Certified Diabetes Educator Exam questions |\ |\ |\ |\ |\
with answers |\
central obesity contributes to increased insulin resistance by
|\ |\ |\ |\ |\ |\ |\ |\
which mechanism - CORRECT ANSWERS ✔✔intra abdominal
|\ |\ |\ |\ |\ |\ |\
obesity has a greater supply of capillaries, making it more
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
metabolically active than sq fat in the hips and thighs therefore a |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
greater turnover of free fatty acids and ion the liver these
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contribute to insulin resistance. |\ |\ |\
a 34 year old pregnant lady with suspected gestational diabetes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reports increased urinary frequency, which is the best method to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
evaluate her glycemic control - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔FRUCTOSIMINE-a glycated serum protein test, measures |\ |\ |\ |\ |\ |\
glycemic xontrol over the past 2 or 3 weeks, good for gestational
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diabetes.
|\ |\
Urinary ketones in gestational diabetes is more to detect
|\ |\ |\ |\ |\ |\ |\ |\ |\
inadequate food intake(severe ketosis) |\ |\ |\
55 y/o male who recently had popleital leg surgery, has not ran
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in 10 years - CORRECT ANSWERS ✔✔advise hime to take a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
graded exercise test with EKG would give him info on how he
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
respond to excretion, the presence of arthersclorosis in his legs is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a strong indicator that he may also have athersclorosis in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
arteries in the heart |\ |\ |\
The act of examining processes and outcomes to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\
whether desired goals and objectives are achieved - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
,ANSWERS ✔✔Continuous Quality Improvement is a management |\ |\ |\ |\ |\ |\ |\
approach that attempts to correct program shortcomings via |\ |\ |\ |\ |\ |\ |\ |\
program evaluation |\
What are the normal hormonal response of acute effects of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
physical axtivity - CORRECT ANSWERS ✔✔Physical activity
|\ |\ |\ |\ |\ |\ |\
increases hepatic glucose production and increase the glucose |\ |\ |\ |\ |\ |\ |\ |\
supply available in the blood |\ |\ |\ |\
The EMPOWERMENT approach to education - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔expects the patient to be active in the management of their
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diabetes, to be provided with info to make and take responsibility
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on decisions
|\ |\
OUTCOMES MONITORING - CORRECT ANSWERS ✔✔is the |\ |\ |\ |\ |\ |\ |\
frequency and interval of measuring specific indicators |\ |\ |\ |\ |\ |\
How does program participation decrease ER visits - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Improving medication compliance refill is a |\ |\ |\ |\ |\ |\ |\
measure that can by an outcome related to education received
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during the program |\ |\
Exam 2 q3 what is LADA - CORRECT ANSWERS ✔✔pts with LADA
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
are often misdiagnosed with Type 2 and are greater than 40
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(e2q10) DASH diet - CORRECT ANSWERS ✔✔Dietary approaches
|\ |\ |\ |\ |\ |\ |\ |\
to stop Hypertension, fruits, veggies, low fat dairy products,
|\ |\ |\ |\ |\ |\ |\ |\ |\
whole grains, poultry, fish, lowers sodium and show benefits of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
potassium . A combination of the Dash diet and reducing sodium |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,intake has been shown to lower b/p rather than just reducing Na
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
intake.
(e2q15)DPP4 inhibitors - CORRECT ANSWERS ✔✔Dpp4 inhibitors|\ |\ |\ |\ |\ |\ |\
increase insulin secretion in a glucose dependent manor meaning
|\ |\ |\ |\ |\ |\ |\ |\
when glucose returns to normal there is no further increase in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
insulin and the risk of hypoglycemia is low
|\ |\ |\ |\ |\ |\ |\
(e2q17) which of the following is not evidence to lower LDL
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cholesterolo - CORRECT ANSWERS ✔✔omege 3 fatty acisds are
|\ |\ |\ |\ |\ |\ |\ |\ |\
helpful in reduction of triglycerides, weight loss substituting
|\ |\ |\ |\ |\ |\ |\ |\
unsaturated fats for saturated acids and plant sterols will help
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reduce LDL |\
(e2q18) What raises Serem creatinine - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔patients with renal artery stenosis may have an increase in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
creatinine if recently placed on an ACE or ARB such as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Irebresartan . Although ACE and ARB decrease glomerular
|\ |\ |\ |\ |\ |\ |\ |\
pressure by dilating the efferent arteriole, pts with renal stenosis
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
are unable to provided compensatory constriction the efferent
|\ |\ |\ |\ |\ |\ |\ |\
arteriole to maintain a minimum glomerular pressure.
|\ |\ |\ |\ |\ |\
(e2q23) what nutrient is most likely deficient in a vegans -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔vit b12 is found in meat, poultry, fish and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dairy
|\
fyi- niacin is found in veggies, grains, nuts, fortified cereals and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
breads plentiful for veans
|\ |\ |\
(e2q25) Recommended Fiber intake - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔same for persons with or without diabetes because of health
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, benfits 25 grams for woman and 38 grams for men or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
14grma/1000cals
|\
Current research shows > 50grams fiber per da improves
|\ |\ |\ |\ |\ |\ |\ |\ |\
glycemic control |\
(e2q26) - CORRECT ANSWERS ✔✔Valsartan should be added
|\ |\ |\ |\ |\ |\ |\ |\
(ACE) i still needed for blood pressure control
|\ |\ |\ |\ |\ |\ |\
(e2q31)dx metabolic syndrome - CORRECT ANSWERS ✔✔place |\ |\ |\ |\ |\ |\ |\
pts at high risk for cardiovascular disease. Dx of metobolic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
syndrome is 3 of the following--large waist circumference woman
|\ |\ |\ |\ |\ |\ |\ |\ |\
> 30 inches, men > 40inches, B/P > 135/85, fast glucose >100,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Tgl >150, low HDL ,50,
|\ |\ |\ |\
(e2q46)What drug causes weight gain - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔Pioglitazone, TZD's deposition of free fatty acids promote |\ |\ |\ |\ |\ |\ |\ |\
insulin resistance |\
(e2q49) what can effect A1c results - CORRECT ANSWERS ✔✔Low
|\ |\ |\ |\ |\ |\ |\ |\ |\
albumin does not, but sickel cell anemia, iron deficiency and iron
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
supplementation may
|\ |\
(e2q54)the normal hormonal response during acute physical |\ |\ |\ |\ |\ |\ |\
activity ? - CORRECT ANSWERS ✔✔decrease in insulin, increase
|\ |\ |\ |\ |\ |\ |\ |\ |\
in glucogon,and epinephrine, norepinephrine, growth hormones
|\ |\ |\ |\ |\ |\
and cortisol |\
(e2q56) To reduce hypoglycemia a snck containing how many
|\ |\ |\ |\ |\ |\ |\ |\ |\
grams CHO for everyn 30-45 mins moderate physical activity -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with answers |\
central obesity contributes to increased insulin resistance by
|\ |\ |\ |\ |\ |\ |\ |\
which mechanism - CORRECT ANSWERS ✔✔intra abdominal
|\ |\ |\ |\ |\ |\ |\
obesity has a greater supply of capillaries, making it more
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
metabolically active than sq fat in the hips and thighs therefore a |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
greater turnover of free fatty acids and ion the liver these
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contribute to insulin resistance. |\ |\ |\
a 34 year old pregnant lady with suspected gestational diabetes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reports increased urinary frequency, which is the best method to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
evaluate her glycemic control - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔FRUCTOSIMINE-a glycated serum protein test, measures |\ |\ |\ |\ |\ |\
glycemic xontrol over the past 2 or 3 weeks, good for gestational
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diabetes.
|\ |\
Urinary ketones in gestational diabetes is more to detect
|\ |\ |\ |\ |\ |\ |\ |\ |\
inadequate food intake(severe ketosis) |\ |\ |\
55 y/o male who recently had popleital leg surgery, has not ran
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in 10 years - CORRECT ANSWERS ✔✔advise hime to take a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
graded exercise test with EKG would give him info on how he
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
respond to excretion, the presence of arthersclorosis in his legs is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a strong indicator that he may also have athersclorosis in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
arteries in the heart |\ |\ |\
The act of examining processes and outcomes to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\
whether desired goals and objectives are achieved - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
,ANSWERS ✔✔Continuous Quality Improvement is a management |\ |\ |\ |\ |\ |\ |\
approach that attempts to correct program shortcomings via |\ |\ |\ |\ |\ |\ |\ |\
program evaluation |\
What are the normal hormonal response of acute effects of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
physical axtivity - CORRECT ANSWERS ✔✔Physical activity
|\ |\ |\ |\ |\ |\ |\
increases hepatic glucose production and increase the glucose |\ |\ |\ |\ |\ |\ |\ |\
supply available in the blood |\ |\ |\ |\
The EMPOWERMENT approach to education - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔expects the patient to be active in the management of their
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diabetes, to be provided with info to make and take responsibility
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on decisions
|\ |\
OUTCOMES MONITORING - CORRECT ANSWERS ✔✔is the |\ |\ |\ |\ |\ |\ |\
frequency and interval of measuring specific indicators |\ |\ |\ |\ |\ |\
How does program participation decrease ER visits - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Improving medication compliance refill is a |\ |\ |\ |\ |\ |\ |\
measure that can by an outcome related to education received
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during the program |\ |\
Exam 2 q3 what is LADA - CORRECT ANSWERS ✔✔pts with LADA
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
are often misdiagnosed with Type 2 and are greater than 40
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(e2q10) DASH diet - CORRECT ANSWERS ✔✔Dietary approaches
|\ |\ |\ |\ |\ |\ |\ |\
to stop Hypertension, fruits, veggies, low fat dairy products,
|\ |\ |\ |\ |\ |\ |\ |\ |\
whole grains, poultry, fish, lowers sodium and show benefits of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
potassium . A combination of the Dash diet and reducing sodium |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,intake has been shown to lower b/p rather than just reducing Na
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
intake.
(e2q15)DPP4 inhibitors - CORRECT ANSWERS ✔✔Dpp4 inhibitors|\ |\ |\ |\ |\ |\ |\
increase insulin secretion in a glucose dependent manor meaning
|\ |\ |\ |\ |\ |\ |\ |\
when glucose returns to normal there is no further increase in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
insulin and the risk of hypoglycemia is low
|\ |\ |\ |\ |\ |\ |\
(e2q17) which of the following is not evidence to lower LDL
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cholesterolo - CORRECT ANSWERS ✔✔omege 3 fatty acisds are
|\ |\ |\ |\ |\ |\ |\ |\ |\
helpful in reduction of triglycerides, weight loss substituting
|\ |\ |\ |\ |\ |\ |\ |\
unsaturated fats for saturated acids and plant sterols will help
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reduce LDL |\
(e2q18) What raises Serem creatinine - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔patients with renal artery stenosis may have an increase in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
creatinine if recently placed on an ACE or ARB such as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Irebresartan . Although ACE and ARB decrease glomerular
|\ |\ |\ |\ |\ |\ |\ |\
pressure by dilating the efferent arteriole, pts with renal stenosis
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
are unable to provided compensatory constriction the efferent
|\ |\ |\ |\ |\ |\ |\ |\
arteriole to maintain a minimum glomerular pressure.
|\ |\ |\ |\ |\ |\
(e2q23) what nutrient is most likely deficient in a vegans -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔vit b12 is found in meat, poultry, fish and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dairy
|\
fyi- niacin is found in veggies, grains, nuts, fortified cereals and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
breads plentiful for veans
|\ |\ |\
(e2q25) Recommended Fiber intake - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔same for persons with or without diabetes because of health
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, benfits 25 grams for woman and 38 grams for men or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
14grma/1000cals
|\
Current research shows > 50grams fiber per da improves
|\ |\ |\ |\ |\ |\ |\ |\ |\
glycemic control |\
(e2q26) - CORRECT ANSWERS ✔✔Valsartan should be added
|\ |\ |\ |\ |\ |\ |\ |\
(ACE) i still needed for blood pressure control
|\ |\ |\ |\ |\ |\ |\
(e2q31)dx metabolic syndrome - CORRECT ANSWERS ✔✔place |\ |\ |\ |\ |\ |\ |\
pts at high risk for cardiovascular disease. Dx of metobolic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
syndrome is 3 of the following--large waist circumference woman
|\ |\ |\ |\ |\ |\ |\ |\ |\
> 30 inches, men > 40inches, B/P > 135/85, fast glucose >100,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Tgl >150, low HDL ,50,
|\ |\ |\ |\
(e2q46)What drug causes weight gain - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔Pioglitazone, TZD's deposition of free fatty acids promote |\ |\ |\ |\ |\ |\ |\ |\
insulin resistance |\
(e2q49) what can effect A1c results - CORRECT ANSWERS ✔✔Low
|\ |\ |\ |\ |\ |\ |\ |\ |\
albumin does not, but sickel cell anemia, iron deficiency and iron
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
supplementation may
|\ |\
(e2q54)the normal hormonal response during acute physical |\ |\ |\ |\ |\ |\ |\
activity ? - CORRECT ANSWERS ✔✔decrease in insulin, increase
|\ |\ |\ |\ |\ |\ |\ |\ |\
in glucogon,and epinephrine, norepinephrine, growth hormones
|\ |\ |\ |\ |\ |\
and cortisol |\
(e2q56) To reduce hypoglycemia a snck containing how many
|\ |\ |\ |\ |\ |\ |\ |\ |\
grams CHO for everyn 30-45 mins moderate physical activity -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
