IPSA EXAM REVISION QUESTIONS AND
CORRECT ANSWERS!
How is accuracy of Self Monitored Blood glucose testing regulated by and when was it last
updated?
FDA; 2016
What does the current accuracy of SMBG only apply to?
new meters
What is the accuracy measure for over the counter meters used for home use?
95% of readings must be within +/- 15% of the true value
What is the accuracy rule for glucometers used in healthcare facilities (POC meters)?
95% of readings must be within +/- 12% of the true value
What are some possible reasons for errors or false readings for Blood glucose readings?
physiologic variables, interference from medications, technical variables, mechanical variables,
and environmental variables
What kind of reading could a low hematocrit/anemia cause?
false high
What kind of reading could a high hematocrit/polycythemia cause?
false low
What kind of reading could hypoxia/high altitude cause for a glucometer?
false high
What kind of reading could oxygen therapy cause for glucometer?
false low
, What kinds of medications could cause interference with glucometer reading depending on
test strip?
ascobic acid, acetaminophen, alcohol
When does the FDA recommend doing a control test for glucometer?
when you open a new container of test strips, periodically as you use container of test strips,
unusual results, drop meter
What is the first thing you should do you if get a control test out of range for blood
glucose?
check expiration dates of test strips and control solution
When should blood glucose screenings be done for asymptomatic adults?
any age when patients are overweight and have one additional risk factor, age 45 regardless of
weight/risk factors
When should a blood glucose test be repeated if the results are normal?
3 years
If blood glucose screening results are abnormal, when should you repeat the test?
1 year
If there is a history of gestational diabetes, when should you repeat a blood glucose
screening?
every 3 years, lifelong
What is the risk factor age for blood glucose screening?
45 or older
What are the risk factors for BG screening?
45 or older, overweight/obese, family history of diabetes, history of CVD, HTN, high
cholesterol, physical inactivity, gestational diabetes, high-risk race/ethnicity
CORRECT ANSWERS!
How is accuracy of Self Monitored Blood glucose testing regulated by and when was it last
updated?
FDA; 2016
What does the current accuracy of SMBG only apply to?
new meters
What is the accuracy measure for over the counter meters used for home use?
95% of readings must be within +/- 15% of the true value
What is the accuracy rule for glucometers used in healthcare facilities (POC meters)?
95% of readings must be within +/- 12% of the true value
What are some possible reasons for errors or false readings for Blood glucose readings?
physiologic variables, interference from medications, technical variables, mechanical variables,
and environmental variables
What kind of reading could a low hematocrit/anemia cause?
false high
What kind of reading could a high hematocrit/polycythemia cause?
false low
What kind of reading could hypoxia/high altitude cause for a glucometer?
false high
What kind of reading could oxygen therapy cause for glucometer?
false low
, What kinds of medications could cause interference with glucometer reading depending on
test strip?
ascobic acid, acetaminophen, alcohol
When does the FDA recommend doing a control test for glucometer?
when you open a new container of test strips, periodically as you use container of test strips,
unusual results, drop meter
What is the first thing you should do you if get a control test out of range for blood
glucose?
check expiration dates of test strips and control solution
When should blood glucose screenings be done for asymptomatic adults?
any age when patients are overweight and have one additional risk factor, age 45 regardless of
weight/risk factors
When should a blood glucose test be repeated if the results are normal?
3 years
If blood glucose screening results are abnormal, when should you repeat the test?
1 year
If there is a history of gestational diabetes, when should you repeat a blood glucose
screening?
every 3 years, lifelong
What is the risk factor age for blood glucose screening?
45 or older
What are the risk factors for BG screening?
45 or older, overweight/obese, family history of diabetes, history of CVD, HTN, high
cholesterol, physical inactivity, gestational diabetes, high-risk race/ethnicity
