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CDE Practice Exam 1 Questions with
Detailed Verified Answers
Question:A community pharmacy wants to offer a fee-for-service diabetes
patient education program to its customers. Which of the following is the
MOST appropriate way to market this new program?
A. Place an ad in the regional paper
B. Place flyers in every prescription bag
C. Send out letters to local hospital administrators
D. Contact the top 3 insurance companies in the state
Ans: B. Place flyers in every prescription bag
In a fee-for-service environment, where patients pay out-of-pocket, the most
efficient advertising needs to be directly to the consumer.
Question: A 35 year-old woman with T1DM present to the clinic for f/u of self
monitoring blood glucose. Her A1c is 12%, and during the interview she
reports that she thinks her boyfriend is interested in a younger, thinner
woman. Which of the following is the best f/u question related to this patient's
concerns?
A. Do you think that your boyfriend might stay with you if you become blind?
B. Are you afraid that insulin might cause you to gain weight?
C. Do your parents know that your blood glucose levels are poorly controlled?
D. What time of the day do you check your glucose?
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Ans: B. Are you afraid that insulin might cause you to gain weight?
The question's focus is on assessment and screening for eating disorders, of
which intentional insulin omission is one. Effective assessments reveal lifestyle
issues and facts, are patient centered, and facilitate honest self-disclosure.
Question: Routine labs for a patient with a history of normal glucose
tolerance revealed a fasting glucose level of 113 mg/dL. What does the result
indicate?
A. Normal blood glucose
B. Impaired fasting glucose
C. Diabetes
D. Gestational diabetes
Ans: B. Impaired fasting glucose
A blood glucose level between 100 and 125 mg/dL indicates impaired fasting
glucose. A normal fasting glucose is <100 gm/dL and diabetes is indicated by a
fasting blood glucose of >126 mg/dL.
Question: SQ presents for a routine visit. While performing a foot exam you
note "dependent ruber" (swelling and redness) when his feet are in a
dependent position and pallor on elevation. You suspect:
A. diabetic neuropathy
B. peripheral arterial disease
C. varicose veins
D. Charcot joint
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Ans: B. peripheral arterial disease
Swelling and redness when the feet hang down are signs of poor circulation
and peripheral vascular disease. Diabetic neuropathy may accompany
peripheral vascular disease; however these visually observable changes are
not usually present. Varicose veins and Charcot joint are also not usual causes
of foot swelling and redness.
Question: An individual newly diagnosed with T2DM presents for education.
What should the educator do first?
A. Provide a detailed overview of the pathophysiology of T2DM.
B. Assess the individual's interests, needs, and problems
C. Discuss chronic complication risk
D. Review a carbohydrate counting meal plan
Ans: B. Assess the individual's interests, needs, and problems
Assessment is the first step in the process of providing diabetes education. By
understanding what the interests, needs, and problems of the person with
diabetes are, the educator is more likely to provide appropriate and useful
information that will assist the individual to meet desired outcomes. The other
choices may well become part of the education plan, but this follows
assessment.
Question: Which of the following medications should NOT be used in
pregnancy?
A. Human insulin
B. Metformin
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C. Methlydopa
D. HMG-CoA reducates inhibitors
Ans: D. HMG-CoA reductase inhibitors
Statin drugs are category X and should not be used in pregnant women.
Insulin, metformin, and methyldopa have adequate safety date to support use
during pregnancy.
Question: A patient tells you that he wants to verify the accuracy of his meter.
You tell him that the testing (meter vs laboratory determination)
A. should be done in a fasting state
B. is valid as long as he performs the testing 1 hour or less apart
C. result will be ~15% higher than the laboratory value if his meter reports
whole blood glucose level values
D. should be done simultaneously using a drop of blood from the venipuncture
Ans: A. should be done in a fasting state
When verifying the accuracy of a meter, the bg meter results should be
compared against a laboratory value, not another meter. Only fasting values
can be measured since postal values will differ between the capillary blood (as
measured on the meter) and the venous blood (as measure in the lab). These
should be done at the same time. The meter result would be ~15% LOWER
than the laboratory result if the meter reports whole blood glucose values.
Applying a drop of blood from the venipuncture needle is not acceptable, as
the meter strips will give false reading if venous blood is used.
CDE Practice Exam 1 Questions with
Detailed Verified Answers
Question:A community pharmacy wants to offer a fee-for-service diabetes
patient education program to its customers. Which of the following is the
MOST appropriate way to market this new program?
A. Place an ad in the regional paper
B. Place flyers in every prescription bag
C. Send out letters to local hospital administrators
D. Contact the top 3 insurance companies in the state
Ans: B. Place flyers in every prescription bag
In a fee-for-service environment, where patients pay out-of-pocket, the most
efficient advertising needs to be directly to the consumer.
Question: A 35 year-old woman with T1DM present to the clinic for f/u of self
monitoring blood glucose. Her A1c is 12%, and during the interview she
reports that she thinks her boyfriend is interested in a younger, thinner
woman. Which of the following is the best f/u question related to this patient's
concerns?
A. Do you think that your boyfriend might stay with you if you become blind?
B. Are you afraid that insulin might cause you to gain weight?
C. Do your parents know that your blood glucose levels are poorly controlled?
D. What time of the day do you check your glucose?
, Page | 2
Ans: B. Are you afraid that insulin might cause you to gain weight?
The question's focus is on assessment and screening for eating disorders, of
which intentional insulin omission is one. Effective assessments reveal lifestyle
issues and facts, are patient centered, and facilitate honest self-disclosure.
Question: Routine labs for a patient with a history of normal glucose
tolerance revealed a fasting glucose level of 113 mg/dL. What does the result
indicate?
A. Normal blood glucose
B. Impaired fasting glucose
C. Diabetes
D. Gestational diabetes
Ans: B. Impaired fasting glucose
A blood glucose level between 100 and 125 mg/dL indicates impaired fasting
glucose. A normal fasting glucose is <100 gm/dL and diabetes is indicated by a
fasting blood glucose of >126 mg/dL.
Question: SQ presents for a routine visit. While performing a foot exam you
note "dependent ruber" (swelling and redness) when his feet are in a
dependent position and pallor on elevation. You suspect:
A. diabetic neuropathy
B. peripheral arterial disease
C. varicose veins
D. Charcot joint
, Page | 3
Ans: B. peripheral arterial disease
Swelling and redness when the feet hang down are signs of poor circulation
and peripheral vascular disease. Diabetic neuropathy may accompany
peripheral vascular disease; however these visually observable changes are
not usually present. Varicose veins and Charcot joint are also not usual causes
of foot swelling and redness.
Question: An individual newly diagnosed with T2DM presents for education.
What should the educator do first?
A. Provide a detailed overview of the pathophysiology of T2DM.
B. Assess the individual's interests, needs, and problems
C. Discuss chronic complication risk
D. Review a carbohydrate counting meal plan
Ans: B. Assess the individual's interests, needs, and problems
Assessment is the first step in the process of providing diabetes education. By
understanding what the interests, needs, and problems of the person with
diabetes are, the educator is more likely to provide appropriate and useful
information that will assist the individual to meet desired outcomes. The other
choices may well become part of the education plan, but this follows
assessment.
Question: Which of the following medications should NOT be used in
pregnancy?
A. Human insulin
B. Metformin
, Page | 4
C. Methlydopa
D. HMG-CoA reducates inhibitors
Ans: D. HMG-CoA reductase inhibitors
Statin drugs are category X and should not be used in pregnant women.
Insulin, metformin, and methyldopa have adequate safety date to support use
during pregnancy.
Question: A patient tells you that he wants to verify the accuracy of his meter.
You tell him that the testing (meter vs laboratory determination)
A. should be done in a fasting state
B. is valid as long as he performs the testing 1 hour or less apart
C. result will be ~15% higher than the laboratory value if his meter reports
whole blood glucose level values
D. should be done simultaneously using a drop of blood from the venipuncture
Ans: A. should be done in a fasting state
When verifying the accuracy of a meter, the bg meter results should be
compared against a laboratory value, not another meter. Only fasting values
can be measured since postal values will differ between the capillary blood (as
measured on the meter) and the venous blood (as measure in the lab). These
should be done at the same time. The meter result would be ~15% LOWER
than the laboratory result if the meter reports whole blood glucose values.
Applying a drop of blood from the venipuncture needle is not acceptable, as
the meter strips will give false reading if venous blood is used.
