ACLM Board Review Quiz: Clinical
Processes in Lifestyle Medicine
(Section 3) Questions And Answers
According to the American Diabetes Association national guidelines, when can the diagnosis of
prediabetes be made?
a. Two separate fasting blood glucose readings less than 80-90 mg/dL (4.4-5.0 mmol/L)
b. A single fasting blood glucose reading in the range of 100-125 mg/dL (5.6-6.9 mmol/L)
c. An oral glucose tolerance test (OGTT) with a blood glucose reading of ≥ 200 mg/dL (11.1 mmol/L)
d. A single random blood glucose reading of ≥ 200 mg/dL (11.1 mmol/L) without any concerning
symptoms of diabetes (hyperglycemic crisis) - CORRECT - ANSWERS b. A single fasting blood glucose
reading in the range of 100-125 mg/dL (5.6-6.9 mmol/L)
Which of the following describes an optimal lifestyle medicine treatment plan for prediabetes?
a. Prescription for physical activity of 90 minutes per week and metformin 850 mg twice daily.
b. Prescription for the American Diabetes Association (ADA) diet and metformin 850 mg twice daily.
c. Prescription for a weight-loss program and regular exercise with the goals of losing 7% of initial body
weight and exercising 150 minutes per week.
d. No immediate prescription is necessary; however, the condition should be monitored every 6 months
with lab work (fasting glucose and HbA1c). - CORRECT - ANSWERS c. Prescription for a weight-loss
program and regular exercise with the goals of losing 7% of initial body weight and exercising 150
minutes per week.
Which of the following initial weight-loss goals for a patient with a BMI of 27 is typically recommended?
, a. 0-4% of body weight
b. 5-10% of body weight
c. 11-15% of body weight
d. This patient has a normal BMI and does not need to lose weight. - CORRECT - ANSWERS b. 5-10%
of body weight
An office uses an (EMR) platform that has the functionality to identify populations of patients with the
same diagnosis code. How could this be used to monitor the impact of lifestyle medicine treatments?
a. The EMR could identify all patients with the diagnosis code of "T2DM" and a condition management
nurse could review chart reports to ensure they've each had a monofilament test and eye exam in the
past year.
b. Patients with the diagnosis of "heart failure" could be identified. A review could help ensure
appropriate prescriptions and that routinely filling for an ACE-inhibitor have been completed.
c. A diagnosis code for "dietary counseling and surveillance" could be charted each time a provider gave
weight-loss advice. These charts could be analyzed for weight loss over time.
d. All patients with a diagnosis code of "diabetes" could be sent information about receiving yearly
diabetic retinopathy screening. - CORRECT - ANSWERS c. A diagnosis code for "dietary counseling
and surveillance" could be charted each time a provider gave weight-loss advice. These charts could be
analyzed for weight loss over time.
What could a lifestyle medicine provider expect after implementing a diabetes group visit for their
patients?
a. More support for behavior changes from fellow patients, improved disease monitoring, greater
satisfaction scores, and more efficient use of time.
b. More support for behavior changes from fellow patients, improved disease monitoring, but greater
increase in cost due to need for more staffing.
c. Increased wait times for appointments especially for new patients.
d. Lower trust in providers as contact with them is less personal than a one-on-one visit. - CORRECT -
ANSWERS a. More support for behavior changes from fellow patients, improved disease monitoring,
greater satisfaction scores, and more efficient use of time.
What component of a lifestyle medicine visit delineates it most from a primary care visit?
Processes in Lifestyle Medicine
(Section 3) Questions And Answers
According to the American Diabetes Association national guidelines, when can the diagnosis of
prediabetes be made?
a. Two separate fasting blood glucose readings less than 80-90 mg/dL (4.4-5.0 mmol/L)
b. A single fasting blood glucose reading in the range of 100-125 mg/dL (5.6-6.9 mmol/L)
c. An oral glucose tolerance test (OGTT) with a blood glucose reading of ≥ 200 mg/dL (11.1 mmol/L)
d. A single random blood glucose reading of ≥ 200 mg/dL (11.1 mmol/L) without any concerning
symptoms of diabetes (hyperglycemic crisis) - CORRECT - ANSWERS b. A single fasting blood glucose
reading in the range of 100-125 mg/dL (5.6-6.9 mmol/L)
Which of the following describes an optimal lifestyle medicine treatment plan for prediabetes?
a. Prescription for physical activity of 90 minutes per week and metformin 850 mg twice daily.
b. Prescription for the American Diabetes Association (ADA) diet and metformin 850 mg twice daily.
c. Prescription for a weight-loss program and regular exercise with the goals of losing 7% of initial body
weight and exercising 150 minutes per week.
d. No immediate prescription is necessary; however, the condition should be monitored every 6 months
with lab work (fasting glucose and HbA1c). - CORRECT - ANSWERS c. Prescription for a weight-loss
program and regular exercise with the goals of losing 7% of initial body weight and exercising 150
minutes per week.
Which of the following initial weight-loss goals for a patient with a BMI of 27 is typically recommended?
, a. 0-4% of body weight
b. 5-10% of body weight
c. 11-15% of body weight
d. This patient has a normal BMI and does not need to lose weight. - CORRECT - ANSWERS b. 5-10%
of body weight
An office uses an (EMR) platform that has the functionality to identify populations of patients with the
same diagnosis code. How could this be used to monitor the impact of lifestyle medicine treatments?
a. The EMR could identify all patients with the diagnosis code of "T2DM" and a condition management
nurse could review chart reports to ensure they've each had a monofilament test and eye exam in the
past year.
b. Patients with the diagnosis of "heart failure" could be identified. A review could help ensure
appropriate prescriptions and that routinely filling for an ACE-inhibitor have been completed.
c. A diagnosis code for "dietary counseling and surveillance" could be charted each time a provider gave
weight-loss advice. These charts could be analyzed for weight loss over time.
d. All patients with a diagnosis code of "diabetes" could be sent information about receiving yearly
diabetic retinopathy screening. - CORRECT - ANSWERS c. A diagnosis code for "dietary counseling
and surveillance" could be charted each time a provider gave weight-loss advice. These charts could be
analyzed for weight loss over time.
What could a lifestyle medicine provider expect after implementing a diabetes group visit for their
patients?
a. More support for behavior changes from fellow patients, improved disease monitoring, greater
satisfaction scores, and more efficient use of time.
b. More support for behavior changes from fellow patients, improved disease monitoring, but greater
increase in cost due to need for more staffing.
c. Increased wait times for appointments especially for new patients.
d. Lower trust in providers as contact with them is less personal than a one-on-one visit. - CORRECT -
ANSWERS a. More support for behavior changes from fellow patients, improved disease monitoring,
greater satisfaction scores, and more efficient use of time.
What component of a lifestyle medicine visit delineates it most from a primary care visit?
