CDE Exam Prep 6
Questions & Answers
Which meal planning approach would best suit a 16 year-old with T2DM and normal body
weight for height?
A. 1800 calorie meal pattern
B. Carbohydrate counting
C. 1300 calorie meal pattern
D. My Pyramid - ANSWERS*B*
The primary nutrition goal for individuals with T1DM is to establish an insulin plan that fits into
their preferred eating routine and lifestyle. Individuals with a fixed insulin plan should strive for
consistency in carbohydrate intake, while those on a flexible insulin plan or insulin pump should
adjust their insulin and food based on their insulin to carb ratio.
Which of the following teaching strategies/formats best provides opportunity for on-demand,
self-directed learning and problem solving?
A. Discussion
B. Print-materials
C. Role-playing
D. Computers - ANSWERS*D*
Discussions are useful, but may not be as convenient as computer resources.
After 2 previous cancellations, a 67 year-old man with diabetes presents for bg monitoring
education. He states several times that he's only at the appointment to satisfy his doctor;
,however, he is fairly attentive and engaged until the blood glucose monitor is removed from the
package. At this point, he begins to fidget and appears agitated. Based on this information, what
would be the educator's best assessment of this man's behavior?
A. Hypoglycemia
B. Hyperglycemia
C. Needle panic
D. Short attention span - ANSWERS*C*
Needle anxiety occurs in almost everyone to varying degrees. If severe or persistent and left
unresolved, diabetes control can suffer because of missed injections, inadequate testing, and
avoidance of healthcare follow-up visits. A skilled diabetes educator will learn to match and
individualize the presentation of BG monitoring so that the fears of the person with diabetes
may be alleviated.
Which teaching method is particularly effective in a group education setting?
A. Lecture
B. Use of computer programs
C. Distribution of print materials
D. Role-playing - ANSWERS*D*
Role-playing is an active form of learning that facilitates the sharing of information and
therefore works well in a group setting.
A 19 year-old patient complains of unexplained weight loss and extreme hunger over the past
month. Which of the following is the *MOST* useful information to confirm diagnosis of
diabetes?
A. Reports of polyuria
B. An A1c of 5.1-6.4%
, C. Fasting plasma glucose 100-125 mg/dL
D. Random plasma glucose >200 mg/dL with polyuria - ANSWERS*D*
- Fasting >126
- Symptoms of hyperglycemia and a casual plasma glucose >200
- 2-hour plasma glucose >200 during a 75g OGTT
- Polyuria is a symptom, but cannot be used as diagnostic criteria
A 53 year old man whose mother and brother have T2DM presents at a health screening. He
asks "How does the doctor know if I have diabetes?" What is the *MOST* appropriate response
to this question?
A. Your doctor may use an A1c test of 6.0% or greater to diagnose diabetes
B. T2DM must be diagnosed by HLA sub typing
C. Your doctor may use 2 fasting BG values over 126 mg/dL
D. T1DM can be diagnosed only if you are admitted with ketoacidosis - ANSWERS*C*
HLA genotype is strongly associated with the occurrence of T2DM, but is not a diagnostic
criteria. DKA is not a criterion for diagnosis of T1DM.
In a post absorptive state (4 to 15.9 hours after food consumption):
A. Plasma insulin levels decrease and glucagon levels begin to rise
B. Insulin inhibitors breakdown of glycogen and triglyceride reservoirs
C. Counter-regulatory hormone secretion is stimulated
D. Excess glucose is stored in hepatic, muscle, adipose, and other tissue reservoirs -
ANSWERS*A*
The focus of this question is normal fuel homeostasis, which occurs in 5 phases.
Phase II of fuel homeostasis is post absorptive state. During this phase, blood glucose originates
from glycogen breakdown and hepatic gluconeogenesis. Plasma insulin levels decrease and
Questions & Answers
Which meal planning approach would best suit a 16 year-old with T2DM and normal body
weight for height?
A. 1800 calorie meal pattern
B. Carbohydrate counting
C. 1300 calorie meal pattern
D. My Pyramid - ANSWERS*B*
The primary nutrition goal for individuals with T1DM is to establish an insulin plan that fits into
their preferred eating routine and lifestyle. Individuals with a fixed insulin plan should strive for
consistency in carbohydrate intake, while those on a flexible insulin plan or insulin pump should
adjust their insulin and food based on their insulin to carb ratio.
Which of the following teaching strategies/formats best provides opportunity for on-demand,
self-directed learning and problem solving?
A. Discussion
B. Print-materials
C. Role-playing
D. Computers - ANSWERS*D*
Discussions are useful, but may not be as convenient as computer resources.
After 2 previous cancellations, a 67 year-old man with diabetes presents for bg monitoring
education. He states several times that he's only at the appointment to satisfy his doctor;
,however, he is fairly attentive and engaged until the blood glucose monitor is removed from the
package. At this point, he begins to fidget and appears agitated. Based on this information, what
would be the educator's best assessment of this man's behavior?
A. Hypoglycemia
B. Hyperglycemia
C. Needle panic
D. Short attention span - ANSWERS*C*
Needle anxiety occurs in almost everyone to varying degrees. If severe or persistent and left
unresolved, diabetes control can suffer because of missed injections, inadequate testing, and
avoidance of healthcare follow-up visits. A skilled diabetes educator will learn to match and
individualize the presentation of BG monitoring so that the fears of the person with diabetes
may be alleviated.
Which teaching method is particularly effective in a group education setting?
A. Lecture
B. Use of computer programs
C. Distribution of print materials
D. Role-playing - ANSWERS*D*
Role-playing is an active form of learning that facilitates the sharing of information and
therefore works well in a group setting.
A 19 year-old patient complains of unexplained weight loss and extreme hunger over the past
month. Which of the following is the *MOST* useful information to confirm diagnosis of
diabetes?
A. Reports of polyuria
B. An A1c of 5.1-6.4%
, C. Fasting plasma glucose 100-125 mg/dL
D. Random plasma glucose >200 mg/dL with polyuria - ANSWERS*D*
- Fasting >126
- Symptoms of hyperglycemia and a casual plasma glucose >200
- 2-hour plasma glucose >200 during a 75g OGTT
- Polyuria is a symptom, but cannot be used as diagnostic criteria
A 53 year old man whose mother and brother have T2DM presents at a health screening. He
asks "How does the doctor know if I have diabetes?" What is the *MOST* appropriate response
to this question?
A. Your doctor may use an A1c test of 6.0% or greater to diagnose diabetes
B. T2DM must be diagnosed by HLA sub typing
C. Your doctor may use 2 fasting BG values over 126 mg/dL
D. T1DM can be diagnosed only if you are admitted with ketoacidosis - ANSWERS*C*
HLA genotype is strongly associated with the occurrence of T2DM, but is not a diagnostic
criteria. DKA is not a criterion for diagnosis of T1DM.
In a post absorptive state (4 to 15.9 hours after food consumption):
A. Plasma insulin levels decrease and glucagon levels begin to rise
B. Insulin inhibitors breakdown of glycogen and triglyceride reservoirs
C. Counter-regulatory hormone secretion is stimulated
D. Excess glucose is stored in hepatic, muscle, adipose, and other tissue reservoirs -
ANSWERS*A*
The focus of this question is normal fuel homeostasis, which occurs in 5 phases.
Phase II of fuel homeostasis is post absorptive state. During this phase, blood glucose originates
from glycogen breakdown and hepatic gluconeogenesis. Plasma insulin levels decrease and
