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. Which screening test is recommended by the ADA for detecting peripheral arterial disease in patients with diabetes?

    Answer: Ankle-brachial index (ABI)

    The ABI (ratio of ankle systolic BP to brachial systolic BP) is a validated, non-invasive screening tool for PAD; values ≤0.9 indicate obstruction.

  2. A patient with type 2 diabetes and BMI of 42 kg/m² undergoes Roux-en-Y gastric bypass. Post-operatively, blood glucose normalizes without medication. What is the primary mechanism?

    Answer: Enhanced GLP-1 secretion and improved insulin sensitivity

    Bariatric surgery rapidly improves diabetes through increased GLP-1 secretion from the gut, altered bile acid signaling, and weight-independent improvements in insulin sensitivity.

  3. When diagnosing gestational diabetes using the one-step OGTT approach (IADPSG criteria), which value meets the threshold at the 2-hour mark?

    Answer: ≥153 mg/dL

    IADPSG one-step 75g OGTT thresholds are: fasting ≥92, 1-hour ≥180, and 2-hour ≥153 mg/dL; one abnormal value is sufficient for GDM diagnosis.

  4. A patient with type 1 diabetes uses a CGM. Time below range (TBR <70 mg/dL) is 6%. What is the recommended clinical target for TBR?

    Answer: < 4%

    International consensus recommends TBR <4% for time spent below 70 mg/dL in most adults with type 1 or type 2 diabetes on insulin therapy.

  5. Which complication of diabetes is most directly linked to the polyol pathway and sorbitol accumulation?

    Answer: Osmotic cataract formation in the lens

    Excess glucose enters the polyol pathway, accumulating sorbitol and fructose in the lens, which draws water in and causes osmotic cataracts.

  6. A diabetic patient has a UACR of 350 mg/g on two consecutive tests. What stage of albuminuria does this represent?

    Answer: A3 — severely increased (macroalbuminuria)

    UACR 300–3000 mg/g (formerly macroalbuminuria) is classified as A3 (severely increased albuminuria) per KDIGO CKD classification.

  7. Which scoring tool is validated for assessing hypoglycemia unawareness in clinical practice?

    Answer: Clarke Hypoglycemia Awareness Survey

    The Clarke Hypoglycemia Awareness Survey quantifies reduced awareness of hypoglycemia by assessing the frequency of symptomatic vs. asymptomatic low glucose episodes.