Practice Test Geeks(BC ADM) Advanced Diabetes Management Certification Practice Test
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Pediatric Diabetes 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 Pediatric Diabetes flashcards as text

  1. A 10-year-old with type 1 diabetes has an A1C of 9.8%. The most likely contributing factor is:

    Answer: Suboptimal adherence to insulin regimen

    Suboptimal adherence to the insulin regimen is the most common reason for elevated A1C in school-age children with T1D.

  2. Which insulin-to-carbohydrate ratio adjustment is most appropriate for a pubertal adolescent with type 1 diabetes experiencing consistent postprandial hyperglycemia?

    Answer: Decrease the ratio (fewer carbs per unit)

    Decreasing the ICR (fewer grams of carbohydrate covered per unit of insulin) delivers more insulin per meal, correcting postprandial hyperglycemia.

  3. A 7-year-old with newly diagnosed type 1 diabetes is being discharged. Which target blood glucose range is most appropriate for this age group per ADA guidelines?

    Answer: 80–180 mg/dL

    ADA recommends a pre-meal glucose target of 80–180 mg/dL for children under 13 years to balance control with hypoglycemia risk.

  4. During a school field trip, a child with type 1 diabetes using an insulin pump becomes hypoglycemic. The teacher reports the child is conscious but confused. The FIRST action should be:

    Answer: Give 15 grams of fast-acting carbohydrate orally

    A conscious child who can swallow should receive 15 g of fast-acting carbohydrate as the first-line treatment for mild-to-moderate hypoglycemia.

  5. A 14-year-old female with type 1 diabetes reports intentionally skipping insulin doses to lose weight. This behavior is best described as:

    Answer: Diabulimia

    Diabulimia refers to the deliberate restriction of insulin by individuals with type 1 diabetes to induce glycosuria and promote weight loss.

  6. Which clinical finding most strongly suggests Maturity-Onset Diabetes of the Young (MODY) rather than type 1 diabetes in a child?

    Answer: Strong family history across three generations with autosomal dominant pattern

    MODY follows an autosomal dominant inheritance pattern, making a multigenerational family history of diabetes a key distinguishing feature from T1D.

  7. A 9-year-old with type 1 diabetes has recurring nocturnal hypoglycemia. Which basal insulin adjustment is most appropriate?

    Answer: Reduce bedtime basal insulin dose

    Reducing the bedtime basal insulin dose is the primary intervention to prevent nocturnal hypoglycemia in pediatric patients.