CDE Practice Exam 1 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.
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
C. Adjust the meal plan to meet energy requirements for growth and
activity
,D. Suggest a plan that avoids intake of nutrient-dense foods Ans✓✓✓
C. Adjust the meal plan to meet energy requirements for growth and
activity
A 14 year-old girl with T1DM presents accompanied by her mother. The
girl sits quietly while her mother expresses concerns about her
daughter's rising A1C. She adds that her daughter is tired all the time.
"Instead of talking with her friends on the telephone, she just sleeps on
the couch after school since not being selected for the school
cheerleading squad 2 months ago." Which of the following best
supports the diagnosis of adjustments disorder with depressed mood in
this patient?
A. Unintentional changes in weight or appetite
B. Continuation of symptoms for more than 2 months
C. Early morning awakening for at least 1 week
D. Presence of manic symptoms (excessive euphoria) Ans✓✓✓ B.
Continuation of symptoms for more than 2 months
Adjustment disorder with depressed mood is defined by the American
Psychiatric Association as the development of depressive symptoms (eg
sleeping after school, withdrawing from friends) within a 3 months
period time following a stressor (eg not making cheer squad). With this
disorder, depressive symptoms cause impairment in social,
occupational, or other areas of functioning OR are in excess of what
would be expected from exposure to the stressor. Symptoms are
expected to remit within 6 months of the time of onset.
,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 Ans✓✓✓ D.
Random plasma glucose >200 mg/dL with polyuria
According to the ADA's 2015 Clinical Practice Recommendations:
Diagnosis and Classification of DM, the criteria for diagnosis of diabetes
are as follows:
Fasting plasma glucose >126 mg/dL OR
Symptoms of hyperglycemia and a casual plasma glucose >200 mg/dL
OR
2-hour plasma glucose >200 mg/dL during a 75g oral GTT.
Polyuria is a symptom of hyperglycemia, but cannot be used as
diagnostic criteria, A1C 5.1-6.4% would be prediabetes, and a fasting
plasma glucose of 100-125 mg/dL would indicate impaired fasting
glucose.
A 24 year-old college student with T1DM presents to the pharmacist
educator for insulin dose adjustments. She reports injecting the same
amount of rapid-acting insulin with each meal and never making any
changes. Her recent A1c was 8.7%. Which of the following is the most
appropriate approach for this patient?
, A. Advise the patient to search the internet for information on meal
planning
B. Consult a registered dietitian to educate the patient about
carbohydrate counting
C. Telephone the patient's family to enlist their help and support
D. Provide the patient with written materials to take home Ans✓✓✓ B.
Consult a RD to educate the patient on carbohydrate counting
This patient could benefit from a consult with an RD for education on
carbohydrate counting and using insulin to carbohydrate ratios.
A 32 year-old woman with polycystic ovarian syndrome and newly
diagnosed T2DM begins pioglitazone plus metformin. Which of the
following should be included in her initial medication counseling?
A. Use of contraception
B. Hypoglycemia risk
C. Risk for diabetic ketoacidosis
D. Potential for disulfiram-like reaction Ans✓✓✓ A. Use of
contraception
Resolution of hyperglycemia with metformin in patents with PCOS
often restores menstruation and ability to become pregnant. TZDs and
biguanides are not associated with hypoglycemia. Disulfiram-like
reactions are associated with first generation sulfonylureas, bot not
with the patient's regimen.
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.
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
C. Adjust the meal plan to meet energy requirements for growth and
activity
,D. Suggest a plan that avoids intake of nutrient-dense foods Ans✓✓✓
C. Adjust the meal plan to meet energy requirements for growth and
activity
A 14 year-old girl with T1DM presents accompanied by her mother. The
girl sits quietly while her mother expresses concerns about her
daughter's rising A1C. She adds that her daughter is tired all the time.
"Instead of talking with her friends on the telephone, she just sleeps on
the couch after school since not being selected for the school
cheerleading squad 2 months ago." Which of the following best
supports the diagnosis of adjustments disorder with depressed mood in
this patient?
A. Unintentional changes in weight or appetite
B. Continuation of symptoms for more than 2 months
C. Early morning awakening for at least 1 week
D. Presence of manic symptoms (excessive euphoria) Ans✓✓✓ B.
Continuation of symptoms for more than 2 months
Adjustment disorder with depressed mood is defined by the American
Psychiatric Association as the development of depressive symptoms (eg
sleeping after school, withdrawing from friends) within a 3 months
period time following a stressor (eg not making cheer squad). With this
disorder, depressive symptoms cause impairment in social,
occupational, or other areas of functioning OR are in excess of what
would be expected from exposure to the stressor. Symptoms are
expected to remit within 6 months of the time of onset.
,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 Ans✓✓✓ D.
Random plasma glucose >200 mg/dL with polyuria
According to the ADA's 2015 Clinical Practice Recommendations:
Diagnosis and Classification of DM, the criteria for diagnosis of diabetes
are as follows:
Fasting plasma glucose >126 mg/dL OR
Symptoms of hyperglycemia and a casual plasma glucose >200 mg/dL
OR
2-hour plasma glucose >200 mg/dL during a 75g oral GTT.
Polyuria is a symptom of hyperglycemia, but cannot be used as
diagnostic criteria, A1C 5.1-6.4% would be prediabetes, and a fasting
plasma glucose of 100-125 mg/dL would indicate impaired fasting
glucose.
A 24 year-old college student with T1DM presents to the pharmacist
educator for insulin dose adjustments. She reports injecting the same
amount of rapid-acting insulin with each meal and never making any
changes. Her recent A1c was 8.7%. Which of the following is the most
appropriate approach for this patient?
, A. Advise the patient to search the internet for information on meal
planning
B. Consult a registered dietitian to educate the patient about
carbohydrate counting
C. Telephone the patient's family to enlist their help and support
D. Provide the patient with written materials to take home Ans✓✓✓ B.
Consult a RD to educate the patient on carbohydrate counting
This patient could benefit from a consult with an RD for education on
carbohydrate counting and using insulin to carbohydrate ratios.
A 32 year-old woman with polycystic ovarian syndrome and newly
diagnosed T2DM begins pioglitazone plus metformin. Which of the
following should be included in her initial medication counseling?
A. Use of contraception
B. Hypoglycemia risk
C. Risk for diabetic ketoacidosis
D. Potential for disulfiram-like reaction Ans✓✓✓ A. Use of
contraception
Resolution of hyperglycemia with metformin in patents with PCOS
often restores menstruation and ability to become pregnant. TZDs and
biguanides are not associated with hypoglycemia. Disulfiram-like
reactions are associated with first generation sulfonylureas, bot not
with the patient's regimen.
