& Answers (Grade A+)
LT is a 24 year old with type 1 diabetes and wears a hybrid closed
loop insulin pump with a recent A1C is 7.0%. LT notes that their
glucose almost always rises to 250-270mg/dL after breakfast. LT
boluses 15 minutes before the meal and her glucose usually returns
to 120 about 3 hours after eating. They eat 1 large bowl of cereal
and 1 cup of coffee with cream with a carb ratio is 1:12 and basal
rate is 0.9 units/hour. Which is the best suggestion to prevent the
spike in glucose after breakfast? -
correct answer ✅Replace some carb with protein to decrease the
glucose spike
Which of the following are characteristics of peripheral arterial
disease? -
correct answer ✅PAD is a form of Atherosclerotic Cardiovascular
Disease (ASCVD) characterized by narrowing or blockage of arteries,
typically in the legs, due to atherosclerosis. It is common in people
with diabetes and significantly increases the risk of amputation,
cardiovascular events, and mortality.
PAD can be asymptomatic or present with the following symptoms:
Intermittent claudication: Cramping, pain, or fatigue in the legs
during walking or exercise, relieved by rest.
Rest pain: Persistent pain in the feet or toes, especially at night.
, CDCES Final Review Exam Questions
& Answers (Grade A+)
Cold or numb extremities
Non-healing wounds or ulcers on the feet or legs
Skin changes: Shiny skin, hair loss, or discoloration on the legs
Weak or absent pulses in the legs or feet
How do you scceen for PAD? -
correct answer ✅Ankle-Brachial Index (ABI) is recommended for:
Adults ≥50 years with diabetes
Those with symptoms or risk factors (e.g., smoking, hypertension)
What is the ankle-brachial index? -
correct answer ✅The Ankle-Brachial Index (ABI) is a simple, non-
invasive test used to assess for Peripheral Arterial Disease (PAD) by
comparing blood pressure in the ankle with blood pressure in the
arm.
Procedure:
Blood pressure is measured in both arms and both ankles using a
Doppler ultrasound device and a blood pressure cuff.
The ABI is calculated by dividing the systolic pressure at the ankle
by the systolic pressure at the arm.