DM FINAL EXAM QUESTIONS AND ANSWERS
*AA* is a 40-year-old patient with HTN and T2DM. His ASCVD risk score is 45% and he is a smoker.
Which statin therapy is appropriate for AA?
a. atorvastatin 20 mg daily
b. pravastatin 20 mg daily
c. rosuvastatin 20 mg daily
d. simvastatin 10 mg daily - CORRECT ANSWER✅✅✅C. Rosuvastatin 20 mg daily
*AB* is 34-year-old female with T2DM and HTN currently on Metformin 1,000 mg BID, Lisinopril 10 mg
QD, and Tylenol PRN. Her last A1c was 9.5% which is a drop from her 11% last year. She has been
working out daily and eating much healthier since her visit with her dietitian. She is very motivated to
get to her goal A1c of 6.5% and is open to any therapy changes. What is your BEST recommendation?
a. Glipizide 5 mg daily
b. Lantus 10 units once daily
c. Victoza 1.8 mg daily
d. Bydureon 2 mg once weekly - CORRECT ANSWER✅✅✅d. Bydureon 2mg once weekly
Which is a true of the Certified Diabetes Educator official certification?
a. requires a master's degree or higher
b. minimum of 1000 paid hours of DSME experience
c. renewal requires CE hours every 5 years
d. after completion, provider is considered a level 5 provider - CORRECT ANSWER✅✅✅b. minimum
of 1000 paid hours of DSME experience
Who provides the accreditation for outpatient DSMT programs?
a. ADA and AADE
,b. ADA and joint commission
c. AADE and joint commission
d. Joint commission solely - CORRECT ANSWER✅✅✅a. ADA and AADE
When injecting insulin via an insulin pen, the needle should be inserted at what angle?
a. 45 degrees
b. 90 degrees
c. 15 degrees
d. whichever is most comfortable for the patient - CORRECT ANSWER✅✅✅b. 90 degrees
Which GLP-1 device must be mixed by shaking the pen before use?
a. Trulicity
b. Ozempic
c. Bydureon
d. Victoza - CORRECT ANSWER✅✅✅c. Bydureon
Which is not a benefit of using an insulin pump?
a. less injections
b. only has to replace the catheter every 7 days
c. less calculations throughout the day
d. continuous basal insulin throughout the day - CORRECT ANSWER✅✅✅b. only has to replace the
catheter every 7 days
When is a time a patient would not disconnect their insulin pump for their body?
a. to shower
,b. to go swimming
c. to refill the reservoir
d. to sleep at night - CORRECT ANSWER✅✅✅d. to sleep at night
This natural hypoglycemia agent is used by mixing 15 grams of ground power into a meal. It has shown
to lower postprandial glucose levels, but the long-term efficacy is still questionable. The seeds of this
natural agent are used as a spice and smell like maple syrup.
a. gymnema
b. bitter melon
c. banaba
d. fenugreek - CORRECT ANSWER✅✅✅d. fenugreek
Which natural agent has shown to provide patients with better glucose control if the patient has a
deficiency in the agent?
a. chromium
b. cinnamon
c. sodium
d. two of the above - CORRECT ANSWER✅✅✅a. chromium
Which should be prescribed to pregnant diabetes patients after 12 weeks gestation to lower the risk of
preeclampsia?
a. atorvastatin 10 mg daily
b. aspirin 81 mg daily
c. warfarin 5 mg daily
d. lisinopril 10 mg daily - CORRECT ANSWER✅✅✅b. aspirin 81 mg daily
What is the goal A1c for a pregnant diabetic patient?
, a. 8-8.5%
b. 7-7.5%
c. 6-6.5%
d. 5-5.5% - CORRECT ANSWER✅✅✅c. 6-6.5%
During patient counseling, which vaccinations should you be asking your patients about?
a. influenza
b. pneumonia
c. hepatitis B
d. all of the above - CORRECT ANSWER✅✅✅d. all of the above
How often should a patient with diabetes be going to the dentist?
a. every 6 months
b. once a year
c. every 2 years
d. whenever they experience a toothache - CORRECT ANSWER✅✅✅a. every 6 months
*SK* is a 55-year-old patient recently admitted to the ICU for a traumatic brain injury. His most recent
blood glucose readings have been 120 mg /dL and and 125 mg/dL, respectively. What should we do in
terms of his blood sugar?
a. administer glucagon asap, his blood sugar is too low for an ICU patient. Goal is >200 mg/dL
b. his blood sugar is in range for an ICU patient, continue current therapies
c. administer SC insulin every 4-6 hours to get blood sugars down to <110 mg/dL
d. administer continuous IV infusion insulin to get blood sugars down to <110 mg/dL - CORRECT
ANSWER✅✅✅his blood sugar is in range for an ICU patient, continue current therapies
*AA* is a 40-year-old patient with HTN and T2DM. His ASCVD risk score is 45% and he is a smoker.
Which statin therapy is appropriate for AA?
a. atorvastatin 20 mg daily
b. pravastatin 20 mg daily
c. rosuvastatin 20 mg daily
d. simvastatin 10 mg daily - CORRECT ANSWER✅✅✅C. Rosuvastatin 20 mg daily
*AB* is 34-year-old female with T2DM and HTN currently on Metformin 1,000 mg BID, Lisinopril 10 mg
QD, and Tylenol PRN. Her last A1c was 9.5% which is a drop from her 11% last year. She has been
working out daily and eating much healthier since her visit with her dietitian. She is very motivated to
get to her goal A1c of 6.5% and is open to any therapy changes. What is your BEST recommendation?
a. Glipizide 5 mg daily
b. Lantus 10 units once daily
c. Victoza 1.8 mg daily
d. Bydureon 2 mg once weekly - CORRECT ANSWER✅✅✅d. Bydureon 2mg once weekly
Which is a true of the Certified Diabetes Educator official certification?
a. requires a master's degree or higher
b. minimum of 1000 paid hours of DSME experience
c. renewal requires CE hours every 5 years
d. after completion, provider is considered a level 5 provider - CORRECT ANSWER✅✅✅b. minimum
of 1000 paid hours of DSME experience
Who provides the accreditation for outpatient DSMT programs?
a. ADA and AADE
,b. ADA and joint commission
c. AADE and joint commission
d. Joint commission solely - CORRECT ANSWER✅✅✅a. ADA and AADE
When injecting insulin via an insulin pen, the needle should be inserted at what angle?
a. 45 degrees
b. 90 degrees
c. 15 degrees
d. whichever is most comfortable for the patient - CORRECT ANSWER✅✅✅b. 90 degrees
Which GLP-1 device must be mixed by shaking the pen before use?
a. Trulicity
b. Ozempic
c. Bydureon
d. Victoza - CORRECT ANSWER✅✅✅c. Bydureon
Which is not a benefit of using an insulin pump?
a. less injections
b. only has to replace the catheter every 7 days
c. less calculations throughout the day
d. continuous basal insulin throughout the day - CORRECT ANSWER✅✅✅b. only has to replace the
catheter every 7 days
When is a time a patient would not disconnect their insulin pump for their body?
a. to shower
,b. to go swimming
c. to refill the reservoir
d. to sleep at night - CORRECT ANSWER✅✅✅d. to sleep at night
This natural hypoglycemia agent is used by mixing 15 grams of ground power into a meal. It has shown
to lower postprandial glucose levels, but the long-term efficacy is still questionable. The seeds of this
natural agent are used as a spice and smell like maple syrup.
a. gymnema
b. bitter melon
c. banaba
d. fenugreek - CORRECT ANSWER✅✅✅d. fenugreek
Which natural agent has shown to provide patients with better glucose control if the patient has a
deficiency in the agent?
a. chromium
b. cinnamon
c. sodium
d. two of the above - CORRECT ANSWER✅✅✅a. chromium
Which should be prescribed to pregnant diabetes patients after 12 weeks gestation to lower the risk of
preeclampsia?
a. atorvastatin 10 mg daily
b. aspirin 81 mg daily
c. warfarin 5 mg daily
d. lisinopril 10 mg daily - CORRECT ANSWER✅✅✅b. aspirin 81 mg daily
What is the goal A1c for a pregnant diabetic patient?
, a. 8-8.5%
b. 7-7.5%
c. 6-6.5%
d. 5-5.5% - CORRECT ANSWER✅✅✅c. 6-6.5%
During patient counseling, which vaccinations should you be asking your patients about?
a. influenza
b. pneumonia
c. hepatitis B
d. all of the above - CORRECT ANSWER✅✅✅d. all of the above
How often should a patient with diabetes be going to the dentist?
a. every 6 months
b. once a year
c. every 2 years
d. whenever they experience a toothache - CORRECT ANSWER✅✅✅a. every 6 months
*SK* is a 55-year-old patient recently admitted to the ICU for a traumatic brain injury. His most recent
blood glucose readings have been 120 mg /dL and and 125 mg/dL, respectively. What should we do in
terms of his blood sugar?
a. administer glucagon asap, his blood sugar is too low for an ICU patient. Goal is >200 mg/dL
b. his blood sugar is in range for an ICU patient, continue current therapies
c. administer SC insulin every 4-6 hours to get blood sugars down to <110 mg/dL
d. administer continuous IV infusion insulin to get blood sugars down to <110 mg/dL - CORRECT
ANSWER✅✅✅his blood sugar is in range for an ICU patient, continue current therapies
