CDCES Practice Questions
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CDCES Practice Questions Voice Disorders - Praxis Prep MUSIC 2MT3 Test/Quiz bank, Music ... extra 2
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A. Signs and symptoms of hypoglycemia and appropriate A diabetes care and education specialist (DCES) is consulted to provide
treatment discharge education for an 18-year-old woman diagnosed with type 1 diabetes.
When the DCES enters the hospital room, the woman is quietly sobbing and
Initial teaching should focus on survival level skills that explains she is sad and anxious about her new diagnosis. Before the woman is
the newly diagnosed young woman would need to safely discharged, which of the following should the DCES review with her?
manage her disease upon discharge A. Signs and symptoms of hypoglycemia and appropriate treatment
B. Epidemiology of diabetes and the incidence of depression
C. Incidence of birth defects associated with hyperglycemia
D. Health behavior modifications and carbohydrate counting
B. Offer him online education to practice carbohydrate A 22 year old man with T1DM visits a diabetes care and education specialist for
counting. education prior to starting on an insulin pump. During the visit, the man's mobile
phone sounds with a text alert. Later, when trying to schedule a follow up visit, he
Diabetes education should be tailored to the young places several other electronic devices on the counter while looking for his tablet
man's preferences with regard to timing, delivery method, device. Which of the following is the best way to manage future educational
and use of technology. This man is very comfortable with interventions with this person?
technology and is likely busy based on the number of A. Schedule education sessions in the morning to avoid text messages
interruptions during the session. interruptions.
B. Offer him online education to practice carbohydrate counting.
C. Politely ask him to leave his mobile phone at home.
D. Enroll him in a group education class of people with T1DM
D. Most adults who are illiterate successfully hide their While covering the clinic for a colleague who is feeling sick, a diabetes care and
literacy deficit education specialist meets with a 56-year-old man who owns his own
construction business. Despite his apparent business success, his chart indicates
he is illiterate. Which of the following is TRUE about literacy?
A. Everyone will volunteer that they are unable to read
B. Most illiterate people are poor, immigrants, or minorities
C. Years of schooling is a good measure of a person's literacy level
D. Most adults who are illiterate successfully hide their literacy deficit
,C. What types of foods do you eat when you are driving? A 45-year-old truck driver who takes metformin and glyburide reports he has
been unsuccessful with his weight loss despite his effort. Which of the following is
His medications are not likely to be the cause of his the best follow up question to address his weight loss concern?
inability to weight loss. It is likely his food choices are the A. Do you carry glucose tablets with you to correct hypoglycemia?
problem, particularly because he has to eat on the road B. Did you know weight gain can be a side effect of taking metformin?
and, as a result, may face more challenges in selecting C. What types of foods do you eat when you are driving?
healthy food choices. Assessing eating habits is 1 key D. How often do you check your glucose?
component of a diabetes assessment
C. Lower extremity exam A 67 year old man presents for evaluation of his glyburide therapy. He has not
seen his primary health care provider in more than a year. Which of the following
For people with diabetes, it is recommended that a foot diabetes specific assessments should be performed today?
examination be performed annually and at every visit for A. Dilated eye exam
individuals at high risk for ulceration B. Tuberculin skin test
C. Lower extremity exam
D. Gastric emptying test
B. 18.5 - 24.9 kg/m2 A body mass index within normal weight category is
A. <18.5 kg/m2
B. 18.5 - 24.9 kg/m2
C. 25 - 29.9 kg/m2
D. >30 kg/m2
A. Anorexia Nervosa An intense fear of becoming overweight even though underweight is
characteristic of which of the following eating disorders?
An intense fear of gaining weight or becoming fat, even A. Anorexia nervosa
though underweight, is the classic description of anorexia B. Bulimia nervosa
nervosa. Bulimia nervosa is characterized by recurrent C. Binge Eating Disorder
episodes of binge eating often followed by inappropriate D. Purging
compensatory behavior (eg, self-induced vomiting,
misuse of laxatives, diuretics, or enemas, or excessive
exercise) to reduce the risk of weight gain
C. Absense of ketosis Which of the following signs and symptoms suggests a diagnosis of hyperosmolar
hyperglycemic state versus diabetes-related ketoacidosis?
Individuals with type 2 diabetes are generally ketone A. Hyperglycemia
resistant. B. Dehydration
C. Absence of ketosis
D. Neurologic changes
B. Sickle-cell hemoglobin Which of the following is an interfering factor that may affect the accuracy of A1C
levels?
Because A1C is based on normal hemoglobin, A. Low doses of aspirin (81 mg)
hemoglobinopathies can affect the results in 3 ways: (1) B. Sickle-cell hemoglobin
altering the normal process of glycation from HbA to C. High white blood cell count
A1C; (2) causing an abnormal peak on chromatography, D. Oral contraceptives
making the estimation or A1C unreliable; and (3) making
the red blood cells more prone to hemolysis, thereby
decreasing the time for glycosylation to occur and
thereby producing a falsely low A1C.
, B. Remind him that it can take up to 12 weeks to see an GT was recently diagnosed with type 2 diabetes. Two weeks ago, his primary care
effect with a TZD physician (PCP) placed him on a thiazolidinedione (TZD) despite strict
management of a recommended diet and exercise prescription. He denies any
Remind him that it can take up to 12 weeks to see an symptoms of hyperglycemia but is discouraged because his self-monitored
effect with a TZD. TZDs improve glucose levels by up- glucose levels remain elevated. Which of the following is the best plan for GT?
regulating genes that encode for glucose-transporter A. Review and intensify his exercise program.
formation and promoting fat mobilization from visceral B. Remind him that it can take up to 12 weeks to see an effect with a TZD.
stores to deposit in subcutaneous cells. In some people, C. Refer him back to the PCP for the addition of another oral agent.
improvement in glucose levels from these mechanisms D. Further reduce calories in his meal plan.
may not be observed for 8 to 12 weeks.
D. 8% AL is a 78-year-old man with a past medical history of type 2 diabetes,
hypertension, 2 coronary artery bypass grafts, and multiple falls associated with
The most appropriate A1C goal for AL is <8%. According hypoglycemia. Which of the following is the most appropriate A1C goal for AL?
to the American Diabetes Association's Standards of A. <6%
Care, individuals with multiple comorbidities, B. <6.5%
cardiovascular disease, advanced age, and frequent C. <7%
hypoglycemia are to be considered for a less stringent D. <8%
goal of <8%. A goal of <7% is appropriate for most
individuals, especially those who are young or recently
diagnosed, and those with a low risk of hypoglycemia (C).
More aggressive glycemic goals, A1C <6% and A1C <6.5%,
respectively, may increase morbidity and mortality in
adults with type 2 diabetes according to data from the
ACCORD and ADVANCE trials (A and B).
D. Have him demonstrate his blood glucose monitoring A 53-year-old pastor taking metformin for 3 months presents to review his home
technique glucose records. As requested, he has been blood glucose monitoring (BGM)
twice daily for 2 weeks. His logbook has occasional small splatters of blood on its
The discrepancy could likely be related to his BGM pages. The diabetes care and education specialist (DCES) notes the 14-day
technique. The inconsistency lies between the A1C of 11% average glucose of 130 mg/dL from his monitor is much lower than the laboratory
(estimated average glucose of 269 mg/dL) and the 14-day values from his lab work 2 weeks ago (A1C 11%, fasting plasma glucose 280 mg/dL,
monitor average of 130 mg/dL. In prioritizing the course other routine lab work unremarkable). Which of the following is the best first
of action to determine the cause for the discrepancy, course of action for the DCES to resolve this discrepancy?
having him demonstrate his monitoring technique is a A. Obtain random nonfasting plasma glucose today.
simple first step with no associated additional cost. If this B. Obtain a complete blood count to check for anemia.
doesn't resolve the issue, further action can be taken. A C. Obtain a fructosamine lab test.
random, nonfasting plasma glucose will not provide any D. Have him demonstrate his blood glucose monitoring technique.
valuable information in this scenario
A Virtual acuity A 72-year-old woman is referred to begin twice-daily insulin injections via vial and
syringe. Other known information:
Drawing up an accurate insulin dose and injecting it Lives alone
correctly requires both dexterity and visual acuity. These Limited income
are key areas to assess when initiating insulin therapy, Polypharmacy
especially in those using a vial and syringe. Balance does Prescribed insulin: 70/30 premixed insulin, 17 units before breakfast, 14 units
not typically impact ability to use vial and syringe (B). before dinner
Hearing does not impact insulin injection technique (C). 13. Because she will be taking insulin via vial and syringe, which physical capability
While peripheral sensation is important to assess, is particularly important for diabetes care and education specialists to assess?
decreased sensation typically does not impact insulin A. Visual acuity
injection technique (D). B. Balance
C. Hearing
D. Peripheral sensation
Edit Save
Students also studied
CDCES Practice Questions Voice Disorders - Praxis Prep MUSIC 2MT3 Test/Quiz bank, Music ... extra 2
Teacher 477 terms Teacher 25 terms Teacher 334 terms Teacher
Anuro_Japesa Preview Ken_Nya5 Preview movinecloud Preview Frid
A. Signs and symptoms of hypoglycemia and appropriate A diabetes care and education specialist (DCES) is consulted to provide
treatment discharge education for an 18-year-old woman diagnosed with type 1 diabetes.
When the DCES enters the hospital room, the woman is quietly sobbing and
Initial teaching should focus on survival level skills that explains she is sad and anxious about her new diagnosis. Before the woman is
the newly diagnosed young woman would need to safely discharged, which of the following should the DCES review with her?
manage her disease upon discharge A. Signs and symptoms of hypoglycemia and appropriate treatment
B. Epidemiology of diabetes and the incidence of depression
C. Incidence of birth defects associated with hyperglycemia
D. Health behavior modifications and carbohydrate counting
B. Offer him online education to practice carbohydrate A 22 year old man with T1DM visits a diabetes care and education specialist for
counting. education prior to starting on an insulin pump. During the visit, the man's mobile
phone sounds with a text alert. Later, when trying to schedule a follow up visit, he
Diabetes education should be tailored to the young places several other electronic devices on the counter while looking for his tablet
man's preferences with regard to timing, delivery method, device. Which of the following is the best way to manage future educational
and use of technology. This man is very comfortable with interventions with this person?
technology and is likely busy based on the number of A. Schedule education sessions in the morning to avoid text messages
interruptions during the session. interruptions.
B. Offer him online education to practice carbohydrate counting.
C. Politely ask him to leave his mobile phone at home.
D. Enroll him in a group education class of people with T1DM
D. Most adults who are illiterate successfully hide their While covering the clinic for a colleague who is feeling sick, a diabetes care and
literacy deficit education specialist meets with a 56-year-old man who owns his own
construction business. Despite his apparent business success, his chart indicates
he is illiterate. Which of the following is TRUE about literacy?
A. Everyone will volunteer that they are unable to read
B. Most illiterate people are poor, immigrants, or minorities
C. Years of schooling is a good measure of a person's literacy level
D. Most adults who are illiterate successfully hide their literacy deficit
,C. What types of foods do you eat when you are driving? A 45-year-old truck driver who takes metformin and glyburide reports he has
been unsuccessful with his weight loss despite his effort. Which of the following is
His medications are not likely to be the cause of his the best follow up question to address his weight loss concern?
inability to weight loss. It is likely his food choices are the A. Do you carry glucose tablets with you to correct hypoglycemia?
problem, particularly because he has to eat on the road B. Did you know weight gain can be a side effect of taking metformin?
and, as a result, may face more challenges in selecting C. What types of foods do you eat when you are driving?
healthy food choices. Assessing eating habits is 1 key D. How often do you check your glucose?
component of a diabetes assessment
C. Lower extremity exam A 67 year old man presents for evaluation of his glyburide therapy. He has not
seen his primary health care provider in more than a year. Which of the following
For people with diabetes, it is recommended that a foot diabetes specific assessments should be performed today?
examination be performed annually and at every visit for A. Dilated eye exam
individuals at high risk for ulceration B. Tuberculin skin test
C. Lower extremity exam
D. Gastric emptying test
B. 18.5 - 24.9 kg/m2 A body mass index within normal weight category is
A. <18.5 kg/m2
B. 18.5 - 24.9 kg/m2
C. 25 - 29.9 kg/m2
D. >30 kg/m2
A. Anorexia Nervosa An intense fear of becoming overweight even though underweight is
characteristic of which of the following eating disorders?
An intense fear of gaining weight or becoming fat, even A. Anorexia nervosa
though underweight, is the classic description of anorexia B. Bulimia nervosa
nervosa. Bulimia nervosa is characterized by recurrent C. Binge Eating Disorder
episodes of binge eating often followed by inappropriate D. Purging
compensatory behavior (eg, self-induced vomiting,
misuse of laxatives, diuretics, or enemas, or excessive
exercise) to reduce the risk of weight gain
C. Absense of ketosis Which of the following signs and symptoms suggests a diagnosis of hyperosmolar
hyperglycemic state versus diabetes-related ketoacidosis?
Individuals with type 2 diabetes are generally ketone A. Hyperglycemia
resistant. B. Dehydration
C. Absence of ketosis
D. Neurologic changes
B. Sickle-cell hemoglobin Which of the following is an interfering factor that may affect the accuracy of A1C
levels?
Because A1C is based on normal hemoglobin, A. Low doses of aspirin (81 mg)
hemoglobinopathies can affect the results in 3 ways: (1) B. Sickle-cell hemoglobin
altering the normal process of glycation from HbA to C. High white blood cell count
A1C; (2) causing an abnormal peak on chromatography, D. Oral contraceptives
making the estimation or A1C unreliable; and (3) making
the red blood cells more prone to hemolysis, thereby
decreasing the time for glycosylation to occur and
thereby producing a falsely low A1C.
, B. Remind him that it can take up to 12 weeks to see an GT was recently diagnosed with type 2 diabetes. Two weeks ago, his primary care
effect with a TZD physician (PCP) placed him on a thiazolidinedione (TZD) despite strict
management of a recommended diet and exercise prescription. He denies any
Remind him that it can take up to 12 weeks to see an symptoms of hyperglycemia but is discouraged because his self-monitored
effect with a TZD. TZDs improve glucose levels by up- glucose levels remain elevated. Which of the following is the best plan for GT?
regulating genes that encode for glucose-transporter A. Review and intensify his exercise program.
formation and promoting fat mobilization from visceral B. Remind him that it can take up to 12 weeks to see an effect with a TZD.
stores to deposit in subcutaneous cells. In some people, C. Refer him back to the PCP for the addition of another oral agent.
improvement in glucose levels from these mechanisms D. Further reduce calories in his meal plan.
may not be observed for 8 to 12 weeks.
D. 8% AL is a 78-year-old man with a past medical history of type 2 diabetes,
hypertension, 2 coronary artery bypass grafts, and multiple falls associated with
The most appropriate A1C goal for AL is <8%. According hypoglycemia. Which of the following is the most appropriate A1C goal for AL?
to the American Diabetes Association's Standards of A. <6%
Care, individuals with multiple comorbidities, B. <6.5%
cardiovascular disease, advanced age, and frequent C. <7%
hypoglycemia are to be considered for a less stringent D. <8%
goal of <8%. A goal of <7% is appropriate for most
individuals, especially those who are young or recently
diagnosed, and those with a low risk of hypoglycemia (C).
More aggressive glycemic goals, A1C <6% and A1C <6.5%,
respectively, may increase morbidity and mortality in
adults with type 2 diabetes according to data from the
ACCORD and ADVANCE trials (A and B).
D. Have him demonstrate his blood glucose monitoring A 53-year-old pastor taking metformin for 3 months presents to review his home
technique glucose records. As requested, he has been blood glucose monitoring (BGM)
twice daily for 2 weeks. His logbook has occasional small splatters of blood on its
The discrepancy could likely be related to his BGM pages. The diabetes care and education specialist (DCES) notes the 14-day
technique. The inconsistency lies between the A1C of 11% average glucose of 130 mg/dL from his monitor is much lower than the laboratory
(estimated average glucose of 269 mg/dL) and the 14-day values from his lab work 2 weeks ago (A1C 11%, fasting plasma glucose 280 mg/dL,
monitor average of 130 mg/dL. In prioritizing the course other routine lab work unremarkable). Which of the following is the best first
of action to determine the cause for the discrepancy, course of action for the DCES to resolve this discrepancy?
having him demonstrate his monitoring technique is a A. Obtain random nonfasting plasma glucose today.
simple first step with no associated additional cost. If this B. Obtain a complete blood count to check for anemia.
doesn't resolve the issue, further action can be taken. A C. Obtain a fructosamine lab test.
random, nonfasting plasma glucose will not provide any D. Have him demonstrate his blood glucose monitoring technique.
valuable information in this scenario
A Virtual acuity A 72-year-old woman is referred to begin twice-daily insulin injections via vial and
syringe. Other known information:
Drawing up an accurate insulin dose and injecting it Lives alone
correctly requires both dexterity and visual acuity. These Limited income
are key areas to assess when initiating insulin therapy, Polypharmacy
especially in those using a vial and syringe. Balance does Prescribed insulin: 70/30 premixed insulin, 17 units before breakfast, 14 units
not typically impact ability to use vial and syringe (B). before dinner
Hearing does not impact insulin injection technique (C). 13. Because she will be taking insulin via vial and syringe, which physical capability
While peripheral sensation is important to assess, is particularly important for diabetes care and education specialists to assess?
decreased sensation typically does not impact insulin A. Visual acuity
injection technique (D). B. Balance
C. Hearing
D. Peripheral sensation
