Question 1
A 12-year-old patient with type 2 diabetes who is assessed for physical activity goals states
that they walk their small dog for 10 minutes every day. The patient should increase their
play time and physical activities to how many minutes per day?
A. 30
B. 45
C. 60
D. 90
ANSWER
C) 60
US Department of Health and Human services asserts that patients ages 6 to 17 years need
at least 60 minutes of physical activity per day including aerobic, muscle strengthening,
and bone strengthening exercises
Question 2
What skin related condition is most likely to be associated with diabetes?
A. Xanthomas
B. Eczema
C. Cold sores
D. Vitiligo
1
,ANSWER
A. Xanthomas
are raised bumps on the skin resulting from very high levels of lipids in the blood. Also
associated with long-term significant elevation of glucose levels
Question 3
An older adult patient presents to the clinic with an A1C level of 6.3%. Which of the follow is
appropriate advice?
A. This is nothing to be concerned about because your A1C level is within normal range
B. You have evidence of uncontrolled diabetes and should be educated about initiating
insulin
C. You have an increased A1C level and should start taking metformin for your diabetes
D. You have an elevated A1C level that suggests prediabetes, and you should make diet and
exercises changes
ANSWER
D. You have an elevated A1C level that suggests prediabetes, and you should make diet
and exercises changes
Diagnosis criteria for prediabetes is an A1C level between 5.7-6.4%
Question 4
An older adult patient type T2DM, HTN, CKD stage 3, and hepatitis C-related cirrhosis
experiences morning hypoglycemia. Which of the following is the most likely reason for the
hypoglycemia?
2
,A. Their CKD is increasing glucose excretion
B. They have an increased uptake of glucose from their skeletal muscles
C. They have reduced glycogen stores due to the cirrhosis
D. They have decreased insulin levels due to their cirrhosis
ANSWER
C. They have reduced glycogen stores due to the cirrhosis
Liver provides the glucose needed to raise BG levels rapidly.
Question 5
An adult patient assessed for diabetes is told they have prediabetes. Which of the following
FBG results is most likely?
A. 53 mg/dL
B. 87 mg/dL
C. 115 mg/dL
D. 136 md/dL
ANSWER
C. 115 mg/dL
Prediabetes is defined as an FBG level between 100 and 125 mg/dL
Question 6
A patient with complaints of excessive thirst and blurred vision presents to the ED for further
evaluation. The provide suspects diabetes and orders which of the following blood tests as
the most appropriate initial test to confirm diagnosis?
3
, A. A1C test which is required for diagnostic criteria
B. The OGTT which is the gold standard
C. A fasting blood glucose which is required for diagnostic confirmation
D. A random glucose test, since the patient already has presented with symptoms
ANSWER
D. A random glucose test, since the patient already has presented with symptoms
A random glucose test of at least 200 mg/dL coupled with classic symptoms is sufficient for
a diagnosis of diabetes.
Question 7
A young adult patient with type 1 diabetes is frustrated by seeing frequent high blood sugars
levels before breakfast in the morning. They report that their overnight glucose levels
remain above 70 and that they are not having nightmares or waking up with shakes and
sweating. Which of the following is the most likely cause of the high blood sugar levels?
A. Dawn phenomenon
B. Maturity onset diabetes of the young
C. Somogyi effect
D. DKA
ANSWER
A. Dawn phenomenon
A natural rise in blood sugar levels that occurs in the early morning hours. Caused by a
surge in hormones like cortisol and growth hormone that signal the liver to release glucose
providing the body with energy to wake up
4
A 12-year-old patient with type 2 diabetes who is assessed for physical activity goals states
that they walk their small dog for 10 minutes every day. The patient should increase their
play time and physical activities to how many minutes per day?
A. 30
B. 45
C. 60
D. 90
ANSWER
C) 60
US Department of Health and Human services asserts that patients ages 6 to 17 years need
at least 60 minutes of physical activity per day including aerobic, muscle strengthening,
and bone strengthening exercises
Question 2
What skin related condition is most likely to be associated with diabetes?
A. Xanthomas
B. Eczema
C. Cold sores
D. Vitiligo
1
,ANSWER
A. Xanthomas
are raised bumps on the skin resulting from very high levels of lipids in the blood. Also
associated with long-term significant elevation of glucose levels
Question 3
An older adult patient presents to the clinic with an A1C level of 6.3%. Which of the follow is
appropriate advice?
A. This is nothing to be concerned about because your A1C level is within normal range
B. You have evidence of uncontrolled diabetes and should be educated about initiating
insulin
C. You have an increased A1C level and should start taking metformin for your diabetes
D. You have an elevated A1C level that suggests prediabetes, and you should make diet and
exercises changes
ANSWER
D. You have an elevated A1C level that suggests prediabetes, and you should make diet
and exercises changes
Diagnosis criteria for prediabetes is an A1C level between 5.7-6.4%
Question 4
An older adult patient type T2DM, HTN, CKD stage 3, and hepatitis C-related cirrhosis
experiences morning hypoglycemia. Which of the following is the most likely reason for the
hypoglycemia?
2
,A. Their CKD is increasing glucose excretion
B. They have an increased uptake of glucose from their skeletal muscles
C. They have reduced glycogen stores due to the cirrhosis
D. They have decreased insulin levels due to their cirrhosis
ANSWER
C. They have reduced glycogen stores due to the cirrhosis
Liver provides the glucose needed to raise BG levels rapidly.
Question 5
An adult patient assessed for diabetes is told they have prediabetes. Which of the following
FBG results is most likely?
A. 53 mg/dL
B. 87 mg/dL
C. 115 mg/dL
D. 136 md/dL
ANSWER
C. 115 mg/dL
Prediabetes is defined as an FBG level between 100 and 125 mg/dL
Question 6
A patient with complaints of excessive thirst and blurred vision presents to the ED for further
evaluation. The provide suspects diabetes and orders which of the following blood tests as
the most appropriate initial test to confirm diagnosis?
3
, A. A1C test which is required for diagnostic criteria
B. The OGTT which is the gold standard
C. A fasting blood glucose which is required for diagnostic confirmation
D. A random glucose test, since the patient already has presented with symptoms
ANSWER
D. A random glucose test, since the patient already has presented with symptoms
A random glucose test of at least 200 mg/dL coupled with classic symptoms is sufficient for
a diagnosis of diabetes.
Question 7
A young adult patient with type 1 diabetes is frustrated by seeing frequent high blood sugars
levels before breakfast in the morning. They report that their overnight glucose levels
remain above 70 and that they are not having nightmares or waking up with shakes and
sweating. Which of the following is the most likely cause of the high blood sugar levels?
A. Dawn phenomenon
B. Maturity onset diabetes of the young
C. Somogyi effect
D. DKA
ANSWER
A. Dawn phenomenon
A natural rise in blood sugar levels that occurs in the early morning hours. Caused by a
surge in hormones like cortisol and growth hormone that signal the liver to release glucose
providing the body with energy to wake up
4
