CMN 572 MODULE 3 CERTIFICATION EXAM QUESTIONS WITH CORRECT ANSWERS
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Course
CMN 572
Institution
CMN 572
CMN 572 MODULE 3 CERTIFICATION EXAM QUESTIONS WITH CORRECT ANSWERS
What should be a part of your DM foot exam? - Answer-inspection of the skin, assessing for any foot deformities, nuero assessment with 10g monofilament testing + 1 other assessment (pin prick, temp, or vibration), vascular asses...
CMN 572 MODULE 3 CERTIFICATION
EXAM QUESTIONS WITH CORRECT
ANSWERS
What should be a part of your DM foot exam? - Answer-inspection of the skin,
assessing for any foot deformities, nuero assessment with 10g monofilament testing + 1
other assessment (pin prick, temp, or vibration), vascular assessment (pulses of the
legs and feet)
What is the A1C goal for a patient over 65 that is healthy with few chronic illnesses that
has intact cognition/functional status? - Answer-A1C <7-7.5%
What is the A1C goal for a patient over 65 that has multiple co-existing chronic
illnesses, cognitive impairment, and functional dependence? - Answer-A1C <8-8.5%
What medication is considered 1st line in older adults with T2DM because it carries a
low risk of hypoglycemia? - Answer-Metformin
What medication should be given in older adults with T1DM to prevent DKA even if they
are unable to eat meals? - Answer-Basal insulin
What is the A1C goal of a child T1DM? - Answer-<7.5%
What is the A1C goal for a child with T2DM? - Answer-<7%
If a child presents with T2DM with a BG >250, A1C >8.5% without acidosis and has
polydipsia, polyuria, and polyphagia what would be your method of treatment initiation?
- Answer-Begin basal insulin therapy while initiating metformin
What is the A1C goal in pregnancy and why? - Answer-ideally <6% to reduce the risk of
congenital anomalies, preeclampsia, and macrosomia
What is the perfered treatment method of gestational DM? - Answer-Insulin
DO NOT USE METFORMIN OR GLYBURIDE as 1st line agents
When should a women who has preexisting T1/2DM be screening for retinopathy during
their pregnancy? - Answer-dilated eye exams should happen before pregnancy or the
1st trimester
It should be monitored every trimester and for 1 year PP
,What is the fasting BG goal in pregnant women? 1-hour post prandial? 2-hour post
prandial? - Answer-<95
<140
<120
In a women with DM in what trimester will she develop a greater need for prandial
insulin than basal insulin? - Answer-3rd trimester
What should be prescribed to a pregnant woman with DM to help prevent
preeclampsia? - Answer-60-150 mg/day Aspirin from end of 1st trimester until the baby
is born
What is the BP threshold to initiate medicine in a pregnant woman?
After begining said medication what is the BP target? - Answer-<140/90
110-135/85
When should women who experienced gestational DM be rechecked for persistent
GDM or prediabetes immediately after giving birth?
If this test comes back normal how often should they be screened in the future? -
Answer-4-12 weeks pp with 75g OGTT (nonpregnant criteria)
If normal can be screened every 1-3 years
What medications that a woman could be taking if she has coexisting illnesses would
need to be immediately stopped if she becomes pregnant? - Answer-ACE-I
ARB
Statins
A women who has risk factors for developing DM becomes pregnant, at what week in
her pregnancy should she be tested for GDM? - Answer-15 weeks
In women who have no risk factors for DM should be screened for GDM at ____ weeks.
- Answer-24-28 weeks
Y/N: If a patient with DM becomes infected with covid their FNP should change their
glucose-lowering therapy? - Answer-No
Diabetes and covid - Answer-Work as a team to help prevent micro and macro risk and
risk of covid complications
watch for long covid
people with DM should be prioritized for covid vaccine
At what age can a child with DM begin to take Toujeou (300 unitis insulin glargine)? -
Answer-6 years or older
, At what age can a child who has DM begin to take Tresiba (insulin degludec)? -
Answer-1 year old and older
When should inhaled insulin Afrezza be taken when eating? What are contraindications
to taking this medication? - Answer-At the beginning of the meal
Med can cause bronchospasm so contraindicated in pts with lung dz or smokers
do not use for dka
do not use if <18 y/o
When is the use of insulin indicated in a Pt with T2DM? - Answer-Significant
hyperglycemia
DKA
HHS
if having severe symptoms like weight loss and ketonuria
Fail to reach glycemic goals on multiple other DM meds
During pregnancy
What is the onset, peak, and duration of rapid acting insulin (Lispro [humalog], Aspart
[Novolog], Glulishine [apidra])? - Answer-Onset: 10-15 min
Peak: 1-2 hr
Duration: 3-5 hr
What is the onset, peak, and duration of short acting (regular) insulin (Humulin &
Novolin)? - Answer-Onset: 30-60 min
Peak: 2-4 hr
Duration: 4-8 hr
What is the onset, peak, and duration of intermediate acting insulin (Neutral protamine
hagedorn)? - Answer-Onset: 1-3 hr
Peak: 4-10 hr
Duration: 10-18 hr
What is the onset, peak, and duration of long acting insulin GLARGINE (Lantus U100)?
- Answer-Onset: 2-3 hr
Peak: None
Duration: 24+ hr
What is the onset, peak, and duration of long acting insulin glargine (TOUJEO U300)? -
Answer-Onset: 5-6 hr
Peak: None
Duration: Up to 30 hrs
What is the onset, peak, and duration of long acting insulin detemir (Levemir U100)? -
Answer-Onset: 1 hr
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