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Exam (elaborations)

CDCES EXAM QUESTIONS WITH VERIFIED ANSWERS

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CDCES EXAM QUESTIONS WITH VERIFIED ANSWERS ...

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  • September 29, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Unknown
  • CDCES
  • CDCES
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CDCES EXAM QUESTIONS WITH VERIFIED
ANSWERS 2024-2025

Define UACR - ANSWER urine albumin creatinine ratio: albumin divided by
creatinine and translated to mg/g; a measure of renal function.

There are <17 guys.

Fewer than 30 females

What should you do if a patient wakes up with a headache yet is hyperglycemic
based on fasting blood sugar? - ANSWER: Check blood sugar in the middle of
the night to rule out hypoglycemia and rebound hyperglycemia.

TR is a healthcare professional who offers diabetic care and education. They
want to provide greater person-centred care to those they serve.

Which of the following statements indicates that they are on the right track?


Answer Options:

Adhering to the diabetes self-care regimen requires time.

Motivating people to engage in self-management is the first stage.

Adult learners respond best when shown a step-by-step presentation.

Developing a common consensus on the plan for the following steps. -
ANSWER: Reaching mutual agreement on the following steps.


Question:

,LR developed gestational diabetes during her third pregnancy and was recently
diagnosed with prediabetes at the age of 41. LR's BMI is 29.3, and she wants to
shed weight.




What further intervention is recommended in addition to lifestyle coaching for
LR, according to the 2023 ADA Standards of Care?

Answer Options:


Begin using a GLP-1 RA Inhibitor to aid with weight loss.

Begin metformin treatment.

Start taking pioglitazone (Actos) at a low dose.

Consider adding an SGLT-2i to decrease hyperglycemia and safeguard renal
function. - ANSWER: Begin metformin therapy.


Consider Metformin Therapy:


People with a history of GDM

Individuals aged 25-59 having a BMI of 35+, an A1c of <6.0%, or an FPG of
~110.


Question:


JR, 67, has type 1 diabetes and was released a few months ago after undergoing
a coronary artery bypass. JR is on insulin pump therapy and has a continuous
glucose monitor, and his most recent A1C was 6.7%. Their blood pressure was
129/78.

, Other recent laboratories include:

LDL cholesterol (67 mg/dL)

HDL: 54 mg/dL

Triglycerides: 172 mg/dL.

UACR 23 mg/g, GFR 61.


JR's meds include insulin, atorvastatin 80 mg, atenolol 50 mg, and aspirin. JR
has met with a dietitian and is attempting to eat healthier. They have shed five
pounds in the last few months.

Based on the 2023 ADA Standards of Care and JR's background, which of the
following is deemed best practice?


Answer Options:

Add an ACE or ARB.

Keep LDL cholesterol below 70 mg/dL.

Increase your fiber intake by 20%

Add ezetimibe (Zetia) or a PCSK9 inhibitor.

JR has ASCVD, which is demonstrated by the requirement for a coronary artery
bypass, therefore the LDL objective is fewer than 55 mg/dL. Since they are
currently taking the maximum dose of atorvastatin at 80mg, the ADA
Guidelines propose adding an additional drug, either ezetimibe (Zetia) or a
PCSK9 to further lower the LDL to reach a target of fewer than 55 mg/dL.

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