Review Guide For The Certified Diabetes Educator Exam - 4th Edition 2023 Questions and Answers with complete solution
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The Certified Diabetes Educator
Review Guide For The Certified Diabetes Educator Exam - 4th Edition 2023 Questions and Answers with complete solution
1. A diabetes educator is consulted to provide discharge education for an 18-year-old patient diagnosed with type 1 diabetes. Upon entering the hospital room, the educator finds ...
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Review Guide For The Certified Diabetes Educator Exam -
4th Edition 2023 Questions and Answers with complete
solution
1. A diabetes educator is consulted to provide discharge education for an 18-
year-old patient diagnosed with type 1 diabetes. Upon entering the hospital room,
the educator finds the patient quietly sobbing. The patient states that she is sad
and anxious about her new diagnosis. Before the patient leaves for home today,
which of the following should the educator review with the patient?
A. Signs and symptoms of hypoglycemia and appropriate treatment
B. Epidemiology of diabetes and the incidence of depression
C. Incidence of birth defects associated with hyperglycemia
D. Lifestyle modifications and carbohydrate counting
A. Signs and symptoms of hypoglycemia and appropriate treatment
2. A 22-year-old patient with type 1 diabetes comes to the diabetes educator for
additional educa- tion prior to starting on an insulin pump. During the visit, his
cellular telephone rings, indicat- ing text message. Later, when trying to schedule
a follow-up visit, the patient lays several other electronic devices on the counter
while looking for his personal digital assistant (PDA). Which of the following is
the best way to tailor future educational interventions with this patient?
A. Schedule education sessions in the morning to avoid text message
interruptions
B. Offer online education for the patient to practice carbohydrate counting
C. Politely ask the patient to leave his cell phone at home
D. Enroll the patient in a group education class of patients with type 1 diabetes
B. Offer online education for the patient to practice carbohydrate counting
3. While covering the clinic for a sick colleague, a diabetes educator meets with a
56-year-old man who owns his own construction business. Despite the patient's
apparent business success, his chart indicates that the he is illiterate. Which of
the following is TRUE about literacy?
A. All patients will volunteer that they cannot read
B. Most illiterate patients are poor, immigrants, or minorities
C. Years of schooling is a good measure of literacy level
D. Most adults who are illiterate successfully hide their literacy deficit
D. Most adults who are illiterate successfully hide their literacy deficit
4. A 45-year-old truck driver who takes metformin and glyburide reports that he
has tried to lose weight but nothing seems to work. Which of the following is the
best follow-up question to address this patient's weight loss concerns?
A. Do you carry glucose tablets with you to correct hypoglycemia?
B. Did you know that weight gain can be a side effect of taking metformin?
C. What types of foods do you eat when you are driving?
D. How often do check your blood glucose?
C. What types of foods do you eat when you are driving?
5. A 67-year-old man presents for evaluation of his glycemic control on glyburide
therapy. He has not seen his primary care physician in more than a year. Which of
, the following diabetes- specific assessments should be performed today?
A. Dilated eye exam
B. Tuberculin skin test
C. Lower extremity exam
D. Gastric emptying test
C. Lower extremity exam
6. A body mass index within the normal weight category is
A. less than 18.5.
B. 18.5-24.9.
C. 25-29.9.
D. greater than 30.
B. 18.5-24.9.
7. An intense fear of becoming fat even though underweight is characteristic of
which of the fol- lowing eating disorders?
A. Anorexia nervosa
B. Bulimia nervosa
C. Binge-eating disorder
D. Purging
A. Anorexia nervosa
8. Which of the following signs and symptoms suggests a diagnosis of
hyperosmolar hyperglycemic state (HHS) versus diabetic ketoacidosis (DKA)?
A. Hyperglycemia
B. Dehydration
C. Absence of ketosis
D. Neurologic changes
C. Absence of ketosis
9. Which of the following is an interfering factor that may affect the accuracy of
A1C levels?
A. Low doses of aspirin (81 mg)
B. Sickle-cell hemoglobin
C. High white blood cell count
D. Oral contraceptives recently
B. Sickle-cell hemoglobin
10. GT was recently diagnosed with type 2 diabetes. Two weeks ago his primary
care physician (PCP) placed him on a thiazolidinedione (TZD) despite strict
adherence to a recommended diet and exercise prescription. The patient is
discouraged because his self-monitored blood glucose levels remain elevated.
Which of the following is the best plan for this patient?
A. Review and intensify his exercise program
B. Remind him that it can take up to 12 weeks to see an effect with a TZD
C. Refer him back to the PCP for addition of another oral agent
D. Further reduce calories in the patient's meal plan
B. Remind him that can take up to 12 weeks to see an effect with a TZD
11. A 51-year-old nurse with type 1 diabetes comes for education after her
physician added pram- lintide to her regimen. She reports improved blood
glucose, but complains of occasional nausea about 30 minutes after injecting the
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