BC ADM Complications Management 5

Question 1

Which intervention is most effective at preventing amputation in a diabetic patient with a Wagner Grade 3 foot infection?

Accepted Answer

Urgent surgical debridement, IV antibiotics, and vascular assessment

Answer

Wagner Grade 3 involves deep abscess or osteomyelitis requiring urgent surgical debridement, broad-spectrum IV antibiotics, and limb perfusion assessment.

Question 2

A patient with diabetic CKD Stage 3b has hyperkalemia on an ACE inhibitor. Which newer agent can provide renoprotection while having a lower hyperkalemia risk than traditional MRAs?

Accepted Answer

Finerenone

Answer

Finerenone's high selectivity and rapid tissue distribution reduce aldosterone-driven inflammation with a lower hyperkalemia risk than spironolactone or eplerenone.

Question 3

A T1DM patient reports nausea, early satiety, and postprandial hypoglycemia. Which diagnostic finding confirms the suspected complication?

Accepted Answer

>10% gastric retention of radiolabeled meal at 4 hours on scintigraphy

Answer

Greater than 10% retention at 4 hours on 4-hour solid-phase gastric emptying scintigraphy confirms gastroparesis causing erratic glucose absorption.

Question 4

Which statement accurately describes the relationship between HbA1c reduction and microvascular complication prevention based on the DCCT and UKPDS trials?

Accepted Answer

Each 1% reduction in HbA1c reduces microvascular complication risk by approximately 25-35%

Answer

DCCT (T1DM) and UKPDS (T2DM) demonstrated that each 1% HbA1c reduction yields approximately 25-35% reduction in microvascular complication risk.

Question 5

A patient with diabetic macular edema and center involvement who is visually impaired should receive which primary treatment?

Accepted Answer

Intravitreal anti-VEGF injections

Answer

Anti-VEGF intravitreal injections are the standard of care for center-involved DME, showing superior visual outcomes compared to laser monotherapy.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Complications Management 5