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Certified Pennsylvania Evaluator Exam (CPE) Questions and Answers (100% Correct Answers) Already Graded A+

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Certified Pennsylvania Evaluator Exam (CPE) Questions and Answers (100% Correct Answers) Already Graded A+

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Certified Diabetes Educator Exam - Flashcards
Questions and Answers (100% Correct
Answers) Already Graded A+
central obesity contributes to increased insulin resistance by which
mechanismAns: intra abdominal obesity has a greater supply of
capillaries, making it more metabolically active than sq fat in the hips
and thighs therefore a greater turnover of free fatty acids and ion the
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liver these contribute to insulin resistance.


a 34 year old pregnant lady with suspected gestational diabetes reports
increased urinary frequency, which is the best method to evaluate her
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glycemic controlAns: FRUCTOSIMINE-a glycated serum protein test,
measures glycemic xontrol over the past 2 or 3 weeks, good for
gestational diabetes.


Urinary ketones in gestational diabetes is more to detect inadequate
food intake(severe ketosis)


55 y/o male who recently had popleital leg surgery, has not ran in 10
yearsAns: 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


The act of examining processes and outcomes to determine whether
desired goals and objectives are achievedAns: Continuous Quality
Improvement is a management approach that attempts to correct
program shortcomings via program evaluation

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What are the normal hormonal response of acute effects of physical
axtivityAns: Physical activity increases hepatic glucose production and
increase the glucose supply available in the blood


The EMPOWERMENT approach to educationAns: expects the patient to
be active in the management of their diabetes, to be provided with info
to make and take responsibility on decisions


OUTCOMES MONITORINGAns: is the frequency and interval of measuring
specific indicators
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How does program participation decrease ER visitsAns: Improving
medication compliance refill is a measure that can by an outcome
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related to education received during the program


Exam 2 q3 what is LADAAns: pts with LADA are often misdiagnosed with
Type 2 and are greater than 40


(e2q10) DASH dietAns: 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 inhibitorsAns: 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
cholesteroloAns: 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

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(e2q18) What raises Serem creatinineAns: 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 vegansAns: vit b12 is
found in meat, poultry, fish and dairy
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fyi- niacin is found in veggies, grains, nuts, fortified cereals and breads
plentiful for veans
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(e2q25) Recommended Fiber intakeAns: 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 syndromeAns: 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 gainAns: Pioglitazone, TZD's deposition
of free fatty acids promote insulin resistance

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(e2q49) what can effect A1c resultsAns: 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 activityAns: 0-10grams
mild activity every 30 mins, 05-10grams for every 15 mins for moderate
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activity and 0-15 grams for every 15 minutes of high intensity activity


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


Lingliptin(tradjenta)Ans: all Dpp4 inhibitors may be prescribed to patients
with decreased kidney function, but liglipligdine does not require any
dose changes because of exretion via bile


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


Health Belief ModelAns: Addresses the relationship between a person's
beliefs and behaviors


How serious do you believe your diabetes is ?

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