
recommended in Standard 10 of the National Standards.
Don't know?
, 3 of 166
Term
The stage of diabetic nephropathy at which microalbuminuria first
appears is
A. stage 2
B. stage 3
C. stage 4
D. stage 5
Give this one a try later!
B. stage 3
The presence of microalbuminuria is T1DM appears to be a strong predictor
of clinical or overt diabetic nephropathy. Stage 2 involves structural
changes, stage 4 is overt clinical diabetic kidney disease, and stage 5 is
end-stage renal disease.
D. HMG-CoA reductase inhibitors
Statin drugs are category X and should not be used in pregnant women. Insulin,
metformin, and methyldopa have adequate safety date to support use during
pregnancy.
D. Contact the hospital billing office to review patient demographic information
One of the first steps in the development of a new education program is to
assess the target population and determine their educational needs.
D. Diabetic ketoacidosis (DKA)
Newly dx T2DM may have high glucose levels, but without changes in acid-base
status. This presentation is also not consistent with blood glucose levels higher
than 400 mg/dL. Finally, elevated bg levels are not characteristic of patients with
renal disease.
WITH COMPLETE SOLUTIONS
GRADED A+
wall to prevent/delay the breakdown of certain carbohydrates?
Sulfonylureas
Thiazolidinediones
, D. HMG-CoA reductase inhibitors
Statin drugs are category X and should not be used in pregnant women. Insulin,
metformin, and methyldopa have adequate safety date to support use during
pregnancy.
C. Teenage demonstration of injection technique
D. Alpha-glucosidase inhibitors
Sulfonylureas improve insulin secretion. Thiazolidnediones increase insulin
senstivity. DPP-4 inhibitors work within the gut to inhibit the breakdown of
GLP-1 an incretin hormone.
C. Willingness to learn
While a willingness to learn is important, the others are essential for effective
pattern management.
Don't know?
2 of 166
Term
Quality improvement in a diabetes education program
A. is a systemic review of process and outcome data to measure the
effectiveness of the education and support and to correct program
shortcomings
B. is conducted by management staff only
C. focuses exclusively on patient outcomes
D. is not a process recommended in the National Standards for
Diabetes Self-Management Education and Support
Give this one a try later!
,C. Check for urine ketones and continue only if ketones are negative
Worsening of hyperglycemia and ketosis can occur in the presence of absolute
insulin deficiency. As a rule of thumb, ketone levels should be checked with bg
levels above 250 mg/dL. If ketones are present, then the elevated bg level is a
result of insulin deficiency and corrective action should be taken immediately. In
the absence of ketones, this higher value should not pose a medical threat,
however, some people experience bad headaches, blurry vision, or lack of
energy with higher levels, and may avoid exercise.
C. Patient expectations and personal education goals
Assessment is the first step in the process of providing diabetes education. By
understanding what the interests, needs, and problems of the person with
diabetes are, the educator is more likely to provide appropriate and useful
information that will assist the individual to meet desired outcomes.
D. Use a bg meter with alternate test site testing capabilities
Although a glucose sensor may be useful to augment capillary testing, the
sensors must be calibrated each day with several finger sticks. Because stress
can affect bg, this patient may need to test more often before a concert to
appropriately adjust his insulin dose.
A. is a systemic review of process and outcome data to measure the
effectiveness of the education and support and to correct program
shortcomings
A QI process is a systemic review of process and outcome data to measure
the effectiveness of the education and support and looks for ways to
improve any identified gaps in service or service quality. The process
includes staff from a variety of levels and department that are relevant to
the specific QI project. A QI project can select a number of groups as the
customer, including patients with diabetes, third-party mayors, regulatory
agencies, etc. Implementing a QI process in a DSME program is
recommended in Standard 10 of the National Standards.
Don't know?
, 3 of 166
Term
The stage of diabetic nephropathy at which microalbuminuria first
appears is
A. stage 2
B. stage 3
C. stage 4
D. stage 5
Give this one a try later!
B. stage 3
The presence of microalbuminuria is T1DM appears to be a strong predictor
of clinical or overt diabetic nephropathy. Stage 2 involves structural
changes, stage 4 is overt clinical diabetic kidney disease, and stage 5 is
end-stage renal disease.
D. HMG-CoA reductase inhibitors
Statin drugs are category X and should not be used in pregnant women. Insulin,
metformin, and methyldopa have adequate safety date to support use during
pregnancy.
D. Contact the hospital billing office to review patient demographic information
One of the first steps in the development of a new education program is to
assess the target population and determine their educational needs.
D. Diabetic ketoacidosis (DKA)
Newly dx T2DM may have high glucose levels, but without changes in acid-base
status. This presentation is also not consistent with blood glucose levels higher
than 400 mg/dL. Finally, elevated bg levels are not characteristic of patients with
renal disease.
