CDE Practice Exam Questions WITH|\ |\ |\ |\ |\
ANSWERS
What is the first step in the process of diabetes self management
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
education?
|\
A. Assessment
|\
B. Goal setting
|\ |\
C. Diagnosis
|\
D. Referral - CORRECT ANSWERS ✔✔A. Assessment
|\ |\ |\ |\ |\ |\
Which of the following options is an outcome of personal record
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
keeping in relation to physical activity, according to recent
|\ |\ |\ |\ |\ |\ |\ |\ |\
studies?
A. Those who keep logs of physical activity are more adherent to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
other elements of therapy (ie diet, medication)
|\ |\ |\ |\ |\ |\
B. Those who keep exercise logs are more likely to enroll in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
organized exercise programs (ie gym memberships, classes)
|\ |\ |\ |\ |\ |\
C. Keeping a physical activity log is associated with a higher level
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of self efficacy
|\ |\ |\
D. The obligation of record keeping has been identified as a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
barrier to exercise by study participants - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔C. Keeping a physical activity log is associated with a higher
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
level of self efficacy
|\ |\ |\
Consider the following pt: male, age 46, previously sedentary,
|\ |\ |\ |\ |\ |\ |\ |\ |\
mild HTN and hyperlipidemia (both adequately controlled with
|\ |\ |\ |\ |\ |\ |\ |\
,medications), T2DM, and a BMI of 26. If this pt wishes to begin a |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
moderate-intensity exercise regimen, what additional assessment |\ |\ |\ |\ |\
may be warranted?
|\ |\ |\
A. Stress test with ECG
|\ |\ |\ |\
B. DEXA scan to assess bone density and strength
|\ |\ |\ |\ |\ |\ |\ |\
C. Ankle-Brachial index to rule out peripheral arterial disease
|\ |\ |\ |\ |\ |\ |\ |\
D. None, as BP and cholesterol are being controlled and exercise
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is only moderate intensity - CORRECT ANSWERS ✔✔A. Stress test
|\ |\ |\ |\ |\ |\ |\ |\ |\
with ECG
|\ |\
A stress test with ECG may be warranted, as this person is over
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
40, previously sedentary, has risk factors for CVD, and is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
beginning a program that is more intense than brisk walking, |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
which is mild intensity. |\ |\ |\
In your role as a diabetes educator for a clinic, you both assess
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and instruct pts on a variety of self-care skills. Which teaching
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
strategy provides the best opportunity to both assess and|\ |\ |\ |\ |\ |\ |\ |\ |\
instruct on self-administration of insulin? |\ |\ |\ |\
A. A written quiz in which the patient puts insulin administration
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
steps in order |\ |\
B. A demonstration and return demonstration of insulin
|\ |\ |\ |\ |\ |\ |\ |\
administration
C. A video that can be viewed and reviewed on proper insulin
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
administration technique |\
D. A printed handout with pictures depicting steps of insulin
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
administration, followed by verbal acknowledgement of |\ |\ |\ |\ |\ |\
understanding - CORRECT ANSWERS ✔✔B. A demonstration and |\ |\ |\ |\ |\ |\ |\ |\
return demonstration of insulin administration
|\ |\ |\ |\
,The following policies are part of your DSME program: asking pts
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
if there are any dietary preferences or restrictions; inviting family
|\ |\ |\ |\ |\ |\ |\ |\ |\
members to participate; and being sensitive to your rate of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
speech and tone of voice. These policies address which specific
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
type of consideration?
|\ |\
A. Readiness to change variation among your patients
|\ |\ |\ |\ |\ |\ |\
B. Potential low literacy/numeracy levels among your patients
|\ |\ |\ |\ |\ |\ |\
C. Cultural characteristics/barriers of your population
|\ |\ |\ |\ |\
D. Poor family and social support - CORRECT ANSWERS ✔✔C.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Cultural characteristics/barriers of your population
|\ |\ |\ |\
According to the ADA consensus statement on managing
|\ |\ |\ |\ |\ |\ |\ |\
preexisting diabetes for pregnancy (2008), what is the optimal
|\ |\ |\ |\ |\ |\ |\ |\ |\
glycemic target for pregnant women with preexisting diabetes
|\ |\ |\ |\ |\ |\ |\ |\
(assuming the target may be reached without excessive |\ |\ |\ |\ |\ |\ |\ |\
hypoglycemia)?
A. Pre-meal/fasting glucose: 60 to 90 mg/dL; peak postprandial
|\ |\ |\ |\ |\ |\ |\ |\ |\
<120 mg/dL; A1C <5.5% |\ |\ |\
B. Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial
|\ |\ |\ |\ |\ |\ |\ |\ |\
<129 mg/dL; A1C <6% |\ |\ |\
C. Pre-meal/fasting glucose: 70 to 100 mg/dL; peak postprandial
|\ |\ |\ |\ |\ |\ |\ |\ |\
<120 mg/dL; A1C <6.5% |\ |\ |\
D. Pre-meal/fasting glucose: 70 to 110 mg/dL; peak postprandial
|\ |\ |\ |\ |\ |\ |\ |\ |\
<140 mg/dL; A1C <7% - CORRECT ANSWERS ✔✔B.
|\ |\ |\ |\ |\ |\ |\
Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial
|\ |\ |\ |\ |\ |\ |\ |\ |\
<129 mg/dL; A1C <6% |\ |\ |\
UPDATED 2019: Fasting <95 mg/dL; 1 hr post prandial <140
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mg/dL; 2 hr post prandial <120 mg/dL; A1C <6%
|\ |\ |\ |\ |\ |\ |\ |\
, During the initial assessment process, your pt answers the
|\ |\ |\ |\ |\ |\ |\ |\ |\
question, "How important is it for you to make this change right
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
now?" with a 9 our 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 (not very confident). In
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
customizing hr DSME plan, what should your focus be? |\ |\ |\ |\ |\ |\ |\ |\
A. Providing materials and experiences to enhance her
|\ |\ |\ |\ |\ |\ |\ |\
knowledge and skills |\ |\
B. Addressing psychosocial needs, such as accepting her
|\ |\ |\ |\ |\ |\ |\ |\
diagnosis and managing stress levels |\ |\ |\ |\
C. Highlighting the benefits of good diabetes management as a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
way to encourage behavior change
|\ |\ |\ |\
D. Explaingin the two questions further to confirm understanding,
|\ |\ |\ |\ |\ |\ |\ |\
as it is very uncommon for a pt to rate the readiness to change
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
elements this far apart - CORRECT ANSWERS ✔✔A. Providing
|\ |\ |\ |\ |\ |\ |\ |\ |\
materials and experiences to enhance her knowledge and skills
|\ |\ |\ |\ |\ |\ |\ |\
It is important to assess potential barriers to self-monitoring of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bg, especially for pts who are not adhering to their plan of care
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recommendations. Which of the following barriers was NOT one |\ |\ |\ |\ |\ |\ |\ |\ |\
cited by patients in recent studies?
|\ |\ |\ |\ |\
A. Cost of testing supplies
|\ |\ |\ |\
B. Discomfort of finger sticks
|\ |\ |\ |\
C. Lack of instruction and support
|\ |\ |\ |\ |\
D. Misplacement of small items - CORRECT ANSWERS ✔✔D.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Misplacement of small items |\ |\ |\
ANSWERS
What is the first step in the process of diabetes self management
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
education?
|\
A. Assessment
|\
B. Goal setting
|\ |\
C. Diagnosis
|\
D. Referral - CORRECT ANSWERS ✔✔A. Assessment
|\ |\ |\ |\ |\ |\
Which of the following options is an outcome of personal record
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
keeping in relation to physical activity, according to recent
|\ |\ |\ |\ |\ |\ |\ |\ |\
studies?
A. Those who keep logs of physical activity are more adherent to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
other elements of therapy (ie diet, medication)
|\ |\ |\ |\ |\ |\
B. Those who keep exercise logs are more likely to enroll in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
organized exercise programs (ie gym memberships, classes)
|\ |\ |\ |\ |\ |\
C. Keeping a physical activity log is associated with a higher level
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of self efficacy
|\ |\ |\
D. The obligation of record keeping has been identified as a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
barrier to exercise by study participants - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔C. Keeping a physical activity log is associated with a higher
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
level of self efficacy
|\ |\ |\
Consider the following pt: male, age 46, previously sedentary,
|\ |\ |\ |\ |\ |\ |\ |\ |\
mild HTN and hyperlipidemia (both adequately controlled with
|\ |\ |\ |\ |\ |\ |\ |\
,medications), T2DM, and a BMI of 26. If this pt wishes to begin a |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
moderate-intensity exercise regimen, what additional assessment |\ |\ |\ |\ |\
may be warranted?
|\ |\ |\
A. Stress test with ECG
|\ |\ |\ |\
B. DEXA scan to assess bone density and strength
|\ |\ |\ |\ |\ |\ |\ |\
C. Ankle-Brachial index to rule out peripheral arterial disease
|\ |\ |\ |\ |\ |\ |\ |\
D. None, as BP and cholesterol are being controlled and exercise
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is only moderate intensity - CORRECT ANSWERS ✔✔A. Stress test
|\ |\ |\ |\ |\ |\ |\ |\ |\
with ECG
|\ |\
A stress test with ECG may be warranted, as this person is over
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
40, previously sedentary, has risk factors for CVD, and is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
beginning a program that is more intense than brisk walking, |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
which is mild intensity. |\ |\ |\
In your role as a diabetes educator for a clinic, you both assess
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and instruct pts on a variety of self-care skills. Which teaching
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
strategy provides the best opportunity to both assess and|\ |\ |\ |\ |\ |\ |\ |\ |\
instruct on self-administration of insulin? |\ |\ |\ |\
A. A written quiz in which the patient puts insulin administration
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
steps in order |\ |\
B. A demonstration and return demonstration of insulin
|\ |\ |\ |\ |\ |\ |\ |\
administration
C. A video that can be viewed and reviewed on proper insulin
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
administration technique |\
D. A printed handout with pictures depicting steps of insulin
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
administration, followed by verbal acknowledgement of |\ |\ |\ |\ |\ |\
understanding - CORRECT ANSWERS ✔✔B. A demonstration and |\ |\ |\ |\ |\ |\ |\ |\
return demonstration of insulin administration
|\ |\ |\ |\
,The following policies are part of your DSME program: asking pts
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
if there are any dietary preferences or restrictions; inviting family
|\ |\ |\ |\ |\ |\ |\ |\ |\
members to participate; and being sensitive to your rate of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
speech and tone of voice. These policies address which specific
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
type of consideration?
|\ |\
A. Readiness to change variation among your patients
|\ |\ |\ |\ |\ |\ |\
B. Potential low literacy/numeracy levels among your patients
|\ |\ |\ |\ |\ |\ |\
C. Cultural characteristics/barriers of your population
|\ |\ |\ |\ |\
D. Poor family and social support - CORRECT ANSWERS ✔✔C.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Cultural characteristics/barriers of your population
|\ |\ |\ |\
According to the ADA consensus statement on managing
|\ |\ |\ |\ |\ |\ |\ |\
preexisting diabetes for pregnancy (2008), what is the optimal
|\ |\ |\ |\ |\ |\ |\ |\ |\
glycemic target for pregnant women with preexisting diabetes
|\ |\ |\ |\ |\ |\ |\ |\
(assuming the target may be reached without excessive |\ |\ |\ |\ |\ |\ |\ |\
hypoglycemia)?
A. Pre-meal/fasting glucose: 60 to 90 mg/dL; peak postprandial
|\ |\ |\ |\ |\ |\ |\ |\ |\
<120 mg/dL; A1C <5.5% |\ |\ |\
B. Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial
|\ |\ |\ |\ |\ |\ |\ |\ |\
<129 mg/dL; A1C <6% |\ |\ |\
C. Pre-meal/fasting glucose: 70 to 100 mg/dL; peak postprandial
|\ |\ |\ |\ |\ |\ |\ |\ |\
<120 mg/dL; A1C <6.5% |\ |\ |\
D. Pre-meal/fasting glucose: 70 to 110 mg/dL; peak postprandial
|\ |\ |\ |\ |\ |\ |\ |\ |\
<140 mg/dL; A1C <7% - CORRECT ANSWERS ✔✔B.
|\ |\ |\ |\ |\ |\ |\
Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial
|\ |\ |\ |\ |\ |\ |\ |\ |\
<129 mg/dL; A1C <6% |\ |\ |\
UPDATED 2019: Fasting <95 mg/dL; 1 hr post prandial <140
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mg/dL; 2 hr post prandial <120 mg/dL; A1C <6%
|\ |\ |\ |\ |\ |\ |\ |\
, During the initial assessment process, your pt answers the
|\ |\ |\ |\ |\ |\ |\ |\ |\
question, "How important is it for you to make this change right
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
now?" with a 9 our 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 (not very confident). In
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
customizing hr DSME plan, what should your focus be? |\ |\ |\ |\ |\ |\ |\ |\
A. Providing materials and experiences to enhance her
|\ |\ |\ |\ |\ |\ |\ |\
knowledge and skills |\ |\
B. Addressing psychosocial needs, such as accepting her
|\ |\ |\ |\ |\ |\ |\ |\
diagnosis and managing stress levels |\ |\ |\ |\
C. Highlighting the benefits of good diabetes management as a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
way to encourage behavior change
|\ |\ |\ |\
D. Explaingin the two questions further to confirm understanding,
|\ |\ |\ |\ |\ |\ |\ |\
as it is very uncommon for a pt to rate the readiness to change
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
elements this far apart - CORRECT ANSWERS ✔✔A. Providing
|\ |\ |\ |\ |\ |\ |\ |\ |\
materials and experiences to enhance her knowledge and skills
|\ |\ |\ |\ |\ |\ |\ |\
It is important to assess potential barriers to self-monitoring of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bg, especially for pts who are not adhering to their plan of care
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recommendations. Which of the following barriers was NOT one |\ |\ |\ |\ |\ |\ |\ |\ |\
cited by patients in recent studies?
|\ |\ |\ |\ |\
A. Cost of testing supplies
|\ |\ |\ |\
B. Discomfort of finger sticks
|\ |\ |\ |\
C. Lack of instruction and support
|\ |\ |\ |\ |\
D. Misplacement of small items - CORRECT ANSWERS ✔✔D.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Misplacement of small items |\ |\ |\
