BC ADM Comprehensive Diabetes Assessment & Diagnosis 2

Question 1

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

Accepted Answer

Impaired fasting glucose (prediabetes)

Answer

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

Question 2

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

Accepted Answer

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

Answer

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

Question 3

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

Accepted Answer

Impaired glucose tolerance (prediabetes)

Answer

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

Question 4

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

Accepted Answer

Resting tachycardia (HR >100 bpm) with orthostatic hypotension

Answer

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

Question 5

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

Accepted Answer

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

Answer

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

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Comprehensive Diabetes Assessment & Diagnosis 2