ABFM KSA DIABETES COMPREHENSIVE
EXAM 2026 COMPLETE QUESTIONS STUDY
GUIDE Q&A UPDATED
⩥ 2. An obese 58-year-old male comes to your office with a 2-week
history of fatigue associated with polyuria, polydipsia, and weight loss.
You suspect he has type 2 diabetes. This diagnosis would be
corroborated by a random glucose level greater than or equal to a
threshold of. Answer: D. 200 mg/dL
⩥ 3. A 66-year-old male who was hospitalized because of a TIA 3
months ago sees you for a follow-up visit. His past medical history is
notable for impaired fasting glucose and hypertension. His current
medications include valsartan (Diovan), 160 mg daily; rosuvastatin
(Crestor), 20 mg daily; and aspirin, 81 mg daily. On examination his
BMI is 30 kg/m2, his blood pressure is 134/86 mm Hg, and he has
brown, velvety, hyperkeratotic plaques on the back of his neck and in his
axillae. Laboratory studies are notable for an LDL-cholesterol level of
85 mg/dL, an HDL-cholesterol level of 35 mg/dL, and a serum
triglyceride level of 174 mg/dL. His hemoglobin A1c is 7.1%.
Which one of the following agents may reduce his risk for stroke and
myocardial infarction?. Answer: D. Pioglitazone (Actos)
⩥ 4. A 71-year-old male is hospitalized for an infected foot ulcer. His
medical history is notable for type 2 diabetes, hypertension, and chronic
pancreatitis. His medications on admission include pancrelipase (Creon),
,72,000 units with each meal; extended-release metformin (Glucophage
XR), 500 mg four times daily; extended-release glipizide (Glucotrol
XL), 5 mg daily; and benazepril (Lotensin), 40 mg daily. Insulin therapy
is initiated for hyperglycemia with persistent blood glucose levels ≥200
mg/dL.
Based on American Diabetes Association guidelines, which one of the
following would be the most appropriate glycemic target for this patient
during his hospitalization?. Answer: C. 140-180 mg/dL
⩥ 5. An obese 53-year-old male with a history of type 2 diabetes sees
you for the first time. He tells you that his previous physician had him
see a dietician and started him on metformin (Glucophage), 500 mg
twice daily. A copy of his most recent laboratory tests shows a
hemoglobin A1c of 7.7%. He tells you that he has always been sedentary
and asks if it would be worthwhile for him to join an exercise facility
and begin an exercise program.
Which one of the following statements would be accurate advice?.
Answer: C. Combined aerobic and resistance training results in greater
glycemic improvement than either method alone
⩥ 6. An overweight, sedentary 71-year-old male presents with a 4-month
history of burning pain in the soles of his feet that is most noticeable at
night when he is lying in bed. His medical history includes a long
history of type 2 diabetes, hypertension, and hypercholesterolemia. His
current medications include metformin (Glucophage), 850 mg twice
daily; exenatide (Bydureon), 2 mg subcutaneously weekly; valsartan
(Diovan), 360 mg daily; hydrochlorothiazide, 25 mg daily; and
rosuvastatin (Crestor), 10 mg daily. He quit smoking 40 years ago and
, does not drink alcohol. A physical examination is unremarkable except
for some hyperesthesia of both feet, as well as reduced vibratory
sensation. His protective sensation is intact in both feet and his pedal
pulses are normal.
Which one of the following would be LEAST effective for treating this
patient's pain syndrome?. Answer: B. SSRIs
⩥ 7. A 71-year-old male presents early on a Saturday morning to the
urgent care clinic you are staffing. He describes a 1-week history of
episodic sweating, feelings of hunger, and tremor that are relieved by
eating. He reports that he has type 2 diabetes and has taken metformin
(Glucophage) for years, and that his physician recently added a new
diabetes medication because his hemoglobin A1c rose above 7.5%. He
did not bring his medications with him and you are unable to access his
records because the electronic medical record system is undergoing
routine maintenance and an update.
Which one of the following diabetes medications would be most likely
to cause this patient's symptoms?. Answer: C. Glyburide
⩥ 8. A 55-year-old male with type 2 diabetes presents with a history of
reduced libido and erectile dysfunction. He has not seen a physician for
many years. On examination you note bronze-colored skin,
hepatomegaly, and mild testicular atrophy. A nonfasting laboratory
workup reveals the following serum levels:
Glucose............250 mg/dL
AST............260 U/L (N 10-40)
ALT............210 U/L (N 10-55)
EXAM 2026 COMPLETE QUESTIONS STUDY
GUIDE Q&A UPDATED
⩥ 2. An obese 58-year-old male comes to your office with a 2-week
history of fatigue associated with polyuria, polydipsia, and weight loss.
You suspect he has type 2 diabetes. This diagnosis would be
corroborated by a random glucose level greater than or equal to a
threshold of. Answer: D. 200 mg/dL
⩥ 3. A 66-year-old male who was hospitalized because of a TIA 3
months ago sees you for a follow-up visit. His past medical history is
notable for impaired fasting glucose and hypertension. His current
medications include valsartan (Diovan), 160 mg daily; rosuvastatin
(Crestor), 20 mg daily; and aspirin, 81 mg daily. On examination his
BMI is 30 kg/m2, his blood pressure is 134/86 mm Hg, and he has
brown, velvety, hyperkeratotic plaques on the back of his neck and in his
axillae. Laboratory studies are notable for an LDL-cholesterol level of
85 mg/dL, an HDL-cholesterol level of 35 mg/dL, and a serum
triglyceride level of 174 mg/dL. His hemoglobin A1c is 7.1%.
Which one of the following agents may reduce his risk for stroke and
myocardial infarction?. Answer: D. Pioglitazone (Actos)
⩥ 4. A 71-year-old male is hospitalized for an infected foot ulcer. His
medical history is notable for type 2 diabetes, hypertension, and chronic
pancreatitis. His medications on admission include pancrelipase (Creon),
,72,000 units with each meal; extended-release metformin (Glucophage
XR), 500 mg four times daily; extended-release glipizide (Glucotrol
XL), 5 mg daily; and benazepril (Lotensin), 40 mg daily. Insulin therapy
is initiated for hyperglycemia with persistent blood glucose levels ≥200
mg/dL.
Based on American Diabetes Association guidelines, which one of the
following would be the most appropriate glycemic target for this patient
during his hospitalization?. Answer: C. 140-180 mg/dL
⩥ 5. An obese 53-year-old male with a history of type 2 diabetes sees
you for the first time. He tells you that his previous physician had him
see a dietician and started him on metformin (Glucophage), 500 mg
twice daily. A copy of his most recent laboratory tests shows a
hemoglobin A1c of 7.7%. He tells you that he has always been sedentary
and asks if it would be worthwhile for him to join an exercise facility
and begin an exercise program.
Which one of the following statements would be accurate advice?.
Answer: C. Combined aerobic and resistance training results in greater
glycemic improvement than either method alone
⩥ 6. An overweight, sedentary 71-year-old male presents with a 4-month
history of burning pain in the soles of his feet that is most noticeable at
night when he is lying in bed. His medical history includes a long
history of type 2 diabetes, hypertension, and hypercholesterolemia. His
current medications include metformin (Glucophage), 850 mg twice
daily; exenatide (Bydureon), 2 mg subcutaneously weekly; valsartan
(Diovan), 360 mg daily; hydrochlorothiazide, 25 mg daily; and
rosuvastatin (Crestor), 10 mg daily. He quit smoking 40 years ago and
, does not drink alcohol. A physical examination is unremarkable except
for some hyperesthesia of both feet, as well as reduced vibratory
sensation. His protective sensation is intact in both feet and his pedal
pulses are normal.
Which one of the following would be LEAST effective for treating this
patient's pain syndrome?. Answer: B. SSRIs
⩥ 7. A 71-year-old male presents early on a Saturday morning to the
urgent care clinic you are staffing. He describes a 1-week history of
episodic sweating, feelings of hunger, and tremor that are relieved by
eating. He reports that he has type 2 diabetes and has taken metformin
(Glucophage) for years, and that his physician recently added a new
diabetes medication because his hemoglobin A1c rose above 7.5%. He
did not bring his medications with him and you are unable to access his
records because the electronic medical record system is undergoing
routine maintenance and an update.
Which one of the following diabetes medications would be most likely
to cause this patient's symptoms?. Answer: C. Glyburide
⩥ 8. A 55-year-old male with type 2 diabetes presents with a history of
reduced libido and erectile dysfunction. He has not seen a physician for
many years. On examination you note bronze-colored skin,
hepatomegaly, and mild testicular atrophy. A nonfasting laboratory
workup reveals the following serum levels:
Glucose............250 mg/dL
AST............260 U/L (N 10-40)
ALT............210 U/L (N 10-55)
