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Certified Diabetes Educator Exam questions with verified answers

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Certified Diabetes Educator Exam questions with verified answers

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Certified Diabetes Educator Exam questions with
verified answers
"Record food intake, physical activity, and blood glucose results in a
logbook 5 days a week for 6 weeks" is an example of a:
A. assessment
B. learning objective
C. behavioral objective
D. goal Ans✓✓✓ C. behavioral objective
SMART goal is a behavior objective or planned change. A learning
objective relates to the completion of a teaching session, although
learning objectives are also measurable. A goal is a big-picture
directional guide, the focal point for and the end results of meeting the
learning and behavioral objectives.


(e2q10) DASH diet Ans✓✓✓ Dietary approaches to stop Hypertension,
fruits, veggies, low fat dairy products, whole grains, poultry, fish, lowers
sodium and show benefits of potassium . A combination of the Dash
diet and reducing sodium intake has been shown to lower b/p rather
than just reducing Na intake.


(e2q15)DPP4 inhibitors Ans✓✓✓ Dpp4 inhibitors increase insulin
secretion in a glucose dependent manor meaning when glucose returns
to normal there is no further increase in insulin and the risk of
hypoglycemia is low

,(e2q17) which of the following is not evidence to lower LDL
cholesterolo Ans✓✓✓ omege 3 fatty acisds are helpful in reduction of
triglycerides, weight loss substituting unsaturated fats for saturated
acids and plant sterols will help reduce LDL


(e2q18) What raises Serem creatinine Ans✓✓✓ patients with renal
artery stenosis may have an increase in creatinine if recently placed on
an ACE or ARB such as Irebresartan . Although ACE and ARB decrease
glomerular pressure by dilating the efferent arteriole, pts with renal
stenosis are unable to provided compensatory constriction the efferent
arteriole to maintain a minimum glomerular pressure.


(e2q23) what nutrient is most likely deficient in a vegans Ans✓✓✓ vit
b12 is found in meat, poultry, fish and dairy
fyi- niacin is found in veggies, grains, nuts, fortified cereals and breads
plentiful for veans


(e2q25) Recommended Fiber intake Ans✓✓✓ same for persons with or
without diabetes because of health benfits 25 grams for woman and 38
grams for men or 14grma/1000cals
Current research shows > 50grams fiber per da improves glycemic
control


(e2q26) Ans✓✓✓ Valsartan should be added (ACE) i still needed for
blood pressure control

,(e2q31)dx metabolic syndrome Ans✓✓✓ place pts at high risk for
cardiovascular disease. Dx of metobolic syndrome is 3 of the following--
large waist circumference woman > 30 inches, men > 40inches, B/P >
135/85, fast glucose >100, Tgl >150, low HDL ,50,


(e2q46)What drug causes weight gain Ans✓✓✓ Pioglitazone, TZD's
deposition of free fatty acids promote insulin resistance


(e2q49) what can effect A1c results Ans✓✓✓ Low albumin does not,
but sickel cell anemia, iron deficiency and iron supplementation may


(e2q54)the normal hormonal response during acute physical activity ?
Ans✓✓✓ decrease in insulin, increase in glucogon,and epinephrine,
norepinephrine, growth hormones and cortisol


(e2q56) To reduce hypoglycemia a snck containing how many grams
CHO for everyn 30-45 mins moderate physical activity Ans✓✓✓ 0-
10grams mild activity every 30 mins, 05-10grams for every 15 mins for
moderate activity and 0-15 grams for every 15 minutes of high intensity
activity


(e2q70) What food drug interactions interfere with orlistat Ans✓✓✓
FAT, orlistat interferes GI lipases resulting in decreased hydrolysis, of
pts consume >30 % of calories as fat may experience flatus with
discharge, fecal urgency, oily stool

, (e2q95)Which drug is most appropriate for someone with diabetes, hx
of Mi and presented for an elevation of elevated cholesterol Ans✓✓✓
Rosuvastatin 20mg is a high intestsity statin, Priavastatin, Fluvasstatin
and Lovastatin are all low intenstiy at the 20 mg dose


5 A's of self-management Ans✓✓✓ ASSESS-beliefs, behavior,
knowledge
ADVISE-educate
AGREE-set goals
ASSIST-problem solving
ARRANGE-follow-up


55 y/o male who recently had popleital leg surgery, has not ran in 10
years Ans✓✓✓ advise hime to take a graded exercise test with EKG
would give him info on how he respond to excretion, the presence of
arthersclorosis in his legs is a strong indicator that he may also have
athersclorosis in arteries in the heart


A 12 year-old girl, accompanied by her mother, presents to the
registered dietitian for meal planning. Which of the following is the
most important consideration when developing her meal plan?
A. Use the term "diet" instead of "meal plan" to emphasize weight loss
urgency
B. Schedule a separate session with the mother to review grocery
selection

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