CDCES 2 COMPLETE STUDY GUIDE WITH
SOLVED QUESTIONS
◉ Which option is an outcome of personal record keeping in relation
to physical activity, according to recent studies?
a. those who keep logs of PA are more adherent to other elements of
tx (ie diet, meds)
b. those who keep PA logs are more likely to enroll in organized
exercise programs (ie classes, gym memberships)
c. keeping a PA log is associated w/ higher level of self efficacy
d. the obligation of record keeping has been identified as a barrier to
exercise.
Answer: c. keeping a PA log is associated w/ higher level of self
efficacy
◉ consider the following pt- male, 46 yo, prev sedentary, mild HTN
and HLD (both controlled w/ meds), T2DM, BMI 26. If this pt wishes
to start a moderate intensity exercise regimen, what additional
assessment may be warranted?
a. stress test w/ ECG
b. DEXA scan to assess bone density and strength
,c. ankle-brachial index to rule out PAD
d. none as BP and chol are controlled and exercise is only mod
intensity.
Answer: a. stress test w/ ECG
stress test is not mandated prior to exercise for pt's w/ dm, clinical
judgement recommended based on hx and comorbidities.
Stress test may be warranted in this case d/t pt being >40 yo w/
prev hx of sedentary, cvd risk factors, and beginning a program that
is more intense than brisk walking.
◉ a diabetes educator assess and instructs pts on a variety of of self
care skills. Which teaching strategy provides the best opportunity to
both assess and instruct on self administration of insulin?
a. written quiz in which the pt puts insulin admin steps in order.
b. demonstration and return demonstration of insulin admin
c. video viewed and reviewed on proper insulin technique
d. printed handout w/ pics depicting steps of insulin admin,
followed by verbal acknowledgement of understanding..
Answer: b. demonstration and return demonstration of insulin
admin
,◉ The following policies are apart of a DSME program: asking pt's if
there are any dietary restrictions or preferences, inviting family
members to participate, being sensitive to ones rate of speech and
tone of voice. These policies address which specific type of
consideration?
a. readiness for change variation among pt's
b. potential low literacy/numeracy levels
c. cultural characteristics/barriers of the population
d. poor family and social support.
Answer: c. cultural characteristics/barriers of the population
◉ according to the ADA consensus statement on managing
preexisting dm for pregnancy, what is the optimal glycemic target for
pregnant women w/ preexisting dm (assuming target may be
reached w/o excessive hypoglycemia)?
a. premeal fasting <90 and either 1 hr pp <120 OR 2 hr pp <100;
hbA1c <5.5%
b. premeal fasting <95 and either 1 hr pp <140 OR 2 hr pp <120;
hbA1c <6%
c. premeal fasting <90 and either 1 hr pp <120 OR 2 hr pp <100;
hbA1c <6%
d. premeal fasting <100 and either 1 hr pp <140 OR 2 hr pp <120;
hbA1c <7%.
, Answer: b. premeal fasting <95 and either 1 hr pp <140 OR 2 hr pp
<120; hbA1c <6%
also note for pregnancy, BG not considered hypoglycemia until <60
◉ during the initial assessment process, the patient answers the
question "how important is it for you to make this change right
now?" with a 9 out of 10 (very important) and answers the question
"how confident are you that you will be able to make this change?"
with a 2 out of 10. In customizing her DSME plan, what should the
focus be?
a. providing materials and experiences that enhance her knowledge
and skills
b. addressing psychosocial needs, such as accepting her dx
c. highlighting benefits of good dm mngmnt to encourage behavior
change
d. explaining the questions further to confirm understanding.
Answer: a. providing materials and experiences that enhance her
knowledge and skills
◉ it is important to address potential barriers to self monitoring of
BG, esp for patients who are not adhering to their plan of care.
Which of the following barriers was not one cited by patients in
recent studies?
SOLVED QUESTIONS
◉ Which option is an outcome of personal record keeping in relation
to physical activity, according to recent studies?
a. those who keep logs of PA are more adherent to other elements of
tx (ie diet, meds)
b. those who keep PA logs are more likely to enroll in organized
exercise programs (ie classes, gym memberships)
c. keeping a PA log is associated w/ higher level of self efficacy
d. the obligation of record keeping has been identified as a barrier to
exercise.
Answer: c. keeping a PA log is associated w/ higher level of self
efficacy
◉ consider the following pt- male, 46 yo, prev sedentary, mild HTN
and HLD (both controlled w/ meds), T2DM, BMI 26. If this pt wishes
to start a moderate intensity exercise regimen, what additional
assessment may be warranted?
a. stress test w/ ECG
b. DEXA scan to assess bone density and strength
,c. ankle-brachial index to rule out PAD
d. none as BP and chol are controlled and exercise is only mod
intensity.
Answer: a. stress test w/ ECG
stress test is not mandated prior to exercise for pt's w/ dm, clinical
judgement recommended based on hx and comorbidities.
Stress test may be warranted in this case d/t pt being >40 yo w/
prev hx of sedentary, cvd risk factors, and beginning a program that
is more intense than brisk walking.
◉ a diabetes educator assess and instructs pts on a variety of of self
care skills. Which teaching strategy provides the best opportunity to
both assess and instruct on self administration of insulin?
a. written quiz in which the pt puts insulin admin steps in order.
b. demonstration and return demonstration of insulin admin
c. video viewed and reviewed on proper insulin technique
d. printed handout w/ pics depicting steps of insulin admin,
followed by verbal acknowledgement of understanding..
Answer: b. demonstration and return demonstration of insulin
admin
,◉ The following policies are apart of a DSME program: asking pt's if
there are any dietary restrictions or preferences, inviting family
members to participate, being sensitive to ones rate of speech and
tone of voice. These policies address which specific type of
consideration?
a. readiness for change variation among pt's
b. potential low literacy/numeracy levels
c. cultural characteristics/barriers of the population
d. poor family and social support.
Answer: c. cultural characteristics/barriers of the population
◉ according to the ADA consensus statement on managing
preexisting dm for pregnancy, what is the optimal glycemic target for
pregnant women w/ preexisting dm (assuming target may be
reached w/o excessive hypoglycemia)?
a. premeal fasting <90 and either 1 hr pp <120 OR 2 hr pp <100;
hbA1c <5.5%
b. premeal fasting <95 and either 1 hr pp <140 OR 2 hr pp <120;
hbA1c <6%
c. premeal fasting <90 and either 1 hr pp <120 OR 2 hr pp <100;
hbA1c <6%
d. premeal fasting <100 and either 1 hr pp <140 OR 2 hr pp <120;
hbA1c <7%.
, Answer: b. premeal fasting <95 and either 1 hr pp <140 OR 2 hr pp
<120; hbA1c <6%
also note for pregnancy, BG not considered hypoglycemia until <60
◉ during the initial assessment process, the patient answers the
question "how important is it for you to make this change right
now?" with a 9 out of 10 (very important) and answers the question
"how confident are you that you will be able to make this change?"
with a 2 out of 10. In customizing her DSME plan, what should the
focus be?
a. providing materials and experiences that enhance her knowledge
and skills
b. addressing psychosocial needs, such as accepting her dx
c. highlighting benefits of good dm mngmnt to encourage behavior
change
d. explaining the questions further to confirm understanding.
Answer: a. providing materials and experiences that enhance her
knowledge and skills
◉ it is important to address potential barriers to self monitoring of
BG, esp for patients who are not adhering to their plan of care.
Which of the following barriers was not one cited by patients in
recent studies?
