Practice Test Geeks(BC ADM) Advanced Diabetes Management Certification Practice Test
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Comprehensive Diabetes Assessment & Diagnosis 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 Comprehensive Diabetes Assessment & Diagnosis flashcards as text

  1. A 58-year-old patient presents with fasting plasma glucose of 118 mg/dL on two separate occasions. How should this be classified?

    Answer: Impaired fasting glucose (prediabetes)

    Fasting plasma glucose between 100–125 mg/dL on two separate occasions is classified as impaired fasting glucose, a prediabetic state.

  2. Which test is considered the gold standard for diagnosing type 1 diabetes autoimmunity?

    Answer: Islet autoantibody panel (GAD65, IA-2, ZnT8)

    Islet autoantibody testing (GAD65, IA-2, ZnT8, insulin autoantibodies) identifies autoimmune destruction of beta cells, confirming type 1 diabetes etiology.

  3. A patient's 2-hour oral glucose tolerance test result is 195 mg/dL. What does this indicate?

    Answer: Impaired glucose tolerance (prediabetes)

    A 2-hour OGTT value of 140–199 mg/dL indicates impaired glucose tolerance, a prediabetic condition with elevated cardiovascular risk.

  4. Which finding on physical examination is most specific for autonomic neuropathy in a person with long-standing diabetes?

    Answer: Resting tachycardia (HR >100 bpm) with orthostatic hypotension

    Resting tachycardia combined with orthostatic hypotension reflects cardiovascular autonomic neuropathy from vagal and sympathetic denervation.

  5. When screening for chronic kidney disease in a patient with type 2 diabetes, which combination provides the most complete assessment?

    Answer: Urine albumin-to-creatinine ratio (UACR) plus estimated GFR (eGFR)

    UACR detects early albuminuria while eGFR quantifies filtration capacity; together they stage diabetic kidney disease and guide treatment.

  6. A patient newly diagnosed with diabetes has an HbA1c of 10.8%. C-peptide is undetectable. Which diagnosis is most likely?

    Answer: Type 1 diabetes

    Undetectable C-peptide indicates near-total beta-cell loss, consistent with autoimmune type 1 diabetes regardless of age at presentation.

  7. According to ADA standards, how frequently should a dilated eye exam be performed in a patient with type 1 diabetes who has had no retinopathy for the past 2 years?

    Answer: Every 1–2 years

    ADA guidelines allow extending the interval to every 1–2 years after one or more normal dilated eye exams in patients with well-controlled type 1 diabetes.