CDCES Exam Questions With Correct
Answers
Define |UACR |- |CORRECT |ANSWER✔✔-urine |albumin |creatinine |ratio: |albumin |divided |by |
creatinine |and |converted |to |mg/g, |measure |of |kidney |function |
<17 |males
<30 |females
If |a |patient |is |experiencing |a |headache |in |the |morning |but |is |hyperglycemic |for |fasting |BG, |
what |should |you |recommend? |- |CORRECT |ANSWER✔✔-Test |blood |sugar |in |the |middle |of |the |
night |to |rule |out |hypoglycemia |and |rebound |hyperglycemia
Question: |TR |is |a |health |care |professional |who |provides |diabetes |care |and |education |support. |
They |are |interested |in |providing |more |person-centered |care |to |the |individuals |they |serve.
Which |of |the |following |statements |verifies |they |are |on |the |right |track?
Answer |Choices:
Adherence |to |the |diabetes |self-care |plan |takes |time.
Motivating |individuals |to |engage |in |their |self-management |is |the |first |step.
Adult |learners |do |best |when |provided |a |step-by-step |demonstration.
Creating |mutual |agreement |on |the |plan |for |next |steps. |- |CORRECT |ANSWER✔✔-Creating |
mutual |agreement |on |the |plan |for |next |steps.
,Question:
LR |experienced |gestational |diabetes |with |their |third |pregnancy |and |now, |at |age |41, |was |just |
diagnosed |with |prediabetes. |LR's |BMI |is |29.3 |and |she |is |trying |to |lose |weight.
Based |on |the |2023 |ADA |Standards |of |Care, |in |addition |to |providing |LR |with |lifestyle |coaching, |
what |other |intervention |is |recommended?
Answer |Choices:
Start |a |GLP-1 |RA |Inhibitor |to |support |weight |loss.
Initiate |metformin |therapy.
Start |pioglitazone |(Actos) |at |a |low |dose
Suggest |adding |a |SGLT-2i |to |lower |glucose |and |protect |renal |function. |- |CORRECT |
ANSWER✔✔-Initiate |metformin |therapy.
consider |metformin |therapy:
people |with |hx |of |GDM
people |ages |25-59 |with |BMI |of |35+ |or |if |A1c |is |~6.0% |or |FPG |is |~110
Question:
JR |is |67 |with |type |1 |diabetes |and |was |discharged |a |few |months |ago |after |receiving |a |coronary |
artery |bypass. |JR |is |on |insulin |pump |therapy |and |a |CGM, |with |a |recent |A1C |of |6.7%. |Their |
blood |pressure |is |129/78.
Other |recent |labs |include:
LDL |cholesterol |of |67 |mg/dL
HDL |54 |mg/dL
Triglycerides |172 |mg/dL
, UACR |23 |mg/g |GFR |61
JR's |medications |include: |insulin, |atorvastatin |80mg, |atenolol |50mg, |and |aspirin |therapy. |JR |
has |met |with |the |dietitian |and |is |trying |to |eat |healthfully. |They |have |lost |5 |pounds |over |the |
past |few |months.
Based |on |the |2023 |ADA |Standards |of |Care |and |JR's |history, |which |of |the |following |is |
considered |best |practice?
Answer |Choices:
Add |an |ACE |or |ARB
Keep |LDL |cholesterol |less |than |70 |mg/dL
Increase |fiber |intake |by |20%
Add |ezetimibe |(Zetia) |or |a |PCSK9 |- |CORRECT |ANSWER✔✔-Add |ezetimibe |(Zetia) |or |a |PCSK9
Since |JR |has |ASCVD, |as |evidenced |by |their |need |for |a |coronary |artery |bypass, |the |LDL |target |is
|less |than |55 |mg/dL. |Since |they |are |already |on |max |dose |of |atorvastatin |at |80mg, |the |ADA |
Guidelines |recommend |adding |an |additional |agent, |either |ezetimibe |(Zetia) |or |a |PCSK9 |to |
further |lower |the |LDL |to |reach |a |target |of |less |than |55 |mg/dL
JL |is |19 |and |has |type |1 |diabetes, |drinks |a |"few |beers" |on |the |weekends |with |their |college |
friends. |JL |uses |an |insulin |pump, |but |mostly |relies |of |fingerstick |checks |to |monitor |blood |
sugars. |According |to |their |log, |JL |experienced |a |few |low |blood |glucose |levels |the |past |
weekend |of |62, |49, |and |51.
Based |on |the |ADA |Standards, |what |is |the |most |important |recommendation |for |JL?
Answer |Choices:
Check |BG |at |least |4 |times |a |day |when |drinking.
Make |sure |to |eat |carbs |when |drinking |to |avoid |low |blood |glucose |levels.
Get |glucagon |rescue |medication.
Decrease |or |stop |alcohol |intake. |- |CORRECT |ANSWER✔✔-"Get |glucagon |rescue |medication." |
This |is |the |BEST |answer. |According |to |the |ADA's |Standard |6 |on |Glycemic |Targets, |"6.12 |
Glucagon |should |be |prescribed |for |all |individuals |at |increased |risk |of |level |2 |or |3 |
Answers
Define |UACR |- |CORRECT |ANSWER✔✔-urine |albumin |creatinine |ratio: |albumin |divided |by |
creatinine |and |converted |to |mg/g, |measure |of |kidney |function |
<17 |males
<30 |females
If |a |patient |is |experiencing |a |headache |in |the |morning |but |is |hyperglycemic |for |fasting |BG, |
what |should |you |recommend? |- |CORRECT |ANSWER✔✔-Test |blood |sugar |in |the |middle |of |the |
night |to |rule |out |hypoglycemia |and |rebound |hyperglycemia
Question: |TR |is |a |health |care |professional |who |provides |diabetes |care |and |education |support. |
They |are |interested |in |providing |more |person-centered |care |to |the |individuals |they |serve.
Which |of |the |following |statements |verifies |they |are |on |the |right |track?
Answer |Choices:
Adherence |to |the |diabetes |self-care |plan |takes |time.
Motivating |individuals |to |engage |in |their |self-management |is |the |first |step.
Adult |learners |do |best |when |provided |a |step-by-step |demonstration.
Creating |mutual |agreement |on |the |plan |for |next |steps. |- |CORRECT |ANSWER✔✔-Creating |
mutual |agreement |on |the |plan |for |next |steps.
,Question:
LR |experienced |gestational |diabetes |with |their |third |pregnancy |and |now, |at |age |41, |was |just |
diagnosed |with |prediabetes. |LR's |BMI |is |29.3 |and |she |is |trying |to |lose |weight.
Based |on |the |2023 |ADA |Standards |of |Care, |in |addition |to |providing |LR |with |lifestyle |coaching, |
what |other |intervention |is |recommended?
Answer |Choices:
Start |a |GLP-1 |RA |Inhibitor |to |support |weight |loss.
Initiate |metformin |therapy.
Start |pioglitazone |(Actos) |at |a |low |dose
Suggest |adding |a |SGLT-2i |to |lower |glucose |and |protect |renal |function. |- |CORRECT |
ANSWER✔✔-Initiate |metformin |therapy.
consider |metformin |therapy:
people |with |hx |of |GDM
people |ages |25-59 |with |BMI |of |35+ |or |if |A1c |is |~6.0% |or |FPG |is |~110
Question:
JR |is |67 |with |type |1 |diabetes |and |was |discharged |a |few |months |ago |after |receiving |a |coronary |
artery |bypass. |JR |is |on |insulin |pump |therapy |and |a |CGM, |with |a |recent |A1C |of |6.7%. |Their |
blood |pressure |is |129/78.
Other |recent |labs |include:
LDL |cholesterol |of |67 |mg/dL
HDL |54 |mg/dL
Triglycerides |172 |mg/dL
, UACR |23 |mg/g |GFR |61
JR's |medications |include: |insulin, |atorvastatin |80mg, |atenolol |50mg, |and |aspirin |therapy. |JR |
has |met |with |the |dietitian |and |is |trying |to |eat |healthfully. |They |have |lost |5 |pounds |over |the |
past |few |months.
Based |on |the |2023 |ADA |Standards |of |Care |and |JR's |history, |which |of |the |following |is |
considered |best |practice?
Answer |Choices:
Add |an |ACE |or |ARB
Keep |LDL |cholesterol |less |than |70 |mg/dL
Increase |fiber |intake |by |20%
Add |ezetimibe |(Zetia) |or |a |PCSK9 |- |CORRECT |ANSWER✔✔-Add |ezetimibe |(Zetia) |or |a |PCSK9
Since |JR |has |ASCVD, |as |evidenced |by |their |need |for |a |coronary |artery |bypass, |the |LDL |target |is
|less |than |55 |mg/dL. |Since |they |are |already |on |max |dose |of |atorvastatin |at |80mg, |the |ADA |
Guidelines |recommend |adding |an |additional |agent, |either |ezetimibe |(Zetia) |or |a |PCSK9 |to |
further |lower |the |LDL |to |reach |a |target |of |less |than |55 |mg/dL
JL |is |19 |and |has |type |1 |diabetes, |drinks |a |"few |beers" |on |the |weekends |with |their |college |
friends. |JL |uses |an |insulin |pump, |but |mostly |relies |of |fingerstick |checks |to |monitor |blood |
sugars. |According |to |their |log, |JL |experienced |a |few |low |blood |glucose |levels |the |past |
weekend |of |62, |49, |and |51.
Based |on |the |ADA |Standards, |what |is |the |most |important |recommendation |for |JL?
Answer |Choices:
Check |BG |at |least |4 |times |a |day |when |drinking.
Make |sure |to |eat |carbs |when |drinking |to |avoid |low |blood |glucose |levels.
Get |glucagon |rescue |medication.
Decrease |or |stop |alcohol |intake. |- |CORRECT |ANSWER✔✔-"Get |glucagon |rescue |medication." |
This |is |the |BEST |answer. |According |to |the |ADA's |Standard |6 |on |Glycemic |Targets, |"6.12 |
Glucagon |should |be |prescribed |for |all |individuals |at |increased |risk |of |level |2 |or |3 |