1/24/2018 CDE® ADA Standards Questions€¦ · 1/24/2018 Diabetes Education Services© Page 1 CDE® ADA Standards Questions 2018 Beverly Dyck Thomassian, RN, MPH, BC-ADM, CDE President,

1/24/2018

Page 1Diabetes Education Services© www.DiabetesEd.net

CDE® ADA Standards Questions

2018www.DiabetesEd.net

Beverly Dyck Thomassian, RN, MPH, BC-ADM, CDEPresident, Diabetes Education Services

10 Steps To Succeed

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Getting Ready for the Exam• Assess your knowledge (NCBDE outline)

• Listen to Preparing for CDE FREE Webcast

• Fill in knowledge gaps with books, articles and online classes

• Take as many practice tests as possible

• At exam, imagine your self calm but energized

• Keep breathing, stand up and stretch, write it down

1/24/2018


Pitfalls to Avoid� Choosing a “good” answer, but not the right

one for the stem � key intent of question

� Failing to read an important words (always, never, most, probably, usually)

� Choosing an answer you did not understand because the others seem too easy

� Make sure to read EVERY word

Thinking Pitfalls

� Imaging a right answer and getting thrown when it is not among the choices

� Over thinking question/answers

� Choosing an answer that did not fit the situation

� Using the goals in your clinical setting. Focus on national goals.

Take a Practice Test – Learn how to

“work” test questions

� Weed through the details

� Make sure you REALLY understand key intent of question

� Find the stem� Identifies key intent of the question

� Read all the options or answers

� Eliminate obvious wrong answers

� Select BEST option

1/24/2018


Look for Clues in The Answers

� Answers with the following

words are usually incorrect:

always, never, all, none, only,

must, and completely

� Answers with the following

words are usually correct:

seldom, most, generally, tend

to, probably, usually

Getting to the

Right Answers

� Do not leave any answers blank

� Look for clues in the question

� Don’t get lured in by juicy answers

� Avoid imposing your life experience into the question/answer

� Keep breathing – Get up and move

� Even simple math problem should be worked

out on scratch paper

Question

1. For optimal diabetes care, which of the

following is true?

a. Assist all patients in reaching an A1c less than

7%

b. Individualize care

c. Refer patients to mental health counseling

d. Remind patients that uncontrolled diabetes

leads to complications

1/24/2018


Question

2. What best describes the chronic care model?

a. Move from proactive to reactive care

b. Focus on the importance adherence

c. Provide self-management and decision

support

d. Assure that every patient sees a diabetes

educator

Question

6. Which of the following test result indicates

diagnosis of prediabetes?

a. A1c of 5.1 to 5.6%

b. Fasting BG 132

c. Post meal glucose of 127

d. Fasting BG 101

Question

9. What does a fructosamine test measure?

a. Levels of fructose in blood

b. Average blood glucose for past 2-3 weeks

c. Endogenous insulin production

d. Cell stability

1/24/2018


Question

11. Who should be screened for type 2

diabetes?

a. Overweight plus at least 2 risk factors

b. Anyone 45 years old or older

c. 32-year-old whose mom has diabetes

d. 43-year-old with celiac disease

Question

15. A woman is 8 weeks pregnant and her

fasting blood sugar is 132 mg/dl. What is the

most likely diagnosis?

a. Gestational diabetes

b. Latent autoimmune diabetes in adults

c. PreDiabetes

d. Type 2 Diabetes

Question

18. Which of the following is true about

Diabetes Self-Management Education (DSME)

training?

a. Medicare Part D covers 100% of DSME

training

b. Medicare covers 9 hours of group education

annually

c. Medicare part A covers 80% of DSME training

d. Medicare part B covers 80% of DSME training

1/24/2018


Question

20. What statement is accurate regarding carbohydrates?

a. Individualize approach and encourage incorporating a variety of healthy carbohydrates

b. The goal is to aim for 45-60 gms of carbohydrate per meal

c. Added sugar should be avoided

d. Glycemic index is something all patients should be familiar with

Question

21. What statement is accurate regarding protein?

a. For patients with kidney disease, restrict protein intake

b. Protein foods can contribute to hyperglycemia

c. Protein foods do not affect blood glucose levels

d. Patients with diabetes should limit protein intake to less than 30%

Question

24. Choose the most accurate statement

regarding exercise and diabetes.

a. Exercise always causes weight loss

b. Exercise increases visceral fat stores

c. Exercise decreases counteregulatory

hormones

d. Exercise increases insulin sensitivity

1/24/2018


Question

26. What statement reflects pre-exercise

evaluation guidelines?

a. Routine exercise testing for asymptomatic

adults is not recommended.

b. An EKG should be performed before a patient

engages in an exercise program.

c. High risk patients should avoid exercise

d. Patients should refrain from exercise until

they are cleared by their Provider

Question

30. Which of the following comorbidities are people with diabetes at risk for?

a. Hearing impairment, fatty liver disease and Parkinsons

b. Periodontal disease, cancer and increased bone density

c. Sleep apnea, hearing impairment and Meniere’s disease

d. Heart disease, fatty liver disease and cognitive impairment

Question

31. What did the Diabetes Prevention Program Demonstrate?

a. Losing weight and exercising reduces diabetes risk by 58%

b. Losing 10 pounds reduces diabetes risk by 38%

c. Exercising 30 minutes a day reduces diabetes risk by decreasing belly fat

d. Taking metformin daily reduced diabetes risk by 58%

1/24/2018


Question

40. What is the most accurate definition of

severe hypoglycemia?

a. Hypoglycemia requiring assistance

b. Patient starts getting shaky and sweaty

c. Hypoglycemia that results in a coma

d. Patient has to self-inject glucagon

Question

44. Which patient needs a prescription for a

glucagon emergency kit?

a. 17-year-old with type 2 diabetes on

metformin

b. 29-year-old with type 1 on intensive insulin

therapy

c. Elderly type 2 patient taking 5 units Lantus

once daily

d. Obese patient taking 70/30 inulin

Question

51. What were the results of the Diabetes

Control and Complications Trial?

a. Sulfonylureas increased cardiac remodeling

b. Metformin therapy decreased risk of heart

disease

c. Insulin therapy is the most effective

treatment for type 2 diabetes

d. Intensive insulin therapy improves outcomes

for type 1 diabetes

1/24/2018


Question

54. Which of the following is true about

metformin (Glucophage)?

a. Can increase risk of kidney failure

b. Increases risk of hearing loss

c. Does not cause hypoglycemia

d. Is associated with B12 elevations

Question

56. For new type 2 diabetes, which of the

following is the preferred initial class of

pharmacologic intervention?

a. Sulfonylureas

b. SGLT-2 Inhibitors

c. GLP-1 RAs

d. Biguanides

Question

57. When determining which pharmacologic

agent to use for a patient, which of the following

is the most important factor to consider?

a. Patient’s needs, preferences and values

b. Pathophysiologic defects

c. Efficacy of medication

d. Medication side effects

1/24/2018


Question

58. Which of the following medications can

cause hypoglycemia?

a. Glimepiride (Amaryl)

b. Exenatide (Byetta)

c. Pioglitazone (Actos)

d. Canagliflozin (Invokana)

Question

65. Which of the following medication slows

gastric emptying and promotes satiation?

� Dapagliflozin (Farxiga)

� Dulaglutide (Trulicity)

� Precose (Acarbose)

� Bromocriptine (Cycloset)

Question

70. Which of the following blood glucose levels

indicate that basal insulin is at the correct dose?

a. Morning blood glucose of 126

b. Post lunch blood glucose of 148

c. Pre dinner blood glucose of 118

d. Post dinner blood glucose of 138

1/24/2018


Question

75. A patient weighs 60 kg and is on 30 units

glargine (Lantus) and 2000 mg metformin

(Glucophage) daily. A1c is 8.9%. What would be

the best next step?

a. Increase the glargine by 30 - 40%

b. Decrease caloric intake by 7%

c. Limit concentrated sweets

d. Add bolus insulin or GLP-1 RA

Question

77. Who is the most appropriate candidate for continuous subcutaneous insulin infusion?

a. Patient with type 2, A1c of 7.3% on glipizide (Glucotrol) 10mg daily

b. Patient with type 1 who is struggling with addiction

c. Patient with poorly controlled type 2 who is on basal bolus insulin therapy

d. Patient with type 1 diabetes who wants to simplify their insulin management

Question

81. Which of the following is first line blood

pressure therapy for someone with type 2

diabetes?

a. Beta Blocker

b. Angiotensin Receptor Blockers (ARBs)

c. Statins

d. Aspirin therapy

1/24/2018


Question

90. For a patient over the age of 65, with intact cognition and few coexisting chronic illness, which would be an appropriate treatment goal?

a. A1c less than 6.5%, hold statin

b. A1c less than 7%, Blood Pressure less than 150/90

c. A1c less than 7.5%, continue statin if not contraindicated

d. Fasting Blood glucose 70 – 140, B/P less than 140/90

Question

91. For children under the age of 18 with type 1

diabetes, what are the glucose targets?

a. Before meal BG less than 130, A1c less than

6.5%

b. Before meal BG 90-150, A1c less than 7.5%

c. Before meal glucose 80-130, A1c less than 7%

d. Before meal glucose 70-150, A1c less than 6%

Question

97. Which medications are contraindicated if a

woman with type 2 diabetes becomes

pregnant?

a. Metformin, sulfonylureas

b. ACE Inhibitors, statins

c. Regular and NPH Insulin

d. Lispro (Humalog), Aspart (Novolog)

1/24/2018


Question

100. A 26-year-old with type 1 is admitted for

treatment of DKA. Before stopping the insulin drip,

what action is necessary?

a. Give an amp of D50 IV, followed by basal insulin

b. Administer oral potassium and give IV push of

bolus insulin

c. Give subq insulin 1-2 hours before IV is stopped

d. Oral metformin plus 10 units glargine (Lantus)

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1/24/2018 CDE® ADA Standards Questions€¦ · 1/24/2018 Diabetes Education Services© Page 1 CDE® ADA Standards Questions 2018 Beverly Dyck Thomassian, RN, MPH, BC-ADM, CDE President,