Certified Diabetes Educator Exam 1 |\ |\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
Goals for a self-management program are guided by - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔program philosophy |\ |\
Acculturation - CORRECT ANSWERS ✔✔the process of cultural
|\ |\ |\ |\ |\ |\ |\ |\
and psychological change that results following meeting between
|\ |\ |\ |\ |\ |\ |\
cultures
|\
Enculturation - CORRECT ANSWERS ✔✔the process by which a
|\ |\ |\ |\ |\ |\ |\ |\ |\
person learns the requirements of the culture by which he or she
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is surrounded
|\
Avoid resistive exercise - CORRECT ANSWERS ✔✔ESRD,
|\ |\ |\ |\ |\ |\ |\
nephropathy, Charcot's foot, proliferative retinopathy
|\ |\ |\ |\
Glipizide - CORRECT ANSWERS ✔✔should be taken on an empty
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
stomach
Drugs that raise blood glucose - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Clonidine, Corticosteroids, Cyclosporine, Diuretic, Estrogen,
|\ |\ |\ |\ |\
Gemfibrozil, Oral Contraceptives, Phenytoin (Dilantin), Thyroid
|\ |\ |\ |\ |\ |\
Hormone (Synthroid) |\
,Sulfonylurea + Aspirin - CORRECT ANSWERS ✔✔lowers blood |\ |\ |\ |\ |\ |\ |\ |\
glucose
Metformin + Clonidine - CORRECT ANSWERS ✔✔raises blood
|\ |\ |\ |\ |\ |\ |\ |\
glucose
The accuracy goal of home meters is a total error of - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔up to 15% |\ |\ |\
A blood glucose meter that measures plasma blood glucose in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the laboratory would be - CORRECT ANSWERS ✔✔higher than a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
whole blood glucose reading
|\ |\ |\
Diabetes Control and Complication Trial (DCCT) - Type 1 -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Intensive blood glucose reduces risk of
|\ |\ |\ |\ |\ |\ |\ |\
eye disease by 76%, risk of kidney disease by 50%, nerve
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disease by 60% |\ |\
United Kingdom Prospective Diabetes Study (UKPDS) - Type 2 -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Every percentage point decrease in
|\ |\ |\ |\ |\ |\ |\
HgA1c, there was a 35% reduction in the risk of microvascular
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complications.
Diabetes Prevention Program (DPP) - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Lifestyle changes was more effective than drug therapy -
|\ |\ |\ |\ |\ |\ |\ |\ |\
weight loss of 5-7% of their body weight and exercise reduced
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the development of Type 2 by 58%
|\ |\ |\ |\ |\ |\
, Epidemiology of Diabetes Interventions and Complications (EDIC) |\ |\ |\ |\ |\ |\
- Type 1 - CORRECT ANSWERS ✔✔Follow-up study of DCCT -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cardiovascular disease event was reduced by 42% and nonfatal |\ |\ |\ |\ |\ |\ |\ |\ |\
heart attack, stroke, or death from cardiovascular causes was
|\ |\ |\ |\ |\ |\ |\ |\ |\
reduced by 57% with intensive blood glucose control
|\ |\ |\ |\ |\ |\ |\
Ketonuria in the presence of euglycemia indicates - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔weight loss |\ |\
When switching a patient from Regular short-acting insulin to
|\ |\ |\ |\ |\ |\ |\ |\ |\
Rapid insulin for the pre-meal bolus, we usually fend we need to -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔increase the basal dose
|\ |\ |\ |\ |\ |\
When glucagon is impaired in Type 1, epinephrine will raise BG
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
by performing 2 processes - CORRECT ANSWERS ✔✔1)
|\ |\ |\ |\ |\ |\ |\ |\
glycogenolysis, 2) inhibit glucose utilization by insulin action |\ |\ |\ |\ |\ |\ |\
When epinephrine becomes the primary counter-regulatory
|\ |\ |\ |\ |\ |\
hormone to raise blood glucose in Type 2 who is producing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
insulin, epinephrine will - CORRECT ANSWERS ✔✔1) inhibit
|\ |\ |\ |\ |\ |\ |\ |\
glucose utilization, 2) inhibit endogenous insulin release
|\ |\ |\ |\ |\ |\
Sulfa drugs + Sulfonylureas - CORRECT ANSWERS ✔✔Sulfa drugs
|\ |\ |\ |\ |\ |\ |\ |\ |\
tend to increase the effects of Sulfonylureas and result in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hypoglycemia.
Children of persons with Type 1 Diabetes have - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔2% chance of developing diabetes if mother has|\ |\ |\ |\ |\ |\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
Goals for a self-management program are guided by - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔program philosophy |\ |\
Acculturation - CORRECT ANSWERS ✔✔the process of cultural
|\ |\ |\ |\ |\ |\ |\ |\
and psychological change that results following meeting between
|\ |\ |\ |\ |\ |\ |\
cultures
|\
Enculturation - CORRECT ANSWERS ✔✔the process by which a
|\ |\ |\ |\ |\ |\ |\ |\ |\
person learns the requirements of the culture by which he or she
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is surrounded
|\
Avoid resistive exercise - CORRECT ANSWERS ✔✔ESRD,
|\ |\ |\ |\ |\ |\ |\
nephropathy, Charcot's foot, proliferative retinopathy
|\ |\ |\ |\
Glipizide - CORRECT ANSWERS ✔✔should be taken on an empty
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
stomach
Drugs that raise blood glucose - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Clonidine, Corticosteroids, Cyclosporine, Diuretic, Estrogen,
|\ |\ |\ |\ |\
Gemfibrozil, Oral Contraceptives, Phenytoin (Dilantin), Thyroid
|\ |\ |\ |\ |\ |\
Hormone (Synthroid) |\
,Sulfonylurea + Aspirin - CORRECT ANSWERS ✔✔lowers blood |\ |\ |\ |\ |\ |\ |\ |\
glucose
Metformin + Clonidine - CORRECT ANSWERS ✔✔raises blood
|\ |\ |\ |\ |\ |\ |\ |\
glucose
The accuracy goal of home meters is a total error of - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔up to 15% |\ |\ |\
A blood glucose meter that measures plasma blood glucose in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the laboratory would be - CORRECT ANSWERS ✔✔higher than a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
whole blood glucose reading
|\ |\ |\
Diabetes Control and Complication Trial (DCCT) - Type 1 -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Intensive blood glucose reduces risk of
|\ |\ |\ |\ |\ |\ |\ |\
eye disease by 76%, risk of kidney disease by 50%, nerve
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disease by 60% |\ |\
United Kingdom Prospective Diabetes Study (UKPDS) - Type 2 -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Every percentage point decrease in
|\ |\ |\ |\ |\ |\ |\
HgA1c, there was a 35% reduction in the risk of microvascular
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complications.
Diabetes Prevention Program (DPP) - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Lifestyle changes was more effective than drug therapy -
|\ |\ |\ |\ |\ |\ |\ |\ |\
weight loss of 5-7% of their body weight and exercise reduced
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the development of Type 2 by 58%
|\ |\ |\ |\ |\ |\
, Epidemiology of Diabetes Interventions and Complications (EDIC) |\ |\ |\ |\ |\ |\
- Type 1 - CORRECT ANSWERS ✔✔Follow-up study of DCCT -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cardiovascular disease event was reduced by 42% and nonfatal |\ |\ |\ |\ |\ |\ |\ |\ |\
heart attack, stroke, or death from cardiovascular causes was
|\ |\ |\ |\ |\ |\ |\ |\ |\
reduced by 57% with intensive blood glucose control
|\ |\ |\ |\ |\ |\ |\
Ketonuria in the presence of euglycemia indicates - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔weight loss |\ |\
When switching a patient from Regular short-acting insulin to
|\ |\ |\ |\ |\ |\ |\ |\ |\
Rapid insulin for the pre-meal bolus, we usually fend we need to -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔increase the basal dose
|\ |\ |\ |\ |\ |\
When glucagon is impaired in Type 1, epinephrine will raise BG
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
by performing 2 processes - CORRECT ANSWERS ✔✔1)
|\ |\ |\ |\ |\ |\ |\ |\
glycogenolysis, 2) inhibit glucose utilization by insulin action |\ |\ |\ |\ |\ |\ |\
When epinephrine becomes the primary counter-regulatory
|\ |\ |\ |\ |\ |\
hormone to raise blood glucose in Type 2 who is producing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
insulin, epinephrine will - CORRECT ANSWERS ✔✔1) inhibit
|\ |\ |\ |\ |\ |\ |\ |\
glucose utilization, 2) inhibit endogenous insulin release
|\ |\ |\ |\ |\ |\
Sulfa drugs + Sulfonylureas - CORRECT ANSWERS ✔✔Sulfa drugs
|\ |\ |\ |\ |\ |\ |\ |\ |\
tend to increase the effects of Sulfonylureas and result in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hypoglycemia.
Children of persons with Type 1 Diabetes have - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔2% chance of developing diabetes if mother has|\ |\ |\ |\ |\ |\ |\ |\ |\