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CDCES Exam 2024 Questions and Answers with Solutions
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CDCES Exam 2024 Questions and Answers with Solutions
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CDCES Exam 2023how much of a plum would be 15 grams of carbs - ANS1 plum
Medicare DPP FBG Criteria - ANS110-125
CDC DPP FBG Criteria - ANS100-125
Which DPP program will NOT accept self reported blood sugars? - ANSMedicare DPP
Which DPP program will NOT accept patients with a history of ESRD or GDM? - ANSMedicare
DPP
Which DPP program will NOT accept patients if they are currently pregnant? - ANSCDC DPP
Which medication can mask hypoglycemia symptoms? - ANSBeta Blockers
Simvastatin plus which medication can increase risk of myalgias? - ANSGemfibrozil
What are the 8 risk factors for OSA? - ANS1. 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? -
ANS1,5 AG
Which lab value will be inaccurate in advanced kidney or liver disease? - ANS1,5 AG
In patients with diabetes, who would qualify for ASA for primary prevention? - ANSage 50+ with
1+ additional risk factor
A1C goal in 2nd trimester - ANS<6%
For an emergency kit you should have: - ANS2 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? - ANSNPH
,Low carb meal, increased activity, etoh, delayed/missed meals, insulin timing, too much meds
are all causes of: - ANShypoglycemia
What are some ways to treat hypoglycemia? - ANS4-8 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? - ANSGlucagon
Glucagon can be given via ___ - ANSSC or IM injection
Bolus insulin would lower - ANSPost prandial sugars
Basal insulin would lower - ANSFBG and in between meals
Name 2 types of bolus insulins - ANSRapid LAG (lispro, aspart, glulisine)
Short (regular)
Name 2 types of basal insulins - ANSIntermediate (NPH)
Long "DDG" (degludec, detemir, glargine)
How to calculate estimated glucose? - ANSA1C 5 correlates to eGlucose of 97. For each
additional A1C add +29.
What happens in Phase I (Fed State)? - ANS1. exogenous glucose is main source of glucose
2. increase insulin, decrease in glucagon
3. insulin prevents glycogen breakdown
4. all tissues use glucose
5. excess glucose is stored as glycogen and TG
What happens in Phase II (post absorptive state)? - ANS1. 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)? - ANS1. 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)? - ANS1. 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)? - ANS1. renal + hepatic
gluconeogenesis
2. brain: uses ketones > glucose
3. glucose: used by brain, RBC, renal medulla
Phase I (Fed State) Timeline - ANS0-4 hours post meal
Phase II (post absorptive state) Timeline - ANS4-16 hours post meal
Phase III (early starvation state) timeline - ANS16-48 hours post meal
Phase IV (preliminary prolonged starvation) Timeline - ANS2-24 days
Phase V (secondary prolonged starvation) timeline - ANS24-40 days
Health and social conditions increase burden or disease on a community - ANSSyndemic
#new cases/specific timeframe (Measures risk of people developing diabetes) - ANSIncidence
#people who already have diabetes - ANSPrevalence
focuses on clinical practice that integrates knowledge - ANSClinical management and
Integration
focuses on communication that is essential to optimize quality of care - ANSCommunication and
advocacy
identify ways to increase behavioral change, QOL, self management across lifespan -
ANSperson centered care and education across lifespan
identify research and quality improvement competencies essential to guide research and QI
activities - ANSresearch quality and improvement
, systematic review of process and outcome data - ANSquality improvement
example: let's try to increase # of GDM patients in our program by 10% - ANSquality
improvement
apply business principles, population health, systems practice to impact outcome of systems,
providers, populations - ANSsystems wide practice
address competencies related to lifelong learning and professionalism - ANSprofessional
practice
Help patients gain SKILLS, KNOWLEDGE, and BEHAVIORS to self manage their diabetes -
ANSGoals of DSMES
When to refer to DSMES - ANS1. at diagnosis
2. annually
3. complicating factors (SDOH change)
4. life transition (new job/insurance/doctor)
Steps of DSMES program - ANS"AGPIE"
Assessment
Goal Setting
Planning
Implementation
Evaluation
Which step of the DSMES program is the most important? - ANSAssessment
Which step of the DSMES program consists of collecting/interpreting info, building rapport, and
setting the foundation? - ANSAssessment
Which step of the DSMES program consists of reviewing the patient's base knowledge/fears
and assessing for health/language literacy? - ANSAssessment
Goals of this DSMES step is to reveal challenges, person centered, elicit participation/honesty,
involve family/friends, identify SDOH, honor culture, and UNCOVER urgent priorities -
ANSAssessment
4 types of questions to ask during the ASSESSMENT? - ANS1. direct
2. plan review
3. specific examples
4. hypothetical examples
"What do you want to know" is an example of a - ANSDirect Question
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