Answers.
1. What are the EKG signs of hyperkalemia-ANSWER- Tall, peaked,
symmetrical T waves and shortening of the QT interval
2. Glucocorticoids are associated with elevations in glucose levels for up to
how many hours post administration-ANSWER- 48 hours
3. What is the A1C goals for those under 19 of years who have type 1 diabetes
is age-ANSWER- < 7.5%
4. What is the Blood glucose goals for a school-aged child who has 1 diabetes
type before meals-ANSWER- 90-180
5. Blood glucose goals for a school-aged child who has 1 diabetes type at
bedtime and overnight.: 100-180
6. The American Diabetes Association (ADA) defines impaired fasting glucose
(IFG) as a fasting glucose value of: 100-125 mg/ dl.
7. What is the Endocrine Society guideline for patients on tube feedings who
has a persistent blood glucose level of > 140 mg/dl-ANSWER- They
recommend that a scheduled subcutaneous insulin regimen be given
8. Higher-than-normal estrogen levels may sensitivity to insulin: increase
9. When progesterone levels are high, action and it can to temporary insulin-
: resistance.
10. Women with diabetes have a higher incidence of bacteriuria
than women without diabetes and than men with diabetes.: two- to fourfold
11. Is it recommended to screen for asymptomatic bacteriuria in women with
diabetes-ANSWER- No , there is no evidence that therapy for asymptomatic
bacteriuria is beneficial
12. What does CCM stand for-ANSWER- Chronic Care Model
13. What are the six core elements of the CCM mean to optimize patient
care-ANSWER- 1. Delivery System Design
2. Self-management Support
3. Decision Support
4. Clinical information systems
5. Community resources and policies
6. Health Systems
14. What are the results of the CCM-ANSWER- Reduced incidence of DM
related compli- cations and all-cause mortality.
,Decreased health care utilization --> health care savings
15. What are improvement strategies in the System-Level-ANSWER- 1. Care
teams
2. Telemedicine
3. Behaviors and well-being
4. Cost considerations
5. Access to care and quality improvement
, 16. Social Context Treatment Tailoring includes:: 1. Assessment of food insecu-
rities, housing stability and financial barriers.
2. Local Community Resources
3. Self-Management support from lay health coaches, navigators, or community
health workers
17. Which living conditions are considered to be part of the Social Determi-
nants of Health (SDoH)-ANSWER- Economic
Environmental
Political
Social
18. What are the classifications of Diabetes-ANSWER- 1. DM1
2. DM2
3. GDM
4. Other
19. What is T1DM-ANSWER- Autoimmune ß-Cell destruction that leads to
absolute insulin deficiency
20. What is T2DM-ANSWER- Progressive loss of ß-Cell insulin secretion
frequently on the background of insulin resistance.
Related to inflammation and metabolic stress.
21. What are other causes of DM-ANSWER- 1. Monogenic Diabetes Syndromes
2. Diseases of the exocrine pancreas
3. Chemical-Induced Diabetes
22. What are examples of Monogenic Diabetes Syndrome-ANSWER- 1.
Neonatal Dia- betes
2. Maturity-Onset diabetes of the young (MODY)
23. What are examples of diseases of the exocrine pancreas-ANSWER- 1. Cyst
fibrosis
2. Pancreatitis
24. What are examples of chemically induced DM-ANSWER- 1. Glucocorticoid
(HIV treat- ment and/or post transplant)
25. What does DSMES stand for-ANSWER- Diabetes Self Management
Education and Support
26. What stage of T1DM do patients become symptomatic-ANSWER- Stage 3
27. What stage of T1DM do patients exhibit IGT and IFG-ANSWER- Stage 2
28. What are the three glucose readings that can be used to diagnoses DM?-
: IFG, IGT, and A1C
29. When should A1C not be used for DM diagnosis-ANSWER-
Sickle cell Pregnancy
glucose-6-phosphate dehydrogenase deficiency
HIV hemodialysis