BC ADM Cardiometabolic Conditions & Comorbidity Management

Question 1

A 58-year-old patient with type 2 diabetes has blood pressure readings of 142/88 mmHg at two separate clinic visits.
According to ADA Standards of Medical Care, what is the recommended blood pressure target for most patients with diabetes and hypertension?

Accepted Answer

Less than 130/80 mmHg

Answer

Less than 140/90 mmHg

Answer

Less than 120/70 mmHg

Answer

Less than 150/90 mmHg

Question 2

Which antihypertensive medication class is considered first-line for a patient with type 2 diabetes, hypertension, and persistent albuminuria (urine albumin-to-creatinine ratio >300 mg/g)?

Accepted Answer

ACE inhibitors or ARBs

Answer

Thiazide diuretics

Answer

Beta-blockers

Answer

Calcium channel blockers

Question 3

A patient with type 2 diabetes and established atherosclerotic cardiovascular disease (ASCVD) is being evaluated for statin therapy. What is the recommended LDL-C goal or reduction target according to current ADA guidelines?

Accepted Answer

Reduce LDL-C by at least 50% or achieve LDL-C below 70 mg/dL

Answer

Reduce LDL-C by at least 30%

Answer

Achieve LDL-C below 100 mg/dL

Answer

Achieve LDL-C below 55 mg/dL regardless of baseline

Question 4

A patient with type 2 diabetes and heart failure with reduced ejection fraction (HFrEF, EF 35%) needs improved glycemic control. Which medication class is recommended by both ADA and cardiology guidelines for dual benefit in glycemic control and heart failure outcomes?

Accepted Answer

SGLT2 inhibitors

Answer

GLP-1 receptor agonists

Answer

Sulfonylureas

Answer

DPP-4 inhibitors

Question 5

A patient with type 2 diabetes presents with a fasting triglyceride level of 540 mg/dL. Before initiating statin therapy for cardiovascular risk reduction, what is the primary treatment priority?

Accepted Answer

Lower triglycerides first to reduce the risk of acute pancreatitis

Answer

Initiate high-intensity statin therapy immediately to reduce ASCVD risk

Answer

Refer to endocrinology before any treatment

Answer

Start a fibrate and a statin simultaneously

Question 6

According to ADA Standards, which of the following patients with type 2 diabetes should be considered for aspirin therapy (75–162 mg/day) for primary prevention of cardiovascular disease?

Accepted Answer

Patients with type 2 diabetes at high cardiovascular risk (10-year CVD risk >10%) who are not at increased bleeding risk

Answer

All patients with type 2 diabetes over age 40

Answer

Patients with type 2 diabetes who have had an A1C above 8% for more than 2 years

Answer

Patients with type 2 diabetes and microalbuminuria regardless of CVD risk