CDCES Exam
Greatest post-op concern for patients with diabetes whos BG is higher than 200? -
ANSImpaired wound healing
What percentage of all pregnancies are complicated by gestational diabetes? - ANS1-14%
Gestational diabetes places a woman at increased risk of developing what type of diabetes later
in life? - ANST2D
3 Major components of culturally competent care - ANSPatient concerns, Health
beliefs/perspectives, mutually acceptable treatment plan
The ACCORD trial found no additional benefit to blood pressure outcomes via adding which
drug? - ANSfenofibrate
Which health outcome was different in the intensive control group in the ACCORD trial? -
ANSTotal and nonfatal stroke were lower in the intensive group
Aspirin therapy with _______ to ______ daily should be considered for patients with T1/T2
Diabetes at increased risk of CVD - ANS75-162mg
What puts a patient at increased risk for CVD? - ANSCalculated 10 year risk >10%
or
>50 years old with at least one major risk factor
(family history of premature atherosclerotic cardiovascular disease, hypertension, smoking,
dyslipidemia, or albuminuria >30
Blood pressure goal for pregnant woman with chronic hypertension/diabetes? - ANS120-160 /
80-105
Which GLP-1 agonists are dosed once weekly? - ANSDulaglutide (trulicity), Semaglutide
(ozempic), Exenatide (byetta)
Which GLP-1 agonist is dosed once daily? - ANSLiraglutide (victoza)
Diabetic foot ulcers are caused by - ANSFrequent minor pressure through ADL's like walking
, What other disease is often associated with Diabetes? - ANSCystic Fibrosis (diabetes is the
most common comorbidity for CF'ers - 20% adolescents, 40-50% adults)
What common procedure opens blocked coronary artery vessels to improve blood flow to heart?
- ANSPTCA (percutaneous transluminal coronary angioplasty)
What common procedure uses grafting to improve blood flow to heart? - ANSCABG (Coronary
artery Bypass surgery)
Aspects of the empowerment perspective - ANSProviding skills training
Giving ongoing support and encouragement
Understanding and starting from the patients perspective
Limitations of A1C - ANS- Provides no info about intra-day glucose excursions, glycemic
variability or time in range
- Unreliable in the presence of anemia, iron deficiency and pregnancy
For what populations are CGMs not approved for? - ANSpregnancy, dialysis, critical illness or
diathermy
The incretin effect may be lessened in patients with T2D. This happens due to the impaired
responsiveness of which cell type to the incretin
hormones GLP-1 and GIP? - ANSB cells
What medications are therapeutically used to treat T2D and obesity? - ANSGLP1 and GIP
(gastric inhibitory peptide)
According to the SURMOUNT-1 data for the first-in-class dual GLP-1 and GIP receptor agonist,
what dosage would you recommend titrating to
in order to achieve and sustain the highest average weight loss of up to 22.5% in a patient with
T2D and obesity? - ANSOnce weekly dosing of 15mg
ICC framework for CGM - ANSIdentify: Right technology, the right person at the right time
Configure: Help this person use their CGM effectively
Collaborate: Patient understands data, HCP helps them utilize it effectively
Examples of data aggregators for CGM data - ANSTidepool, Glooko
A patient utilizing a CGM has a TIR of 80%, approximately what is their A1C? - ANS6.5%
Greatest post-op concern for patients with diabetes whos BG is higher than 200? -
ANSImpaired wound healing
What percentage of all pregnancies are complicated by gestational diabetes? - ANS1-14%
Gestational diabetes places a woman at increased risk of developing what type of diabetes later
in life? - ANST2D
3 Major components of culturally competent care - ANSPatient concerns, Health
beliefs/perspectives, mutually acceptable treatment plan
The ACCORD trial found no additional benefit to blood pressure outcomes via adding which
drug? - ANSfenofibrate
Which health outcome was different in the intensive control group in the ACCORD trial? -
ANSTotal and nonfatal stroke were lower in the intensive group
Aspirin therapy with _______ to ______ daily should be considered for patients with T1/T2
Diabetes at increased risk of CVD - ANS75-162mg
What puts a patient at increased risk for CVD? - ANSCalculated 10 year risk >10%
or
>50 years old with at least one major risk factor
(family history of premature atherosclerotic cardiovascular disease, hypertension, smoking,
dyslipidemia, or albuminuria >30
Blood pressure goal for pregnant woman with chronic hypertension/diabetes? - ANS120-160 /
80-105
Which GLP-1 agonists are dosed once weekly? - ANSDulaglutide (trulicity), Semaglutide
(ozempic), Exenatide (byetta)
Which GLP-1 agonist is dosed once daily? - ANSLiraglutide (victoza)
Diabetic foot ulcers are caused by - ANSFrequent minor pressure through ADL's like walking
, What other disease is often associated with Diabetes? - ANSCystic Fibrosis (diabetes is the
most common comorbidity for CF'ers - 20% adolescents, 40-50% adults)
What common procedure opens blocked coronary artery vessels to improve blood flow to heart?
- ANSPTCA (percutaneous transluminal coronary angioplasty)
What common procedure uses grafting to improve blood flow to heart? - ANSCABG (Coronary
artery Bypass surgery)
Aspects of the empowerment perspective - ANSProviding skills training
Giving ongoing support and encouragement
Understanding and starting from the patients perspective
Limitations of A1C - ANS- Provides no info about intra-day glucose excursions, glycemic
variability or time in range
- Unreliable in the presence of anemia, iron deficiency and pregnancy
For what populations are CGMs not approved for? - ANSpregnancy, dialysis, critical illness or
diathermy
The incretin effect may be lessened in patients with T2D. This happens due to the impaired
responsiveness of which cell type to the incretin
hormones GLP-1 and GIP? - ANSB cells
What medications are therapeutically used to treat T2D and obesity? - ANSGLP1 and GIP
(gastric inhibitory peptide)
According to the SURMOUNT-1 data for the first-in-class dual GLP-1 and GIP receptor agonist,
what dosage would you recommend titrating to
in order to achieve and sustain the highest average weight loss of up to 22.5% in a patient with
T2D and obesity? - ANSOnce weekly dosing of 15mg
ICC framework for CGM - ANSIdentify: Right technology, the right person at the right time
Configure: Help this person use their CGM effectively
Collaborate: Patient understands data, HCP helps them utilize it effectively
Examples of data aggregators for CGM data - ANSTidepool, Glooko
A patient utilizing a CGM has a TIR of 80%, approximately what is their A1C? - ANS6.5%
