Practice Test Geeks(BC ADM) Advanced Diabetes Management Certification Practice Test
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Complications Management Flashcards

7 cards from real BC ADM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Complications Management flashcards as text

  1. A diabetic patient develops a foot ulcer with exposed tendon but no bone involvement. What is the Wagner classification grade?

    Answer: Grade 2

    Wagner Grade 2 involves a deep ulcer penetrating to tendon, capsule, or bone without osteomyelitis or abscess.

  2. Which cardiac condition is most strongly associated with diabetic autonomic neuropathy that increases mortality risk?

    Answer: Prolonged QT interval

    Prolonged QT interval from cardiac autonomic neuropathy predisposes to fatal ventricular arrhythmias and sudden cardiac death.

  3. When screening for diabetic retinopathy in a patient newly diagnosed with T2DM, how soon should the first dilated eye exam occur?

    Answer: At the time of diagnosis

    T2DM patients should have a dilated fundus exam at diagnosis because retinopathy may already be present due to prolonged undetected hyperglycemia.

  4. A patient with T1DM develops microalbuminuria. ACE inhibitor therapy is initiated. What is the primary mechanism of renoprotection?

    Answer: Reduction in efferent arteriolar tone lowering intraglomerular pressure

    ACE inhibitors preferentially dilate the efferent arteriole, reducing intraglomerular hypertension which drives glomerular injury.

  5. Which clinical feature best distinguishes peripheral arterial disease from diabetic peripheral neuropathy in a patient with foot pain?

    Answer: Pain relieved by dependent positioning (hanging leg down)

    Ischemic rest pain from PAD is relieved by dependency as gravity improves perfusion, unlike neuropathic pain which is positional-independent.

  6. NPDR progresses to PDR when which hallmark finding appears on fundoscopy?

    Answer: Neovascularization of the disc or elsewhere

    New vessel formation (neovascularization) marks the transition to proliferative diabetic retinopathy and risk of vitreous hemorrhage.

  7. A patient with CKD Stage 4 and diabetes requires pain management for neuropathy. Which agent requires the most caution due to renal accumulation of active metabolites?

    Answer: Gabapentin

    Gabapentin and pregabalin are renally cleared and accumulate in CKD, requiring significant dose reduction to avoid sedation and toxicity.