CDCES Practice Exam Two
1.The single maximum crucial thing in predicting A1C lowering with using non-stop glucose
tracking (CGM) has been proven to be which of the subsequent?
A.Frequency of tool calibration
B.Use of a better low-glucose alarm placing
C.Frequency of sensor use
D.Age of the man or woman the use of the tool - ANS-C. Frequency of sensor use
2.Which of the following islet cellular antibodies is the first-class immunologic predictor of type 1
diabetes?
A.Glutamic acid decarboxylase (GAD)
B.Heat surprise protein 65
C.Peripherin
D.Endocrine cellular antigens - ANS-A. Glutamic acid decarboxylase (GAD)
three.A skinny 38-yr-vintage white lady presents to the health facility for assessment of her
glycemic management. She was identified with diabetes nine months in the past with an A1C of
thirteen% and commenced on metformin and glipizide. Three months later her glycemic
management changed into an awful lot progressed (A1C of seven.Four%), but nowadays she
reviews extended thirst and urination. Her A1C these days is 11.2% no matter showed
adherence with her medications and a negative pregnancy check. Which of the subsequent is
the MOST probable analysis?
A.Type 1 diabetes (T1DM)
B.Type 2 diabetes (T2DM)
C.Latent autoimmune diabetes of adults (LADA)
D.Gestational diabetes (GDM) - ANS-C. Latent autoimmune diabetes of adults (LADA)
four.The improvement of type 1 diabetes consists of all however which of the following?
A.Environmental trigger
B.Genetic predisposition
C.Autoimmune attack on beta cells
D.Peripheral insulin resistance - ANS-D. Peripheral insulin resistance
5.JT, a 34-yr-vintage male with newly identified type 1 diabetes and high blood pressure, states
that he has an occasional alcoholic drink and desires to know if alcohol is permitted. Which of
the subsequent is the MOST suitable response?
,A.Yes, however usually devour alcohol with food to limit the threat of nocturnal hypoglycemia.
B.It is recommended to drink 2 glasses of red wine every day to reduce the risk of
cardiovascular disease.
C.Yes, however substitute an alcoholic drink for 1 carb serving.
D.No, alcoholic drinks have to be avoided in people with high blood pressure due to the effect
on blood stress. - ANS-A. Yes, but usually consume alcohol with meals to reduce the danger of
nocturnal hypoglycemia
6.A forty five-12 months-antique guy affords for a 1-month follow-up after beginning immediately
launch metformin 500 mg twice day by day. Today he added in his blood glucose meter and
bottle of metformin, which is sort of complete. Which of the subsequent is the MOST appropriate
subsequent step to assess his management to the routine?
A.Confront the person about his terrible medication control.
B.Telephone the pharmacy to affirm the remaining top off date.
C.Change to the extended release formulation of metformin.
D.Review self-monitored blood glucose log. - ANS-B. Telephone the pharmacy to affirm the
ultimate refill date.
7.You receive an inquiry from a fellow healthcare professional to your facility who would really
like to apply an app on her telephone to music calories, carbohydrate, and fat consumed. She
asks you ways an awful lot carbohydrate and fats a person with type 2 diabetes have to
consume in her weight loss program. Based on contemporary tips from the American Diabetes
Association (ADA), which of the following is the pleasant advice?
A.Persons with diabetes ought to get about 50% of their calories from carbohydrate and no
more than 30% of calories from fat.
B.The perfect percentage of carbohydrate, protein, and fat has not been decided and is based
totally on several elements.
C.Persons with diabetes have to get approximately 45% of calories from carbohydrate and 25%
to 30% of energy from fats.
D.A monounsaturated fats-wealthy eating plan with less than 25% of energy from fats and 50%
to 60% of calories from carbohydrate is recommended for people with diabetes. - ANS-B. The
perfect percent of carbohydrate, protein, and fats has no longer been determined and is based
totally on several elements.
8.A forty eight-12 months-antique African American woman with kind 2 diabetes and
hypertension affords to the clinic followed via her mom, who stays inside the ready room all
through the visit. The woman with diabetes lives at domestic and does now not paintings. She
reports attending network university for two years but has never held a full-time process.
Answers to questions throughout the interview are disorganized and rambling with frequent
flights of thought. Which of the following is the MOST appropriate movement to evaluate this
woman?
,A.Interview the lady on my own and make changes based on objective statistics.
B.Engage the lady in position-playing to assess hassle-fixing abilties.
C.Ask permission from the woman to encompass her mother within the visit.
D.Contact the mom after the visit to specific mental health issues. - ANS-C. Ask permission from
the girl to encompass her mother within the visit.
9.According to the American Diabetes Association's (ADA's) modern-day Guidelines, with what
minimal frequency ought to A1C testing be finished by way of individuals who are assembly
treatment goals and who've strong blood glucose stages?
A.Once/yr
B.Twice/year
C.Every 3 months
D.Every four months - ANS-B. Twice/year
thirteen.According to the Diabetes Prevention Program (DPP), which of the following became
MOST effective for preventing diabetes?
A.Intensive lifestyle changes
B.Metformin
C.Acarbose
D.Rosiglitazone - ANS-A. Intensive life-style changes
14.A homeless guy offers to the medical institution for evaluation of his insulin regimen. He
reports driving his bicycle to the clinic, that's located three blocks from the cut price pharmacy.
He normally most effective eats 1 meal a day inside the evening at the refuge. This afternoon
his point-of-care blood glucose is 286 mg/dL, that is better than his A1C stage of 7.6% might
propose. Which of the subsequent is the MOST possibly motive of his increased blood glucose?
A.Lack of transportation to the drugstore
B.Inability to pay for insulin
C.Irregular meal schedule
D.Multiple use of the equal syringe - ANS-B. Inability to pay for insulin
15.Which of the following maximum accurately describes the mechanisms of motion for
liraglutide?
A.Increases glucagon launch from alpha cells.
B.Decreases centrally mediated satiety.
C.Increases insulin secretion from beta cells.
D.Decreases absorption of complex carbohydrates. - ANS-C. Increases insulin secretion from
beta cells.
, 16.Which of the subsequent is NOT an proof-based totally recommendation for people handling
hypertension?
A.Weight loss for obese or obese people
B.Sodium reduction
C.Resistance training
D.DASH eating plan - ANS-C. Resistance schooling
17.Which of the following lifestyle strategies is LEAST effective in decreasing LDL cholesterol?
A.Weight loss
B.Substitution of mono- and polyunsaturated fats for saturated fats
C.Omega-three fatty acids
D.Consumption of pink wine - ANS-D. Consumption of pink wine
18.A man with diabetes had routine laboratory ranges drawn 1 month after converting remedy.
His serum creatinine rose from zero.9 mg/dL at baseline to at least one.Five mg/dL nowadays.
Which of the following capsules MOST probable explains this upward thrust in serum
creatinine?
A.Metoprolol
B.Atorvastatin
C.Metformin
D.Irbesartan - ANS-D. Irbesartan
*Kidney Pressure
19.A neighborhood church chief wants to offer a software to save you diabetes. The participants
of the church are predominantly African American with a median age of fifty four. Which of the
following suggestions is MOST suitable for the participants?
A.Fast 3 days consistent with week.
B.Walk one hundred fifty minutes in step with week.
C.Eat 7 servings of fatty fish consistent with week.
D.Advise the chief that his populace is low risk. - ANS-B. Walk one hundred fifty mins per week.
20.The American Diabetes Association uses a category gadget to grade the pleasant of clinical
proof to help its tips in all new and revised role statements. The maximum level of proof is rated
as which of the following?
A.A
B.B
C.C
D.E - ANS-A. A
1.The single maximum crucial thing in predicting A1C lowering with using non-stop glucose
tracking (CGM) has been proven to be which of the subsequent?
A.Frequency of tool calibration
B.Use of a better low-glucose alarm placing
C.Frequency of sensor use
D.Age of the man or woman the use of the tool - ANS-C. Frequency of sensor use
2.Which of the following islet cellular antibodies is the first-class immunologic predictor of type 1
diabetes?
A.Glutamic acid decarboxylase (GAD)
B.Heat surprise protein 65
C.Peripherin
D.Endocrine cellular antigens - ANS-A. Glutamic acid decarboxylase (GAD)
three.A skinny 38-yr-vintage white lady presents to the health facility for assessment of her
glycemic management. She was identified with diabetes nine months in the past with an A1C of
thirteen% and commenced on metformin and glipizide. Three months later her glycemic
management changed into an awful lot progressed (A1C of seven.Four%), but nowadays she
reviews extended thirst and urination. Her A1C these days is 11.2% no matter showed
adherence with her medications and a negative pregnancy check. Which of the subsequent is
the MOST probable analysis?
A.Type 1 diabetes (T1DM)
B.Type 2 diabetes (T2DM)
C.Latent autoimmune diabetes of adults (LADA)
D.Gestational diabetes (GDM) - ANS-C. Latent autoimmune diabetes of adults (LADA)
four.The improvement of type 1 diabetes consists of all however which of the following?
A.Environmental trigger
B.Genetic predisposition
C.Autoimmune attack on beta cells
D.Peripheral insulin resistance - ANS-D. Peripheral insulin resistance
5.JT, a 34-yr-vintage male with newly identified type 1 diabetes and high blood pressure, states
that he has an occasional alcoholic drink and desires to know if alcohol is permitted. Which of
the subsequent is the MOST suitable response?
,A.Yes, however usually devour alcohol with food to limit the threat of nocturnal hypoglycemia.
B.It is recommended to drink 2 glasses of red wine every day to reduce the risk of
cardiovascular disease.
C.Yes, however substitute an alcoholic drink for 1 carb serving.
D.No, alcoholic drinks have to be avoided in people with high blood pressure due to the effect
on blood stress. - ANS-A. Yes, but usually consume alcohol with meals to reduce the danger of
nocturnal hypoglycemia
6.A forty five-12 months-antique guy affords for a 1-month follow-up after beginning immediately
launch metformin 500 mg twice day by day. Today he added in his blood glucose meter and
bottle of metformin, which is sort of complete. Which of the subsequent is the MOST appropriate
subsequent step to assess his management to the routine?
A.Confront the person about his terrible medication control.
B.Telephone the pharmacy to affirm the remaining top off date.
C.Change to the extended release formulation of metformin.
D.Review self-monitored blood glucose log. - ANS-B. Telephone the pharmacy to affirm the
ultimate refill date.
7.You receive an inquiry from a fellow healthcare professional to your facility who would really
like to apply an app on her telephone to music calories, carbohydrate, and fat consumed. She
asks you ways an awful lot carbohydrate and fats a person with type 2 diabetes have to
consume in her weight loss program. Based on contemporary tips from the American Diabetes
Association (ADA), which of the following is the pleasant advice?
A.Persons with diabetes ought to get about 50% of their calories from carbohydrate and no
more than 30% of calories from fat.
B.The perfect percentage of carbohydrate, protein, and fat has not been decided and is based
totally on several elements.
C.Persons with diabetes have to get approximately 45% of calories from carbohydrate and 25%
to 30% of energy from fats.
D.A monounsaturated fats-wealthy eating plan with less than 25% of energy from fats and 50%
to 60% of calories from carbohydrate is recommended for people with diabetes. - ANS-B. The
perfect percent of carbohydrate, protein, and fats has no longer been determined and is based
totally on several elements.
8.A forty eight-12 months-antique African American woman with kind 2 diabetes and
hypertension affords to the clinic followed via her mom, who stays inside the ready room all
through the visit. The woman with diabetes lives at domestic and does now not paintings. She
reports attending network university for two years but has never held a full-time process.
Answers to questions throughout the interview are disorganized and rambling with frequent
flights of thought. Which of the following is the MOST appropriate movement to evaluate this
woman?
,A.Interview the lady on my own and make changes based on objective statistics.
B.Engage the lady in position-playing to assess hassle-fixing abilties.
C.Ask permission from the woman to encompass her mother within the visit.
D.Contact the mom after the visit to specific mental health issues. - ANS-C. Ask permission from
the girl to encompass her mother within the visit.
9.According to the American Diabetes Association's (ADA's) modern-day Guidelines, with what
minimal frequency ought to A1C testing be finished by way of individuals who are assembly
treatment goals and who've strong blood glucose stages?
A.Once/yr
B.Twice/year
C.Every 3 months
D.Every four months - ANS-B. Twice/year
thirteen.According to the Diabetes Prevention Program (DPP), which of the following became
MOST effective for preventing diabetes?
A.Intensive lifestyle changes
B.Metformin
C.Acarbose
D.Rosiglitazone - ANS-A. Intensive life-style changes
14.A homeless guy offers to the medical institution for evaluation of his insulin regimen. He
reports driving his bicycle to the clinic, that's located three blocks from the cut price pharmacy.
He normally most effective eats 1 meal a day inside the evening at the refuge. This afternoon
his point-of-care blood glucose is 286 mg/dL, that is better than his A1C stage of 7.6% might
propose. Which of the subsequent is the MOST possibly motive of his increased blood glucose?
A.Lack of transportation to the drugstore
B.Inability to pay for insulin
C.Irregular meal schedule
D.Multiple use of the equal syringe - ANS-B. Inability to pay for insulin
15.Which of the following maximum accurately describes the mechanisms of motion for
liraglutide?
A.Increases glucagon launch from alpha cells.
B.Decreases centrally mediated satiety.
C.Increases insulin secretion from beta cells.
D.Decreases absorption of complex carbohydrates. - ANS-C. Increases insulin secretion from
beta cells.
, 16.Which of the subsequent is NOT an proof-based totally recommendation for people handling
hypertension?
A.Weight loss for obese or obese people
B.Sodium reduction
C.Resistance training
D.DASH eating plan - ANS-C. Resistance schooling
17.Which of the following lifestyle strategies is LEAST effective in decreasing LDL cholesterol?
A.Weight loss
B.Substitution of mono- and polyunsaturated fats for saturated fats
C.Omega-three fatty acids
D.Consumption of pink wine - ANS-D. Consumption of pink wine
18.A man with diabetes had routine laboratory ranges drawn 1 month after converting remedy.
His serum creatinine rose from zero.9 mg/dL at baseline to at least one.Five mg/dL nowadays.
Which of the following capsules MOST probable explains this upward thrust in serum
creatinine?
A.Metoprolol
B.Atorvastatin
C.Metformin
D.Irbesartan - ANS-D. Irbesartan
*Kidney Pressure
19.A neighborhood church chief wants to offer a software to save you diabetes. The participants
of the church are predominantly African American with a median age of fifty four. Which of the
following suggestions is MOST suitable for the participants?
A.Fast 3 days consistent with week.
B.Walk one hundred fifty minutes in step with week.
C.Eat 7 servings of fatty fish consistent with week.
D.Advise the chief that his populace is low risk. - ANS-B. Walk one hundred fifty mins per week.
20.The American Diabetes Association uses a category gadget to grade the pleasant of clinical
proof to help its tips in all new and revised role statements. The maximum level of proof is rated
as which of the following?
A.A
B.B
C.C
D.E - ANS-A. A
