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Exam (elaborations)

CDCES Exam Questions and Correct Answers | Latest Update

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CDCES Exam Questions and Correct Answers | Latest Update

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  • October 3, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CDCES
  • CDCES
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MASTER01
1 | P a g e | © copyright 2024/2025 | Grade A+




CDCES Exam Questions and
Correct Answers | Latest Update
What are the components of good insulin injection technique?


✓ Proper insulin injection technique includes injecting into appropriate

body areas, injection site rotation, appropriate care of injection sites to

avoid infection or other complications, and avoidance of

intramuscular (IM) insulin delivery (64)




What are the treatment recommendations for type 1 diabetes?


✓ 9.1 Most people with type 1 diabetes should be treated with multiple

daily injections of prandial and basal insulin, or continuous

subcutaneous insulin infusion. A

9.2 Most individuals with type 1 diabetes should use rapid-acting insulin

analogs to reduce hypoglycemia risk. A


9.3 Patients with type 1 diabetes should be trained to match prandial insulin

doses to carbohydrate intake, premeal blood glucose, and anticipated

physical activity. (64)




What are the treatment recommendations for type 2 diabetes? What are the 4

reasons for early introduction of insulin? How often should treatment be re-

evaluated?


Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ "When diet and exercise are no longer sufficient:

1) "Metformin is the preferred initial pharmacologic agent for the treatment of

type 2 diabetes." (64)


2) "Once initiated, metformin should be continued as long as it is tolerated

and not contraindicated; other agents, including insulin, should be added to

metformin." (64)


3. "Among patients with type 2 diabetes who have established

atherosclerotic cardiovascular disease or indicators of high risk, established

kidney disease, or heart failure, a sodium-glucose cotransporter 2 inhibitor or

glucagon-like peptide 1 receptor agonist with demonstrated cardiovascular

disease benefit is recommended as part of the glucose-lowering regimen

independent of A1C and in consideration of patient-specific factors. (i.e.

liraglutide, caniglifozin, empagliflozin)" (64)


4. "The early introduction of insulin should be considered if there is evidence

of ongoing catabolism (weight loss), if symptoms of hyperglycemia are

present, or when A1C levels (>10% [86 mmol/mol]) or blood glucose levels

(≥300 mg/dL [16.7 mmol/L]) are very high." (64)


5. "The medication regimen and medication-taking behavior should be

reevaluated at regular intervals (every 3-6 months) and adjusted as needed

to incorporate specific factors that impact choice of treatment" (64)




What are the types of long-acting insulin?


Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ NPH, U-500 regular, Detemir, Glargine, U-300 Glargine and Degludec

(12)




What are the types of short-acting insulin?


✓ Afrezza, Fiasp, Apart, Glulisine, Lispro, U-200 Lispro, Human regular, U-

500 regular (12)




What hormones influence hepatic glucose production?


✓ Cortisol, Growth hormone, Glucagon, Epi/ Norepi, Progesterone,

Estrogen (12)




What are the advantages of continuous insulin infusion as compared to

multiple daily injections?


✓ Ability to account for dawn phenomenon, implement temp basal

rates, have variable schedules, skip/delay meals without hypoglycemia

(12)




What supplies are needed for pump vacations or as a back up?


✓ Injectable basal & bolus insulin, vial or pen, syringes/ pen needles,

dosages, transition plan back to pump (12)




Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

What is the transtheoretical model?


✓ An integrative framework for understanding how individuals and

populations progress toward adopting and maintaining health

behaviour change. It recognizes that behaviour occurs in steps, not all

at once - precontemplation, contemplation, preparation, action,

maintenance, termination




What is the socio-ecological model?


✓ The construct of health was broadly conceptualized in the SEM and

focused on the major contributors that might affect health. The SEM

states that health is affected by the interaction between the

characteristics of the individual, the community, and the environment

that includes the physical, social, and political components. -

https://www.tandfonline.com/doi/full/10.1080/1059924X.2017.1358971




What is the health belief model?




Master01 | October, 2024/2025 | Latest update

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