Certified Diabetes Educator Exam Questions with Correct Answers 100% Verified|
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central obesity contributes to increased insulin resistance by which mechanism 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 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 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 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 Physical activity
increases hepatic glucose production and increase the glucose supply available in the blood
The EMPOWERMENT approach to education 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 is the frequency and interval of measuring specific indicators
,How does program participation decrease ER visits 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 pts with LADA are often misdiagnosed with Type 2 and are greater
than 40
(e2q10) DASH diet 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 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 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 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 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 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) Valsartan should be added (ACE) i still needed for blood pressure control
(e2q31)dx metabolic syndrome 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 Pioglitazone, TZD's deposition of free fatty acids
promote insulin resistance
(e2q49) what can effect A1c results Low albumin does not, but sickel cell anemia, iron
deficiency and iron supplementation may
(e2q54)the normal hormonal response during acute physical activity ? 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 0-10grams mild activity every 30 mins, 05-10grams for every 15
mins for moderate activity and 0-15 grams for every 15 minutes of high intensity activity
(e2q70) What food drug interactions interfere with orlistat FAT, orlistat interferes GI lipases
resulting in decreased hydrolysis, of pts consume >30 % of calories as fat may experience flatus
with discharge, fecal urgency, oily stool
Lingliptin(tradjenta) all Dpp4 inhibitors may be prescribed to patients with decreased kidney
function, but liglipligdine does not require any dose changes because of exretion via bile
(e2q95)Which drug is most appropriate for someone with diabetes, hx of Mi and presented for
an elevation of elevated cholesterol Rosuvastatin 20mg is a high intestsity statin,
Priavastatin, Fluvasstatin and Lovastatin are all low intenstiy at the 20 mg dose
, Health Belief Model Addresses the relationship between a person's beliefs and behaviors
How serious do you believe your diabetes is ?
Trans-theoretical Model of Change pre-contemplation(share something you want to learn),
contemplation, preparation, action, maintenance
Empowerment Model Steps:
1. define the problems (biggest concern)
2. identify feelings
3. identify long-term goals
4. identify short-term behavior plan change
5. implement & evaluate plan
Patient is empowered when he/she has knowledge to make decisions, control of daily
management, resources ti implement their decisions
motivational interviewing a collaborative conversations style for strengthening a persons
own motivation and commitment to change
OARS model of motivational interviewing: Open-ended questions
Affirmations
Reflective listening
Summaries
DARN Desires
Abilities
Reasons
Needs
Guaranteed Success
central obesity contributes to increased insulin resistance by which mechanism 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 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 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 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 Physical activity
increases hepatic glucose production and increase the glucose supply available in the blood
The EMPOWERMENT approach to education 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 is the frequency and interval of measuring specific indicators
,How does program participation decrease ER visits 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 pts with LADA are often misdiagnosed with Type 2 and are greater
than 40
(e2q10) DASH diet 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 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 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 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 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 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) Valsartan should be added (ACE) i still needed for blood pressure control
(e2q31)dx metabolic syndrome 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 Pioglitazone, TZD's deposition of free fatty acids
promote insulin resistance
(e2q49) what can effect A1c results Low albumin does not, but sickel cell anemia, iron
deficiency and iron supplementation may
(e2q54)the normal hormonal response during acute physical activity ? 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 0-10grams mild activity every 30 mins, 05-10grams for every 15
mins for moderate activity and 0-15 grams for every 15 minutes of high intensity activity
(e2q70) What food drug interactions interfere with orlistat FAT, orlistat interferes GI lipases
resulting in decreased hydrolysis, of pts consume >30 % of calories as fat may experience flatus
with discharge, fecal urgency, oily stool
Lingliptin(tradjenta) all Dpp4 inhibitors may be prescribed to patients with decreased kidney
function, but liglipligdine does not require any dose changes because of exretion via bile
(e2q95)Which drug is most appropriate for someone with diabetes, hx of Mi and presented for
an elevation of elevated cholesterol Rosuvastatin 20mg is a high intestsity statin,
Priavastatin, Fluvasstatin and Lovastatin are all low intenstiy at the 20 mg dose
, Health Belief Model Addresses the relationship between a person's beliefs and behaviors
How serious do you believe your diabetes is ?
Trans-theoretical Model of Change pre-contemplation(share something you want to learn),
contemplation, preparation, action, maintenance
Empowerment Model Steps:
1. define the problems (biggest concern)
2. identify feelings
3. identify long-term goals
4. identify short-term behavior plan change
5. implement & evaluate plan
Patient is empowered when he/she has knowledge to make decisions, control of daily
management, resources ti implement their decisions
motivational interviewing a collaborative conversations style for strengthening a persons
own motivation and commitment to change
OARS model of motivational interviewing: Open-ended questions
Affirmations
Reflective listening
Summaries
DARN Desires
Abilities
Reasons
Needs
