CDCES Actual Questions and Answers 2023 with complete
solution
What are the EKG signs of hyperkalemia?
Tall, peaked, symmetrical T waves and shortening of the QT interval
Glucocorticoids are associated with elevations in glucose levels for up to how
many hours post administration?
48 hours
What is the A1C goals for those under 19 of years who have type 1 diabetes is
age?
< 7.5%
What is the Blood glucose goals for a school-aged child who has 1 diabetes type
before meals?
90-180
Blood glucose goals for a school-aged child who has 1 diabetes type at bedtime
and overnight.
100-180
The American Diabetes Association (ADA) defines impaired fasting glucose (IFG)
as a fasting glucose value of
100-125 mg/ dl.
What is the Endocrine Society guideline for patients on tube feedings who has a
persistent blood glucose level of > 140 mg/dl?
They recommend that a scheduled subcutaneous insulin regimen be given
Higher-than-normal estrogen levels may sensitivity to insulin
increase
When progesterone levels are high, action and it can to temporary insulin
resistance.
Women with diabetes have a _________ higher incidence of bacteriuria than
women without diabetes and than men with diabetes.
two- to fourfold
Is it recommended to screen for asymptomatic bacteriuria in women with
diabetes?
No , there is no evidence that therapy for asymptomatic bacteriuria is beneficial
What does CCM stand for?
Chronic Care Model
What are the six core elements of the CCM mean to optimize patient care?
1. Delivery System Design
2. Self-management Support
3. Decision Support
4. Clinical information systems
5. Community resources and policies
6. Health Systems
What are the results of the CCM?
Reduced incidence of DM related complications and all-cause mortality.
Decreased health care utilization --> health care savings
,What are improvement strategies in the System-Level?
1. Care teams
2. Telemedicine
3. Behaviors and well-being
4. Cost considerations
5. Access to care and quality improvement
Social Context Treatment Tailoring includes:
1. Assessment of food insecurities, housing stability and financial barriers.
2. Local Community Resources
3. Self-Management support from lay health coaches, navigators, or community health
workers
Which living conditions are considered to be part of the Social Determinants of
Health (SDoH)?
Economic
Environmental
Political
Social
What are the classifications of Diabetes?
1. DM1
2. DM2
3. GDM
4. Other
What is T1DM?
Autoimmune ß-Cell destruction that leads to absolute insulin deficiency
What is T2DM?
Progressive loss of ß-Cell insulin secretion frequently on the background of insulin
resistance.
Related to inflammation and metabolic stress.
What are other causes of DM?
1. Monogenic Diabetes Syndromes
2. Diseases of the exocrine pancreas
3. Chemical-Induced Diabetes
What are examples of Monogenic Diabetes Syndrome?
1. Neonatal Diabetes
2. Maturity-Onset diabetes of the young (MODY)
What are examples of diseases of the exocrine pancreas?
1. Cystic fibrosis
2. Pancreatitis
What are examples of chemically induced DM?
1. Glucocorticoid (HIV treatment and/or post transplant)
What does DSMES stand for?
Diabetes Self Management Education and Support
What stage of T1DM do patients become symptomatic?
Stage 3
What stage of T1DM do patients exhibit IGT and IFG?
Stage 2
, What are the three glucose readings that can be used to diagnoses DM?
IFG, IGT, and A1C
When should A1C not be used for DM diagnosis?
Sickle cell
Pregnancy
glucose-6-phosphate dehydrogenase deficiency
HIV hemodialysis
Recent blood loss/transfusion
Erythropoietin therapy
What is the criteria for diagnosing DM?
FPG ≥ 126
2-h PG ≥ 200
A1C ≥6.5%
Random Plasma Glucose ≥200
Diagnosis is made if there are at least two abnormal lab results from the same sample
or two different samples.
What is idiopathic T1DM?
Insulinopenia but no evidence of ß-Cell Destruction
What BMI should trigger the screening for pre-DM and/or T2DM in asymptomatic
people?
≥25 (≥23 in Asian American) with at least one additional risk factor.
Women planning to get pregnant who are overweight and/or have at least one
additional risk factor.
At what age should pre-screening for DM start?
45 yo
If screening is negative, what is the interval of screening in years?
3
At what age should the risk-based screening for pre-DM start?
10 years of age or onset of puberty.
Overweight or obese children.
What is the criteria for pre-DM?
FPG 100-125
2-h PG 140-199
A1C 5.6-6.4%
What are considered risk factors for DM?
First-degree family member with DM (1st and 2nd for T2DM)
High-risk race/ethnicity (AA, Latino, Native American, AsA, PI)
History of CVD
HTN (≥140/90)
HDL<35 and/or Triglycerides >250
Polycystic Ovary Syndrome
Physical Inactivity
Clinical conditions that lead to insulin resistance (severe obesity, acanthosis nigricans,
HTN, elevated XOL, Small for gestational age birth weight).
Maternal history of DM or GDM during child's gestation
How often should patients with pre-DM be tested?
solution
What are the EKG signs of hyperkalemia?
Tall, peaked, symmetrical T waves and shortening of the QT interval
Glucocorticoids are associated with elevations in glucose levels for up to how
many hours post administration?
48 hours
What is the A1C goals for those under 19 of years who have type 1 diabetes is
age?
< 7.5%
What is the Blood glucose goals for a school-aged child who has 1 diabetes type
before meals?
90-180
Blood glucose goals for a school-aged child who has 1 diabetes type at bedtime
and overnight.
100-180
The American Diabetes Association (ADA) defines impaired fasting glucose (IFG)
as a fasting glucose value of
100-125 mg/ dl.
What is the Endocrine Society guideline for patients on tube feedings who has a
persistent blood glucose level of > 140 mg/dl?
They recommend that a scheduled subcutaneous insulin regimen be given
Higher-than-normal estrogen levels may sensitivity to insulin
increase
When progesterone levels are high, action and it can to temporary insulin
resistance.
Women with diabetes have a _________ higher incidence of bacteriuria than
women without diabetes and than men with diabetes.
two- to fourfold
Is it recommended to screen for asymptomatic bacteriuria in women with
diabetes?
No , there is no evidence that therapy for asymptomatic bacteriuria is beneficial
What does CCM stand for?
Chronic Care Model
What are the six core elements of the CCM mean to optimize patient care?
1. Delivery System Design
2. Self-management Support
3. Decision Support
4. Clinical information systems
5. Community resources and policies
6. Health Systems
What are the results of the CCM?
Reduced incidence of DM related complications and all-cause mortality.
Decreased health care utilization --> health care savings
,What are improvement strategies in the System-Level?
1. Care teams
2. Telemedicine
3. Behaviors and well-being
4. Cost considerations
5. Access to care and quality improvement
Social Context Treatment Tailoring includes:
1. Assessment of food insecurities, housing stability and financial barriers.
2. Local Community Resources
3. Self-Management support from lay health coaches, navigators, or community health
workers
Which living conditions are considered to be part of the Social Determinants of
Health (SDoH)?
Economic
Environmental
Political
Social
What are the classifications of Diabetes?
1. DM1
2. DM2
3. GDM
4. Other
What is T1DM?
Autoimmune ß-Cell destruction that leads to absolute insulin deficiency
What is T2DM?
Progressive loss of ß-Cell insulin secretion frequently on the background of insulin
resistance.
Related to inflammation and metabolic stress.
What are other causes of DM?
1. Monogenic Diabetes Syndromes
2. Diseases of the exocrine pancreas
3. Chemical-Induced Diabetes
What are examples of Monogenic Diabetes Syndrome?
1. Neonatal Diabetes
2. Maturity-Onset diabetes of the young (MODY)
What are examples of diseases of the exocrine pancreas?
1. Cystic fibrosis
2. Pancreatitis
What are examples of chemically induced DM?
1. Glucocorticoid (HIV treatment and/or post transplant)
What does DSMES stand for?
Diabetes Self Management Education and Support
What stage of T1DM do patients become symptomatic?
Stage 3
What stage of T1DM do patients exhibit IGT and IFG?
Stage 2
, What are the three glucose readings that can be used to diagnoses DM?
IFG, IGT, and A1C
When should A1C not be used for DM diagnosis?
Sickle cell
Pregnancy
glucose-6-phosphate dehydrogenase deficiency
HIV hemodialysis
Recent blood loss/transfusion
Erythropoietin therapy
What is the criteria for diagnosing DM?
FPG ≥ 126
2-h PG ≥ 200
A1C ≥6.5%
Random Plasma Glucose ≥200
Diagnosis is made if there are at least two abnormal lab results from the same sample
or two different samples.
What is idiopathic T1DM?
Insulinopenia but no evidence of ß-Cell Destruction
What BMI should trigger the screening for pre-DM and/or T2DM in asymptomatic
people?
≥25 (≥23 in Asian American) with at least one additional risk factor.
Women planning to get pregnant who are overweight and/or have at least one
additional risk factor.
At what age should pre-screening for DM start?
45 yo
If screening is negative, what is the interval of screening in years?
3
At what age should the risk-based screening for pre-DM start?
10 years of age or onset of puberty.
Overweight or obese children.
What is the criteria for pre-DM?
FPG 100-125
2-h PG 140-199
A1C 5.6-6.4%
What are considered risk factors for DM?
First-degree family member with DM (1st and 2nd for T2DM)
High-risk race/ethnicity (AA, Latino, Native American, AsA, PI)
History of CVD
HTN (≥140/90)
HDL<35 and/or Triglycerides >250
Polycystic Ovary Syndrome
Physical Inactivity
Clinical conditions that lead to insulin resistance (severe obesity, acanthosis nigricans,
HTN, elevated XOL, Small for gestational age birth weight).
Maternal history of DM or GDM during child's gestation
How often should patients with pre-DM be tested?
