CDCES Exam 2024 Questions With
Correct Answers.
How much of a plum would be 15 grams of carbs - answer1 plum
Medicare DPP FBG Criteria - answer110-125
CDC DPP FBG Criteria - answer100-125
Which DPP program will NOT accept self reported blood sugars? - answerMedicare DPP
Which DPP program will...
How much of a plum would be 15 grams of carbs - answer✔✔1 plum
Medicare DPP FBG Criteria - answer✔✔110-125
CDC DPP FBG Criteria - answer✔✔100-125
Which DPP program will NOT accept self reported blood sugars? - answer✔✔Medicare DPP
Which DPP program will NOT accept patients with a history of ESRD or GDM? -
answer✔✔Medicare DPP
Which DPP program will NOT accept patients if they are currently pregnant? - answer✔✔CDC
DPP
Which medication can mask hypoglycemia symptoms? - answer✔✔Beta Blockers
Simvastatin plus which medication can increase risk of myalgias? - answer✔✔Gemfibrozil
What are the 8 risk factors for OSA? - answer✔✔1. Age >60
2. African American (ONLY APPLIES if <35 yo)
3. Large neck
4. Heavy ETOH use
5. OTC decongestant use
6. Family history
7. Smoking
8. Male
Which lab value provides insight into short term glycemic outcomes and glucose excursions? -
answer✔✔1,5 AG
Which lab value will be inaccurate in advanced kidney or liver disease? - answer✔✔1,5 AG
For an emergency kit you should have: - answer✔✔2 days of food + 3 days of water + 1 week of
meds
Taking which med before bed (instead of before dinner) can help prevent nighttime
hypoglycemia and improve FBG? - answer✔✔NPH
Low carb meal, increased activity, etoh, delayed/missed meals, insulin timing, too much meds
are all causes of: - answer✔✔hypoglycemia
What are some ways to treat hypoglycemia? - answer✔✔4-8 oz of sugary drink
handful of raisins
piece of fruit
4+ glucose tabs
glucose hel/honey
1 cup of milk
15+ skittles
Which hypoglycemia med is approved for all ages? - answer✔✔Glucagon
Glucagon can be given via ___ - answer✔✔SC or IM injection
Bolus insulin would lower - answer✔✔Post prandial sugars
Basal insulin would lower - answer✔✔FBG and in between meals
Name 2 types of bolus insulins - answer✔✔Rapid LAG (lispro, aspart, glulisine)
Short (regular)
Name 2 types of basal insulins - answer✔✔Intermediate (NPH)
Long "DDG" (degludec, detemir, glargine)
How to calculate estimated glucose? - answer✔✔A1C 5 correlates to eGlucose of 97. For each
additional A1C add +29.
What happens in Phase I (Fed State)? - answer✔✔1. exogenous glucose is main source of
glucose
What happens in Phase II (post absorptive state)? - answer✔✔1. insulin decrease, increase
glucagon
2. glycogen breakdown is main source of glucose
3. hepatic gluconeogenesis also happens
4. adipose tissues break down TG into FFA
5. Glucose: used by all tissues except liver
What happens in Phase III (early starvation state)? - answer✔✔1. some glycogen breakdown
2. but main source is hepatic gluconeogenesis
3. lactate provides 50% of gluconeogenesis substrate
4. AA, alanine, glycerol are other substrates
5. decrease insulin, increase counter-regulatory hormones (GH, cortisol, glucagon, epi)
6. Glucose: used by all tissues except liver
What happens in Phase IV (preliminary prolonged starvation)? - answer✔✔1. renal + hepatic
gluconeogenesis
2. brain: uses glucose > ketones
3. glucose: brain, RBC, renal medulla
4. increase counter-regulatory hormones
5. protein breakdown (catabolism) starts to happen because fat stores are depleted
What happens in Phase V (secondary prolonged starvation)? - answer✔✔1. renal + hepatic
gluconeogenesis
2. brain: uses ketones > glucose
3. glucose: used by brain, RBC, renal medulla
Phase I (Fed State) Timeline - answer✔✔0-4 hours post meal
Phase II (post absorptive state) Timeline - answer✔✔4-16 hours post meal
Phase IV (preliminary prolonged starvation) Timeline - answer✔✔2-24 days
Phase V (secondary prolonged starvation) timeline - answer✔✔24-40 days
Health and social conditions increase burden or disease on a community - answer✔✔Syndemic
#new cases/specific timeframe (Measures risk of people developing diabetes) -
answer✔✔Incidence
#people who already have diabetes - answer✔✔Prevalence
focuses on clinical practice that integrates knowledge - answer✔✔Clinical management and
Integration
focuses on communication that is essential to optimize quality of care -
answer✔✔Communication and advocacy
identify ways to increase behavioral change, QOL, self management across lifespan -
answer✔✔person centered care and education across lifespan
identify research and quality improvement competencies essential to guide research and QI
activities - answer✔✔research quality and improvement
systematic review of process and outcome data - answer✔✔quality improvement
example: let's try to increase # of GDM patients in our program by 10% - answer✔✔quality
improvement
apply business principles, population health, systems practice to impact outcome of systems,
providers, populations - answer✔✔systems wide practice
address competencies related to lifelong learning and professionalism - answer✔✔professional
practice
Help patients gain SKILLS, KNOWLEDGE, and BEHAVIORS to self manage their diabetes -
answer✔✔Goals of DSMES
When to refer to DSMES - answer✔✔1. at diagnosis
2. annually
3. complicating factors (SDOH change)
4. life transition (new job/insurance/doctor)
Steps of DSMES program - answer✔✔"AGPIE"
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