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NEW CDCES EXAM QUESTIONS WITH ANSWERS
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NEW 2024-2025 CDCES EXAM QUESTIONSWITH ANSWERS
Which pharmaceutical classes put asymptomatic patients at higher risk of
developing hyperglycemia? - Answer: atypical antipsychotics and
glucocorticoids.
Metformin is prescribed to a diabetic who has been newly diagnosed with type
2. Metformin should be titrated to reduce this side effect? - Answer: GI side
effects
A diabetic is currently taking metformin, glyburide, and an evening basal
dosage of insulin. After discussing ways to improve glycemic control, he
consented to add a pre-meal insulin dose. What changes should be made with
the addition of the prandial dose? - ANSWER stop glyburide.
When should insulin therapy begin, according to the AACE guidelines for
pharmacologic management of Type 2 diabetes? - ANSWER for a diabetic with
an A1c of 9% and hyperglycemic symptoms
According to ADA standards of treatment, if a diabetic is taking the highest
dose of Metformin and has a history of CV disease, and their A1c is not within
target, which of the following drugs should be added next? - ANSWER Victoza
LR has type 2 diabetes with a BMI of 29.1. He takes metformin 1000 mg and 20
units of glargine at home every day. A1c of 8.2%. LR is admitted to the hospital
for urgent coronary artery bypass surgery. Which of the following is an accurate
statement? - ANSWER LR may need up to double his usual insulin home dose
post-op days one and two.
MJ consumes 25 units of glargine at HS. She also takes 5 lispro units with each
meal. Her A1C is 6.3%. Because of her new health coverage, she can no longer
, afford the insulin payment. Her provider agrees to convert her to 70/30
(NPH/Regular Insulin) twice day. What is her new dose of 70/30 BID? -
ANSWER: 20 units in the morning and 12 before dinner.
Which of the following insulins can be used with degludec (Tresiba)? - The
answer is none.
LT is 43 years old and has newly diagnosed type 2 diabetes. He smokes one
pack of cigarettes every day. He takes metformin (glucophage) 2500 mg daily.
Despite attending a DSMES program and making lifestyle adjustments, LT has
an A1C of 8.4% and a GFR of more than 60. Which of the following actions
would be desirable under the ADA Type 2 management guidelines? -
ANSWER Begin long-term treatment with empagliflozin (Jardiance).
LS states that she drinks three beers after dinner. She is taking 30 units of
glargine (Lantus) at HS and 10 units of lispro (Humalog) with each meal. Her
GFR is 57, while her LDL is 93. What's your main concern? - ANSWER
Decreased glycogenolysis increases the risk of hypoglycemia.
JR says they can't figure out why their morning blood sugars are constantly
higher than 140. They'll say: "I don't eat after 7 pm and I always take metformin
500 mg before breakfast and dinner." What could explain this morning?
hyperglycemia - ANSWER They are having nocturnal glycogenolysis.
Which lab should be checked frequently for people who have begun on an
atypical antipsychotic? - ANSWER Blood glucose levels
beta-hydroxybutyrate - ANSWER blood lab to test for ketones to detect
ketoacidosis
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