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Exam (elaborations)

CDCES Exam Questions and Answers 2024/2025

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Which medication classes place asymptomatic people at increased risk of developing hyperglycemia?  atypical antipsychotics & glucocorticoids A person living with diabetes newly diagnosed with type 2 is started on metformin. Metformin should be titrated to minimize which side effect?  G...

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  • October 10, 2024
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2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

CDCES Exam


CDCES Exam Questions and Answers
2024/2025
Which medication classes place asymptomatic people at increased risk of developing

hyperglycemia?


 atypical antipsychotics & glucocorticoids


A person living with diabetes newly diagnosed with type 2 is started on metformin. Metformin

should be titrated to minimize which side effect?

 GI side effects


A person living with diabetes is currently taking metformin, glyburide, and an evening basal

dose of insulin. After discussing how best to achieve better glycemic control he has agreed to

add a pre meal insulin dose. Which modification should be made with the addition of the

prandial dose?

 discontinue glyburide


According to the AACE guidelines for pharmacologic management of Type 2 diabetes, when

should insulin therapy be initiated?


 for person living with diabetes with A1c of 9% and hyperglycemia symptoms


According to ADA standards of care, if the person living with diabetes is on the maximum dose

of Metformin with a history of CV disease and their A1c is not in target, which of the following

medications would be added next?




1|Page| GradeA+ | 2 0 0 2 5

, 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

 Victoza


LR has type 2 diabetes, BMI of 29.1, takes metformin 1000 mg and 20 units of glargine at

home daily. A1c of 8.2%. LR is admitted to the hospital for an urgent coronary artery bypass

surgery. Which of the following is an accurate statement?

 LR may need up to double his usual insulin home dose post op day 1 and 2


MJ takes 25 units of glargine at HS. She also takes lispro 5 units at each meal. Her A1c is

6.3%. Due to new insurance coverage she can't afford the insulin copay anymore. Her

provider agrees to switch her to 70/30 (NPH/Regular Insulin) twice daily. What would be her

new dose of 70/30 BID?

 20 units am and 12 units before dinner


Which of the following insulins can you mix with dedgludec (Tresiba)?

 None


LT is 43 with new type 2 diabetes and smokes a pack of cigarettes daily. He is on metformin

(glucophage) 2500 mg daily. In spite of attending a DSMES program and making lifestyle

changes, LT's A1C is 8.4%, GFR is greater than 60. According to the ADA Type 2

management guidelines, which of the following would be the preferred action?

 Start LT on empaglifozin (Jardiance)


LS states that she is drinking 3 beers at night after dinner. She is on glargine (Lantus) 30 units

at HS and 10 units lispro (Humalog) at each meal. Her GFR is 57 and her LDL is 93. What is

your biggest concern?




1|Page| GradeA+ | 2 0 0 2 5

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