CDCES Exam Questions + Verified
Answers 100% correct, Update 2026
A 10-year-old child with newly diagnosed type 1 diabetes is being
discharged from the hospital. Which of the following components is
most critical to include in the initial outpatient diabetes
management plan to reduce the risk of diabetic ketoacidosis (DKA)
and hospital readmission?
A. Initiate basal insulin therapy and MNT instruction, with follow-up
in two weeks.
B. Provide basic carbohydrate counting and bolus insulin instruction
with a follow-up appointment within 30 days.
C. Establish follow up with a specialist within a week and provide
actions to take in case of glucose emergencies.
D. Prescribe continuous glucose monitoring (CGM) and glucagon
rescue medication and ask family to schedule a follow-up
appointment after the sensor is delivered and set up. -
correct answer ✅C. Establish follow up with a specialist within a
week and provide actions to take in case of glucose emergencies.
Rationale:
For a newly diagnosed 10-year-old with type 1 diabetes, early
outpatient management is critical to prevent DKA and readmission.
The most important elements include:
,CDCES Exam Questions + Verified
Answers 100% correct, Update 2026
Timely follow-up with a pediatric endocrinologist or diabetes care
team within 1 week, which is recommended by the American
Diabetes Association (ADA) and ISPAD guidelines.
Clear education on recognizing and managing glucose emergencies
(hypoglycemia and hyperglycemia), which empowers families to
intervene early and avoid complications.
While insulin initiation, nutrition therapy, carbohydrate counting,
CGM, and glucagon prescription are also important, none of the
other choices provide both timely follow-up and emergency
management guidance, which are the most essential components
for immediate safety and stabilization.
❌ Why the other options are less appropriate:
A: Two-week follow-up is too delayed, and focusing only on basal
insulin omits bolus insulin, which is vital for type 1 diabetes.
B: A 30-day follow-up is much too long; it significantly increases the
risk of DKA and complications.
D: While CGM and glucagon are important tools, waiting for CGM
setup before follow-up delays care and does not prioritize
immediate emergency education or timely specialist evaluation.
,CDCES Exam Questions + Verified
Answers 100% correct, Update 2026
Which medication class(es) place asymptomatic people at increased
risk of developing hyperglycemia?
A. Atypical antipsychotics
B. Glucocorticoids
C. Aspirin
D. Both A and B -
correct answer ✅D. Both A and B
Rationale:
✅ Atypical Antipsychotics
Examples: Olanzapine, Risperidone, Quetiapine
Can cause insulin resistance, weight gain, and impaired glucose
metabolism
Associated with new-onset diabetes and worsening of existing
hyperglycemia
✅ Glucocorticoids
Examples: Prednisone, Dexamethasone
Increase hepatic glucose production and peripheral insulin
resistance
Often cause transient or persistent hyperglycemia, especially in
people with prediabetes or other risk factors
, CDCES Exam Questions + Verified
Answers 100% correct, Update 2026
❌ Aspirin
Does not cause hyperglycemia
In fact, low-dose aspirin has sometimes been studied for its
potential protective effects in cardiovascular health for people with
diabetes, but it does not affect glucose metabolism directly
A person living with diabetes newly diagnosed with type 2 diabetes
is started on metformin, metformin should be titrated to minimize
which side effect?
A. Rebound hyperglycemia
B. Reactive hypoglycemia
C. Weight gain
D. Gastrointestinal-side effects -
correct answer ✅D. Gastrointestinal-side effects
Rationale:
Metformin is the first-line medication for type 2 diabetes and is
generally well tolerated, but gastrointestinal (GI) side effects are the
most common issue, especially during initiation.
✅ GI side effects include: Nausea, Diarrhea, Abdominal
discomfort, Bloating
Answers 100% correct, Update 2026
A 10-year-old child with newly diagnosed type 1 diabetes is being
discharged from the hospital. Which of the following components is
most critical to include in the initial outpatient diabetes
management plan to reduce the risk of diabetic ketoacidosis (DKA)
and hospital readmission?
A. Initiate basal insulin therapy and MNT instruction, with follow-up
in two weeks.
B. Provide basic carbohydrate counting and bolus insulin instruction
with a follow-up appointment within 30 days.
C. Establish follow up with a specialist within a week and provide
actions to take in case of glucose emergencies.
D. Prescribe continuous glucose monitoring (CGM) and glucagon
rescue medication and ask family to schedule a follow-up
appointment after the sensor is delivered and set up. -
correct answer ✅C. Establish follow up with a specialist within a
week and provide actions to take in case of glucose emergencies.
Rationale:
For a newly diagnosed 10-year-old with type 1 diabetes, early
outpatient management is critical to prevent DKA and readmission.
The most important elements include:
,CDCES Exam Questions + Verified
Answers 100% correct, Update 2026
Timely follow-up with a pediatric endocrinologist or diabetes care
team within 1 week, which is recommended by the American
Diabetes Association (ADA) and ISPAD guidelines.
Clear education on recognizing and managing glucose emergencies
(hypoglycemia and hyperglycemia), which empowers families to
intervene early and avoid complications.
While insulin initiation, nutrition therapy, carbohydrate counting,
CGM, and glucagon prescription are also important, none of the
other choices provide both timely follow-up and emergency
management guidance, which are the most essential components
for immediate safety and stabilization.
❌ Why the other options are less appropriate:
A: Two-week follow-up is too delayed, and focusing only on basal
insulin omits bolus insulin, which is vital for type 1 diabetes.
B: A 30-day follow-up is much too long; it significantly increases the
risk of DKA and complications.
D: While CGM and glucagon are important tools, waiting for CGM
setup before follow-up delays care and does not prioritize
immediate emergency education or timely specialist evaluation.
,CDCES Exam Questions + Verified
Answers 100% correct, Update 2026
Which medication class(es) place asymptomatic people at increased
risk of developing hyperglycemia?
A. Atypical antipsychotics
B. Glucocorticoids
C. Aspirin
D. Both A and B -
correct answer ✅D. Both A and B
Rationale:
✅ Atypical Antipsychotics
Examples: Olanzapine, Risperidone, Quetiapine
Can cause insulin resistance, weight gain, and impaired glucose
metabolism
Associated with new-onset diabetes and worsening of existing
hyperglycemia
✅ Glucocorticoids
Examples: Prednisone, Dexamethasone
Increase hepatic glucose production and peripheral insulin
resistance
Often cause transient or persistent hyperglycemia, especially in
people with prediabetes or other risk factors
, CDCES Exam Questions + Verified
Answers 100% correct, Update 2026
❌ Aspirin
Does not cause hyperglycemia
In fact, low-dose aspirin has sometimes been studied for its
potential protective effects in cardiovascular health for people with
diabetes, but it does not affect glucose metabolism directly
A person living with diabetes newly diagnosed with type 2 diabetes
is started on metformin, metformin should be titrated to minimize
which side effect?
A. Rebound hyperglycemia
B. Reactive hypoglycemia
C. Weight gain
D. Gastrointestinal-side effects -
correct answer ✅D. Gastrointestinal-side effects
Rationale:
Metformin is the first-line medication for type 2 diabetes and is
generally well tolerated, but gastrointestinal (GI) side effects are the
most common issue, especially during initiation.
✅ GI side effects include: Nausea, Diarrhea, Abdominal
discomfort, Bloating
