Certified Diabetes Educator Exam 1 Questions And C
Goals cfor ca cself-management cprogram care cguided cby c- cCORRECT cANS✔✔program cphilosoph
Acculturation c- cCORRECT cANS✔✔the cprocess cof ccultural cand cpsychological cchange cthat cresu
ccultures
Enculturation c- cCORRECT cANS✔✔the cprocess cby cwhich ca cperson clearns cthe crequirements co
cshe cis csurrounded
Avoid cresistive cexercise c- cCORRECT cANS✔✔ESRD, cnephropathy, cCharcot's cfoot, cproliferative
Glipizide c- cCORRECT cANS✔✔should cbe ctaken con can cempty cstomach
Drugs cthat craise cblood cglucose c- cCORRECT cANS✔✔Clonidine, cCorticosteroids, cCyclosporine,
cGemfibrozil, cOral cContraceptives, cPhenytoin c(Dilantin), cThyroid cHormone c(Synthroid)
Sulfonylurea c+ cAspirin c- cCORRECT cANS✔✔lowers cblood cglucose
Metformin c+ cClonidine c- cCORRECT cANS✔✔raises cblood cglucose
The caccuracy cgoal cof chome cmeters cis ca ctotal cerror cof c- cCORRECT cANS✔✔up cto c15%
A cblood cglucose cmeter cthat cmeasures cplasma cblood cglucose cin cthe claboratory cwould cbe c- cCO
ca cwhole cblood cglucose creading
Diabetes cControl cand cComplication cTrial c(DCCT) c- cType c1 c- cCORRECT cANS✔✔Intensive cblo
ceye cdisease cby c76%, crisk cof ckidney cdisease cby c50%, cnerve cdisease cby c60%
United cKingdom cProspective cDiabetes cStudy c(UKPDS) c- cType c2 c- cCORRECT cANS✔✔Every c
cHgA1c, cthere cwas ca c35% creduction cin cthe crisk cof cmicrovascular ccomplications.
Diabetes cPrevention cProgram c(DPP) c- cCORRECT cANS✔✔Lifestyle cchanges cwas cmore ceffecti
closs cof c5-7% cof ctheir cbody cweight cand cexercise creduced cthe cdevelopment cof cType c2 cby c58%
Epidemiology cof cDiabetes cInterventions cand cComplications c(EDIC) c- cType c1 c- cCORRECT cANS
c- ccardiovascular cdisease cevent cwas creduced cby c42% cand cnonfatal cheart cattack, cstroke, cor cd
ccauses cwas creduced cby c57% cwith cintensive cblood cglucose ccontrol
Ketonuria cin cthe cpresence cof ceuglycemia cindicates c- cCORRECT cANS✔✔weight closs
When cswitching ca cpatient cfrom cRegular cshort-acting cinsulin cto cRapid cinsulin cfor cthe cpre-meal
cneed cto c- cCORRECT cANS✔✔increase cthe cbasal cdose
, If c1 ctwin cdevelops cType c2 cdiabetes, cthere cis ca c- cCORRECT cANS✔✔90% cchance cthe cother ct
cdiabetes
Insulin cresistance cin ca cType c2 cdiabetes cperson cis cindicated cby cresponse cof c- cCORRECT cAN
cperipheral ctissue
Both cpatients cwith cDKA cand cHHS ccan cpresent cdecreased cmentation cwhich cis crelated cto cwhic
cindicated con cthe claboratory creport? c- cCORRECT cANS✔✔Serum cosmolality
Motor cneuropathy cin cfoot c- cCORRECT cANS✔✔leads cto cmuscle catrophy, cwhich cchanges cshap
cprotective cfat cpads con cmetatarsal cheads cbecome cdisplaced, cand chigh cplantar cpressure con cin
cincreases crisk cof culceration
One cindication cof cperipheral cvascular cdisease cis c- cCORRECT cANS✔✔venous cfilling ctime clong
Symptoms cof cPeripheral cArtery cDisease c- cCORRECT cANS✔✔- cintermittent cclaudication
- ccomplaints cof cpain, ccramping cor caching cin cthe ccalves, cthigh, cor cbuttocks
- cpain cwith cwalking cand crelieved cby crest
Screening cfor cPeripheral cArtery cDisease c- cCORRECT cANS✔✔1) cPhysical cAssessment:
- cischemic cfoot cmay cbe cpale cor chave c"dependent crubor" c(a cdeep cred ccolor) cwhen cthe cfoot cis
celevation
- closs cof chair con cthe cdistal cfoot cand ctoes
- ccool, cdry, catrophic cskin
- cdystrophic ctoenails
2) cAnkle-Brachial cIndex c< c0.9
Ankle-Brachial cIndex c- cCORRECT cANS✔✔- cthe cratio cof csystolic cpressure cat cthe cankle c(dorsa
cbrachial cartery
- creasonably caccurate, creproducible cmeasure cfor cthe cscreening cand cdetection cof cPAD cand cits
- cAnkle-Brachial cIndex c< c0.9 cis cstrongly cassociated cwith climitations cin cLE cfunctioning cand cphy
Dx cof cPeripheral cArtery cDisease c- cCORRECT cANS✔✔Refer cto ca cvascular cspecialist cfor cfurthe
Patients care cmore cprone cto chigh crisk cof cdiabetic cfoot ccomplications cafter chaving cdiabetes cfor c
cANS✔✔More cthan c10 cyears
Periodontal cDisease c- cCORRECT cANS✔✔an cinflammatory cprocess cthat cundermines csupportin
Symptoms cof cacute ccoronary cischemia c- cCORRECT cANS✔✔diaphoresis, cSOB, cnausea
CAD: cAngina c- cCORRECT cANS✔✔- ccaused cby ccoronary cischemia
- csymptoms: cCP, cdyspnea, cdiaphoresis, ccold/clammy cskin, cfatigue, csyncope
- crarely clasts cmore cthan c5 cminutes
CAD: cMI c- cCORRECT cANS✔✔- ccaused cby csudden ctotal cocclusion cof ca ccoronary cartery
- csymptoms: cCP, cdyspnea, cdiaphoresis, cN/V, cweakness, csense cof cimpeding cdoom, cpale
- c30-60 cminutes cduration
Peripheral cneuropathy cinvolves cabnormal cchanges cin c- cCORRECT cANS✔✔nerves cwhich ccontr
caction
lipid cfactor cwhich cpositively ccorrelates cwith cBG cand cA1C c- cCORRECT cANS✔✔triglycerides
elevated clevels cof cC-reactive cprotein cis can cinflammatory cmarker cfor c- cCORRECT cANS✔✔acut
Goals cfor ca cself-management cprogram care cguided cby c- cCORRECT cANS✔✔program cphilosoph
Acculturation c- cCORRECT cANS✔✔the cprocess cof ccultural cand cpsychological cchange cthat cresu
ccultures
Enculturation c- cCORRECT cANS✔✔the cprocess cby cwhich ca cperson clearns cthe crequirements co
cshe cis csurrounded
Avoid cresistive cexercise c- cCORRECT cANS✔✔ESRD, cnephropathy, cCharcot's cfoot, cproliferative
Glipizide c- cCORRECT cANS✔✔should cbe ctaken con can cempty cstomach
Drugs cthat craise cblood cglucose c- cCORRECT cANS✔✔Clonidine, cCorticosteroids, cCyclosporine,
cGemfibrozil, cOral cContraceptives, cPhenytoin c(Dilantin), cThyroid cHormone c(Synthroid)
Sulfonylurea c+ cAspirin c- cCORRECT cANS✔✔lowers cblood cglucose
Metformin c+ cClonidine c- cCORRECT cANS✔✔raises cblood cglucose
The caccuracy cgoal cof chome cmeters cis ca ctotal cerror cof c- cCORRECT cANS✔✔up cto c15%
A cblood cglucose cmeter cthat cmeasures cplasma cblood cglucose cin cthe claboratory cwould cbe c- cCO
ca cwhole cblood cglucose creading
Diabetes cControl cand cComplication cTrial c(DCCT) c- cType c1 c- cCORRECT cANS✔✔Intensive cblo
ceye cdisease cby c76%, crisk cof ckidney cdisease cby c50%, cnerve cdisease cby c60%
United cKingdom cProspective cDiabetes cStudy c(UKPDS) c- cType c2 c- cCORRECT cANS✔✔Every c
cHgA1c, cthere cwas ca c35% creduction cin cthe crisk cof cmicrovascular ccomplications.
Diabetes cPrevention cProgram c(DPP) c- cCORRECT cANS✔✔Lifestyle cchanges cwas cmore ceffecti
closs cof c5-7% cof ctheir cbody cweight cand cexercise creduced cthe cdevelopment cof cType c2 cby c58%
Epidemiology cof cDiabetes cInterventions cand cComplications c(EDIC) c- cType c1 c- cCORRECT cANS
c- ccardiovascular cdisease cevent cwas creduced cby c42% cand cnonfatal cheart cattack, cstroke, cor cd
ccauses cwas creduced cby c57% cwith cintensive cblood cglucose ccontrol
Ketonuria cin cthe cpresence cof ceuglycemia cindicates c- cCORRECT cANS✔✔weight closs
When cswitching ca cpatient cfrom cRegular cshort-acting cinsulin cto cRapid cinsulin cfor cthe cpre-meal
cneed cto c- cCORRECT cANS✔✔increase cthe cbasal cdose
, If c1 ctwin cdevelops cType c2 cdiabetes, cthere cis ca c- cCORRECT cANS✔✔90% cchance cthe cother ct
cdiabetes
Insulin cresistance cin ca cType c2 cdiabetes cperson cis cindicated cby cresponse cof c- cCORRECT cAN
cperipheral ctissue
Both cpatients cwith cDKA cand cHHS ccan cpresent cdecreased cmentation cwhich cis crelated cto cwhic
cindicated con cthe claboratory creport? c- cCORRECT cANS✔✔Serum cosmolality
Motor cneuropathy cin cfoot c- cCORRECT cANS✔✔leads cto cmuscle catrophy, cwhich cchanges cshap
cprotective cfat cpads con cmetatarsal cheads cbecome cdisplaced, cand chigh cplantar cpressure con cin
cincreases crisk cof culceration
One cindication cof cperipheral cvascular cdisease cis c- cCORRECT cANS✔✔venous cfilling ctime clong
Symptoms cof cPeripheral cArtery cDisease c- cCORRECT cANS✔✔- cintermittent cclaudication
- ccomplaints cof cpain, ccramping cor caching cin cthe ccalves, cthigh, cor cbuttocks
- cpain cwith cwalking cand crelieved cby crest
Screening cfor cPeripheral cArtery cDisease c- cCORRECT cANS✔✔1) cPhysical cAssessment:
- cischemic cfoot cmay cbe cpale cor chave c"dependent crubor" c(a cdeep cred ccolor) cwhen cthe cfoot cis
celevation
- closs cof chair con cthe cdistal cfoot cand ctoes
- ccool, cdry, catrophic cskin
- cdystrophic ctoenails
2) cAnkle-Brachial cIndex c< c0.9
Ankle-Brachial cIndex c- cCORRECT cANS✔✔- cthe cratio cof csystolic cpressure cat cthe cankle c(dorsa
cbrachial cartery
- creasonably caccurate, creproducible cmeasure cfor cthe cscreening cand cdetection cof cPAD cand cits
- cAnkle-Brachial cIndex c< c0.9 cis cstrongly cassociated cwith climitations cin cLE cfunctioning cand cphy
Dx cof cPeripheral cArtery cDisease c- cCORRECT cANS✔✔Refer cto ca cvascular cspecialist cfor cfurthe
Patients care cmore cprone cto chigh crisk cof cdiabetic cfoot ccomplications cafter chaving cdiabetes cfor c
cANS✔✔More cthan c10 cyears
Periodontal cDisease c- cCORRECT cANS✔✔an cinflammatory cprocess cthat cundermines csupportin
Symptoms cof cacute ccoronary cischemia c- cCORRECT cANS✔✔diaphoresis, cSOB, cnausea
CAD: cAngina c- cCORRECT cANS✔✔- ccaused cby ccoronary cischemia
- csymptoms: cCP, cdyspnea, cdiaphoresis, ccold/clammy cskin, cfatigue, csyncope
- crarely clasts cmore cthan c5 cminutes
CAD: cMI c- cCORRECT cANS✔✔- ccaused cby csudden ctotal cocclusion cof ca ccoronary cartery
- csymptoms: cCP, cdyspnea, cdiaphoresis, cN/V, cweakness, csense cof cimpeding cdoom, cpale
- c30-60 cminutes cduration
Peripheral cneuropathy cinvolves cabnormal cchanges cin c- cCORRECT cANS✔✔nerves cwhich ccontr
caction
lipid cfactor cwhich cpositively ccorrelates cwith cBG cand cA1C c- cCORRECT cANS✔✔triglycerides
elevated clevels cof cC-reactive cprotein cis can cinflammatory cmarker cfor c- cCORRECT cANS✔✔acut
