CDE PRACTICE EXAM 1 WITH 100% CORRECT ANSWERS 2024
VERIFIED ANSWERS (100% CORRECT) AND RATIONALES
/ALREADY GRADED A+
A community pharmacy wants to offer a fee-for-service diabetes patient
education program to its customers. Which of the following is the MOST
appropriate way to market this new program?
A. Place an ad in the regional paper
B. Place flyers in every prescription bag
C. Send out letters to local hospital administrators
D. Contact the top 3 insurance companies in the state - ANSWER-B. Place flyers in
every prescription bag
In a fee-for-service environment, where patients pay out-of-pocket, the most
efficient advertising needs to be directly to the consumer.
A 35 year-old woman with T1DM present to the clinic for f/u of self monitoring
blood glucose. Her A1c is 12%, and during the interview she reports that she
thinks her boyfriend is interested in a younger, thinner woman. Which of the
following is the best f/u question related to this patient's concerns?
A. Do you think that your boyfriend might stay with you if you become blind?
B. Are you afraid that insulin might cause you to gain weight?
C. Do your parents know that your blood glucose levels are poorly controlled?
D. What time of the day do you check your glucose? - ANSWER-B. Are you afraid
that insulin might cause you to gain weight?
The question's focus is on assessment and screening for eating disorders, of which
intentional insulin omission is one. Effective assessments reveal lifestyle issues
and facts, are patient centered, and facilitate honest self-disclosure.
,Routine labs for a patient with a history of normal glucose tolerance revealed a
fasting glucose level of 113 mg/dL. What does the result indicate?
A. Normal blood glucose
B. Impaired fasting glucose
C. Diabetes
D. Gestational diabetes - ANSWER-B. Impaired fasting glucose
A blood glucose level between 100 and 125 mg/dL indicates impaired fasting
glucose. A normal fasting glucose is <100 gm/dL and diabetes is indicated by a
fasting blood glucose of >126 mg/dL.
SQ presents for a routine visit. While performing a foot exam you note
"dependent ruber" (swelling and redness) when his feet are in a dependent
position and pallor on elevation. You suspect:
A. diabetic neuropathy
B. peripheral arterial disease
C. varicose veins
D. Charcot joint - ANSWER-B. peripheral arterial disease
Swelling and redness when the feet hang down are signs of poor circulation and
peripheral vascular disease. Diabetic neuropathy may accompany peripheral
vascular disease; however these visually observable changes are not usually
present. Varicose veins and Charcot joint are also not usual causes of foot
swelling and redness.
An individual newly diagnosed with T2DM presents for education. What should
the educator do first?
A. Provide a detailed overview of the pathophysiology of T2DM.
,B. Assess the individual's interests, needs, and problems
C. Discuss chronic complication risk
D. Review a carbohydrate counting meal plan - ANSWER-B. Assess the individual's
interests, needs, and problems
Assessment is the first step in the process of providing diabetes education. By
understanding what the interests, needs, and problems of the person with
diabetes are, the educator is more likely to provide appropriate and useful
information that will assist the individual to meet desired outcomes. The other
choices may well become part of the education plan, but this follows assessment.
Which of the following medications should NOT be used in pregnancy?
A. Human insulin
B. Metformin
C. Methlydopa
D. HMG-CoA reducates inhibitors - ANSWER-D. HMG-CoA reductase inhibitors
Statin drugs are category X and should not be used in pregnant women. Insulin,
metformin, and methyldopa have adequate safety date to support use during
pregnancy.
A patient tells you that he wants to verify the accuracy of his meter. You tell him
that the testing (meter vs laboratory determination)
A. should be done in a fasting state
B. is valid as long as he performs the testing 1 hour or less apart
C. result will be ~15% higher than the laboratory value if his meter reports whole
blood glucose level values
D. should be done simultaneously using a drop of blood from the venipuncture -
ANSWER-A. should be done in a fasting state
, When verifying the accuracy of a meter, the bg meter results should be compared
against a laboratory value, not another meter. Only fasting values can be
measured since postal values will differ between the capillary blood (as measured
on the meter) and the venous blood (as measure in the lab). These should be
done at the same time. The meter result would be ~15% LOWER than the
laboratory result if the meter reports whole blood glucose values. Applying a drop
of blood from the venipuncture needle is not acceptable, as the meter strips will
give false reading if venous blood is used.
FN has T1DM. When is testing for ketones the most appropriate?
A. Daily in the morning after an overnight fast
B. Prior to a decrease in insulin dosage
C. With consistently elevated bg
D. Prior to exercise - ANSWER-C. with consistently elevated bg
Ketone testing is appropriate during illness, when bg levels are consistently
elevated, during weight loss and pregnancy.
A 73 year old man with T2DM presents to the clinic complaining that he cannot
pay for his medications any longer. He reports that one of his prescriptions went
up from $5 to $100. Which of the following additional questions would be MOST
helpful in assessing this problem?
A. Did you go to a different chain pharmacy?
B. Did you recently change insurance?
C. When was the last time you had any prescriptions filled?
D. Did you ask for a 3-month supply? - ANSWER-B. Did you recently change
insurance?
Effective assessments should reveal potential barriers to self-mgmt. Financial
concerns and a alack of adequate insurance represent a major obstacle to care
and therefore would be the appropriate place to begin.
VERIFIED ANSWERS (100% CORRECT) AND RATIONALES
/ALREADY GRADED A+
A community pharmacy wants to offer a fee-for-service diabetes patient
education program to its customers. Which of the following is the MOST
appropriate way to market this new program?
A. Place an ad in the regional paper
B. Place flyers in every prescription bag
C. Send out letters to local hospital administrators
D. Contact the top 3 insurance companies in the state - ANSWER-B. Place flyers in
every prescription bag
In a fee-for-service environment, where patients pay out-of-pocket, the most
efficient advertising needs to be directly to the consumer.
A 35 year-old woman with T1DM present to the clinic for f/u of self monitoring
blood glucose. Her A1c is 12%, and during the interview she reports that she
thinks her boyfriend is interested in a younger, thinner woman. Which of the
following is the best f/u question related to this patient's concerns?
A. Do you think that your boyfriend might stay with you if you become blind?
B. Are you afraid that insulin might cause you to gain weight?
C. Do your parents know that your blood glucose levels are poorly controlled?
D. What time of the day do you check your glucose? - ANSWER-B. Are you afraid
that insulin might cause you to gain weight?
The question's focus is on assessment and screening for eating disorders, of which
intentional insulin omission is one. Effective assessments reveal lifestyle issues
and facts, are patient centered, and facilitate honest self-disclosure.
,Routine labs for a patient with a history of normal glucose tolerance revealed a
fasting glucose level of 113 mg/dL. What does the result indicate?
A. Normal blood glucose
B. Impaired fasting glucose
C. Diabetes
D. Gestational diabetes - ANSWER-B. Impaired fasting glucose
A blood glucose level between 100 and 125 mg/dL indicates impaired fasting
glucose. A normal fasting glucose is <100 gm/dL and diabetes is indicated by a
fasting blood glucose of >126 mg/dL.
SQ presents for a routine visit. While performing a foot exam you note
"dependent ruber" (swelling and redness) when his feet are in a dependent
position and pallor on elevation. You suspect:
A. diabetic neuropathy
B. peripheral arterial disease
C. varicose veins
D. Charcot joint - ANSWER-B. peripheral arterial disease
Swelling and redness when the feet hang down are signs of poor circulation and
peripheral vascular disease. Diabetic neuropathy may accompany peripheral
vascular disease; however these visually observable changes are not usually
present. Varicose veins and Charcot joint are also not usual causes of foot
swelling and redness.
An individual newly diagnosed with T2DM presents for education. What should
the educator do first?
A. Provide a detailed overview of the pathophysiology of T2DM.
,B. Assess the individual's interests, needs, and problems
C. Discuss chronic complication risk
D. Review a carbohydrate counting meal plan - ANSWER-B. Assess the individual's
interests, needs, and problems
Assessment is the first step in the process of providing diabetes education. By
understanding what the interests, needs, and problems of the person with
diabetes are, the educator is more likely to provide appropriate and useful
information that will assist the individual to meet desired outcomes. The other
choices may well become part of the education plan, but this follows assessment.
Which of the following medications should NOT be used in pregnancy?
A. Human insulin
B. Metformin
C. Methlydopa
D. HMG-CoA reducates inhibitors - ANSWER-D. HMG-CoA reductase inhibitors
Statin drugs are category X and should not be used in pregnant women. Insulin,
metformin, and methyldopa have adequate safety date to support use during
pregnancy.
A patient tells you that he wants to verify the accuracy of his meter. You tell him
that the testing (meter vs laboratory determination)
A. should be done in a fasting state
B. is valid as long as he performs the testing 1 hour or less apart
C. result will be ~15% higher than the laboratory value if his meter reports whole
blood glucose level values
D. should be done simultaneously using a drop of blood from the venipuncture -
ANSWER-A. should be done in a fasting state
, When verifying the accuracy of a meter, the bg meter results should be compared
against a laboratory value, not another meter. Only fasting values can be
measured since postal values will differ between the capillary blood (as measured
on the meter) and the venous blood (as measure in the lab). These should be
done at the same time. The meter result would be ~15% LOWER than the
laboratory result if the meter reports whole blood glucose values. Applying a drop
of blood from the venipuncture needle is not acceptable, as the meter strips will
give false reading if venous blood is used.
FN has T1DM. When is testing for ketones the most appropriate?
A. Daily in the morning after an overnight fast
B. Prior to a decrease in insulin dosage
C. With consistently elevated bg
D. Prior to exercise - ANSWER-C. with consistently elevated bg
Ketone testing is appropriate during illness, when bg levels are consistently
elevated, during weight loss and pregnancy.
A 73 year old man with T2DM presents to the clinic complaining that he cannot
pay for his medications any longer. He reports that one of his prescriptions went
up from $5 to $100. Which of the following additional questions would be MOST
helpful in assessing this problem?
A. Did you go to a different chain pharmacy?
B. Did you recently change insurance?
C. When was the last time you had any prescriptions filled?
D. Did you ask for a 3-month supply? - ANSWER-B. Did you recently change
insurance?
Effective assessments should reveal potential barriers to self-mgmt. Financial
concerns and a alack of adequate insurance represent a major obstacle to care
and therefore would be the appropriate place to begin.
