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CDCES EXAM QUESTIONS AND REVISED ANSWERS ALL CORRECT

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CDCES EXAM QUESTIONS AND REVISED ANSWERS ALL CORRECT What is the only medication that is FDA approved for children with T2D? - Answer- Metformin What simple dietary intervention has been shown in the literature to prevent T2D? - Answer- Reducing fat intake What medication should be avoided ...

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  • November 9, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • CDCES
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CDCES EXAM QUESTIONS AND
REVISED ANSWERS ALL
CORRECT

What is the only medication that is FDA approved for children with T2D? - Answer-
Metformin

What simple dietary intervention has been shown in the literature to prevent T2D? -
Answer- Reducing fat intake

What medication should be avoided in a patient with a history of severe angioedema
with enalapril requiring hospitalization - Answer- ACE inhibitors and ARBS can cause
angioedema.

Lipophilic statins can sometimes cause stain Myositis (which is inhibition of cholesterol
synthesis within muscle cells, causing them to not be able to repair damaged cell walls)
, what type of statin therapy should be utilized in patients with statin myositis? - Answer-
Hydrophilic compounds - rosuvastatin or pravastatin

Patients with evevated fasting TG levels less than 500mg/dl should do what before
adding medical/drug therapy? - Answer- Optimize glycemic control

Cognitive impairment occurs at blood glucose levels less than ________ - Answer- 60
mg/dl

On average, a child/adolescent would be expected to adjust his or her own insulin dose,
to anticipate and prevent hypoglycemia, and alter their food intake in relation to blood
glucose level by what age? - Answer- 14-16

Effects of endogenous glp 1 - Answer- Centrally mediates satiety

Decreases postprandial glucagon secretion

Enhances insulin secretion (glucose dependant)

Decreases gastrointestinal motility

, What two tactics are helpful when creating educational materials for low health literacy
patients? - Answer- Use an active voice and short simple sentences using common
words

give examples & tell stories to explain difficult concepts

Serum creatinine levels to determine appropriateness of metformin therapy - Answer-
<1.4 mg/dl WOMEN
<1.5 mg/dl MEN

In patients with a GFR of 30-45 mL/min, what should the metformin dose be limited to? -
Answer- Below 1g

Metformin should be discontinued in patients with GFR <30

When patients with PN improve glycemic control, what tends to happen short term and
long term? - Answer- Increased discomfort temporarily, but improved long term
prognosis

Patients failing oral therapy with an A1C >11 or with catabolic symptoms should be
started on..... - Answer- Intermediate or long acting insulin products such as NPH,
glargine, detemir or degludec

Explain the compliance perspective of behavior change - Answer- Assumes the
healthcare professional is responsible for treatment, Dx and outcome of diabetes care

Assumes compliance with the healthcare professionals prescribed treatment regimen is
the key to diabetes control

A traditional medical view between relationship between health professionals and
patients

Explain the rule of 1800 - Answer- Estimates the amount 1 unit of insulin will lower BG
level

1800/TDD = ISF

What classes of medications have been shown to lower A1C by up to 2% - Answer-
biguanides and sulfonylureas

For whom are lower blood pressure targets approprite for? - Answer- Younger patients
with longer disease duration

Those with albuminuria suggesting presence of kidney damage

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