CDE Practice Exam Questions #3 With Solutions

CDE Practice Exam Questions #3 With Solutions What is the first step in the process of diabetes self management education? A. Assessment B. Goal setting C. Diagnosis D. Referral - ANS A. Assessment Which of the following options is an outcome of personal record keeping in relation to physical activity, according to recent studies? A. Those who keep logs of physical activity are more adherent to other elements of therapy (ie diet, medication) B. Those who keep exercise logs are more likely to enroll in organized exercise programs (ie gym memberships, classes) C. Keeping a physical activity log is associated with a higher level of self efficacy D. The obligation of record keeping has been identified as a barrier to exercise by study participants - ANS C. Keeping a physical activity log is associated with a higher level of self efficacy Consider the following pt: male, age 46, previously sedentary, mild HTN and hyperlipidemia (both adequately controlled with medications), T2DM, and a BMI of 26. If this pt wishes to begin a moderate-intensity exercise regimen, what additional assessment may be warranted? A. Stress test with ECG B. DEXA scan to assess bone density and strength C. Ankle-Brachial index to rule out peripheral arterial disease D. None, as BP and cholesterol are being controlled and exercise is only moderate intensity - ANS A. Stress test with ECG A stress test with ECG may be warranted, as this person is over 40, previously sedentary, has risk factors for CVD, and is beginning a program that is more intense than brisk walking, which is mild intensity. In your role as a diabetes educator for a clinic, you both assess and instruct pts on a variety of self-care skills. Which teaching strategy provides the best opportunity to both assess and instruct on self-administration of insulin? A. A written quiz in which the patient puts insulin administration steps in order B. A demonstration and return demonstration of insulin administration C. A video that can be viewed and reviewed on proper insulin administration technique D. A printed handout with pictures depicting steps of insulin administration, followed by verbal acknowledgement of understanding - ANS B. A demonstration and return demonstration of insulin administration The following policies are part of your DSME program: asking pts if there are any dietary preferences or restrictions; inviting family members to participate; and being sensitive to your rate of speech and tone of voice. These policies address which specific type of consideration? A. Readiness to change variation among your patients B. Potential low literacy/numeracy levels among your patients C. Cultural characteristics/barriers of your population D. Poor family and social support - ANS C. Cultural characteristics/barriers of your population According to the ADA consensus statement on managing preexisting diabetes for pregnancy (2008), what is the optimal glycemic target for pregnant women with preexisting diabetes (assuming the target may be reached without excessive hypoglycemia)? A. Pre-meal/fasting glucose: 60 to 90 mg/dL; peak postprandial 120 mg/dL; A1C 5.5% B. Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial 129 mg/dL; A1C 6% C. Pre-meal/fasting glucose: 70 to 100 mg/dL; peak postprandial 120 mg/dL; A1C 6.5% D. Pre-meal/fasting glucose: 70 to 110 mg/dL; peak postprandial 140 mg/dL; A1C 7% - ANS B. Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial 129 mg/dL; A1C 6%