CDCES Practice Exam Two Questions
& Answers (Grade A+)
1.The single most important factor in predicting A1C lowering with
the use of continuous glucose monitoring (CGM) has been shown
to be which of the following?
A.Frequency of device calibration
B.Use of a higher low-glucose alarm setting
C.Frequency of sensor use
D.Age of the person using the device -
correct answer ✅C. Frequency of sensor use
2.Which of the following islet cell antibodies is the best
immunologic predictor of type 1 diabetes?
A.Glutamic acid decarboxylase (GAD)
B.Heat shock protein 65
C.Peripherin
D.Endocrine cell antigens -
correct answer ✅A. Glutamic acid decarboxylase (GAD)
3.A thin 38-year-old white female presents to the clinic for
evaluation of her glycemic management. She was diagnosed with
,CDCES Practice Exam Two Questions
& Answers (Grade A+)
diabetes 9 months ago with an A1C of 13% and started on
metformin and glipizide. Three months later her glycemic
management was much improved (A1C of 7.4%), but today she
reports increased thirst and urination. Her A1C today is 11.2%
despite confirmed adherence with her medications and a negative
pregnancy test. Which of the following is the MOST likely diagnosis?
A.Type 1 diabetes (T1DM)
B.Type 2 diabetes (T2DM)
C.Latent autoimmune diabetes of adults (LADA)
D.Gestational diabetes (GDM) -
correct answer ✅C. Latent autoimmune diabetes of adults (LADA)
4.The development of type 1 diabetes includes all but which of the
following?
A.Environmental trigger
B.Genetic predisposition
C.Autoimmune attack on beta cells
D.Peripheral insulin resistance -
correct answer ✅D. Peripheral insulin resistance
,CDCES Practice Exam Two Questions
& Answers (Grade A+)
5.JT, a 34-year-old male with newly diagnosed type 1 diabetes and
hypertension, states that he has an occasional alcoholic drink and
wants to know if alcohol is allowed. Which of the following is the
MOST appropriate response?
A.Yes, but always consume alcohol with food to minimize the risk of
nocturnal hypoglycemia.
B.It is recommended to drink 2 glasses of red wine every day to
reduce the risk of cardiovascular disease.
C.Yes, but substitute an alcoholic drink for 1 carb serving.
D.No, alcoholic beverages should be avoided in persons with
hypertension due to the impact on blood pressure. -
correct answer ✅A. Yes, but always consume alcohol with food to
minimize the risk of nocturnal hypoglycemia
6.A 45-year-old man presents for a 1-month follow-up after starting
immediate release metformin 500 mg twice daily. Today he brought
in his blood glucose meter and bottle of metformin, which is nearly
full. Which of the following is the MOST appropriate next step to
evaluate his management to the regimen?
, CDCES Practice Exam Two Questions
& Answers (Grade A+)
A.Confront the man about his poor medication management.
B.Telephone the pharmacy to verify the last refill date.
C.Change to the extended release formulation of metformin.
D.Review self-monitored blood glucose log. -
correct answer ✅B. Telephone the pharmacy to verify the last refill
date.
7.You receive an inquiry from a fellow healthcare professional in
your facility who would like to use an app on her smartphone to
track calories, carbohydrate, and fat consumed. She asks you how
much carbohydrate and fat a person with type 2 diabetes should
consume in her diet. Based on current recommendations from the
American Diabetes Association (ADA), which of the following is the
best advice?
A.Persons with diabetes should get about 50% of their calories from
carbohydrate and no more than 30% of calories from fat.
B.The ideal percentage of carbohydrate, protein, and fat has not
been determined and is based on several factors.
C.Persons with diabetes should get about 45% of calories from
carbohydrate and 25% to 30% of calories from fat.
& Answers (Grade A+)
1.The single most important factor in predicting A1C lowering with
the use of continuous glucose monitoring (CGM) has been shown
to be which of the following?
A.Frequency of device calibration
B.Use of a higher low-glucose alarm setting
C.Frequency of sensor use
D.Age of the person using the device -
correct answer ✅C. Frequency of sensor use
2.Which of the following islet cell antibodies is the best
immunologic predictor of type 1 diabetes?
A.Glutamic acid decarboxylase (GAD)
B.Heat shock protein 65
C.Peripherin
D.Endocrine cell antigens -
correct answer ✅A. Glutamic acid decarboxylase (GAD)
3.A thin 38-year-old white female presents to the clinic for
evaluation of her glycemic management. She was diagnosed with
,CDCES Practice Exam Two Questions
& Answers (Grade A+)
diabetes 9 months ago with an A1C of 13% and started on
metformin and glipizide. Three months later her glycemic
management was much improved (A1C of 7.4%), but today she
reports increased thirst and urination. Her A1C today is 11.2%
despite confirmed adherence with her medications and a negative
pregnancy test. Which of the following is the MOST likely diagnosis?
A.Type 1 diabetes (T1DM)
B.Type 2 diabetes (T2DM)
C.Latent autoimmune diabetes of adults (LADA)
D.Gestational diabetes (GDM) -
correct answer ✅C. Latent autoimmune diabetes of adults (LADA)
4.The development of type 1 diabetes includes all but which of the
following?
A.Environmental trigger
B.Genetic predisposition
C.Autoimmune attack on beta cells
D.Peripheral insulin resistance -
correct answer ✅D. Peripheral insulin resistance
,CDCES Practice Exam Two Questions
& Answers (Grade A+)
5.JT, a 34-year-old male with newly diagnosed type 1 diabetes and
hypertension, states that he has an occasional alcoholic drink and
wants to know if alcohol is allowed. Which of the following is the
MOST appropriate response?
A.Yes, but always consume alcohol with food to minimize the risk of
nocturnal hypoglycemia.
B.It is recommended to drink 2 glasses of red wine every day to
reduce the risk of cardiovascular disease.
C.Yes, but substitute an alcoholic drink for 1 carb serving.
D.No, alcoholic beverages should be avoided in persons with
hypertension due to the impact on blood pressure. -
correct answer ✅A. Yes, but always consume alcohol with food to
minimize the risk of nocturnal hypoglycemia
6.A 45-year-old man presents for a 1-month follow-up after starting
immediate release metformin 500 mg twice daily. Today he brought
in his blood glucose meter and bottle of metformin, which is nearly
full. Which of the following is the MOST appropriate next step to
evaluate his management to the regimen?
, CDCES Practice Exam Two Questions
& Answers (Grade A+)
A.Confront the man about his poor medication management.
B.Telephone the pharmacy to verify the last refill date.
C.Change to the extended release formulation of metformin.
D.Review self-monitored blood glucose log. -
correct answer ✅B. Telephone the pharmacy to verify the last refill
date.
7.You receive an inquiry from a fellow healthcare professional in
your facility who would like to use an app on her smartphone to
track calories, carbohydrate, and fat consumed. She asks you how
much carbohydrate and fat a person with type 2 diabetes should
consume in her diet. Based on current recommendations from the
American Diabetes Association (ADA), which of the following is the
best advice?
A.Persons with diabetes should get about 50% of their calories from
carbohydrate and no more than 30% of calories from fat.
B.The ideal percentage of carbohydrate, protein, and fat has not
been determined and is based on several factors.
C.Persons with diabetes should get about 45% of calories from
carbohydrate and 25% to 30% of calories from fat.
