CDCES Exam
CDCES Exam Questions and Answers
2024/2025
Greatest post-op concern for patients with diabetes whos BG is higher than 200?
Impaired wound healing
What percentage of all pregnancies are complicated by gestational diabetes?
1-14%
Gestational diabetes places a woman at increased risk of developing what type of diabetes
later in life?
T2D
3 Major components of culturally competent care
Patient concerns, Health beliefs/perspectives, mutually acceptable treatment plan
The ACCORD trial found no additional benefit to blood pressure outcomes via adding which
drug?
fenofibrate
Which health outcome was different in the intensive control group in the ACCORD trial?
Total and nonfatal stroke were lower in the intensive group
Aspirin therapy with _______ to ______ daily should be considered for patients with T1/T2
Diabetes at increased risk of CVD
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75-162mg
What puts a patient at increased risk for CVD?
Calculated 10 year risk >10%
or
>50 years old with at least one major risk factor
(family history of premature atherosclerotic cardiovascular disease, hypertension, smoking,
dyslipidemia, or albuminuria >30
Blood pressure goal for pregnant woman with chronic hypertension/diabetes?
120--105
Which GLP-1 agonists are dosed once weekly?
Dulaglutide (trulicity), Semaglutide (ozempic), Exenatide (byetta)
Which GLP-1 agonist is dosed once daily?
Liraglutide (victoza)
Diabetic foot ulcers are caused by
Frequent minor pressure through ADL's like walking
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What other disease is often associated with Diabetes?
Cystic Fibrosis (diabetes is the most common comorbidity for CF'ers - 20% adolescents,
40-50% adults)
What common procedure opens blocked coronary artery vessels to improve blood flow to
heart?
PTCA (percutaneous transluminal coronary angioplasty)
What common procedure uses grafting to improve blood flow to heart?
CABG (Coronary artery Bypass surgery)
Aspects of the empowerment perspective
Providing skills training
Giving ongoing support and encouragement
Understanding and starting from the patients perspective
Limitations of A1C
- Provides no info about intra-day glucose excursions, glycemic variability or time in
range
- Unreliable in the presence of anemia, iron deficiency and pregnancy
For what populations are CGMs not approved for?
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