BC ADM Lifestyle Management & Patient Education 2

Question 1

A patient with T2DM asks how resistance training affects insulin sensitivity. The MOST accurate response is that resistance training:

Accepted Answer

Increases glucose transporter GLUT-4 expression in skeletal muscle

Answer

Resistance training upregulates GLUT-4 expression in skeletal muscle, improving insulin-mediated glucose uptake independent of BMI.

Question 2

When counseling a patient with T1DM about alcohol consumption, which statement is MOST important to emphasize?

Accepted Answer

Alcohol can mask hypoglycemia symptoms and inhibit hepatic gluconeogenesis

Answer

Alcohol impairs hepatic gluconeogenesis and can blunt hypoglycemia awareness, increasing risk of prolonged hypoglycemia.

Question 3

A patient asks about the glycemic index (GI) of foods. Which guidance BEST reflects current evidence-based recommendations?

Accepted Answer

GI should be considered alongside total carbohydrate load (glycemic load) for practical guidance

Answer

Glycemic load, which accounts for both GI and portion size, provides more practical and accurate dietary guidance than GI alone.

Question 4

Which behavior change technique is MOST effective when helping a patient establish a regular physical activity routine?

Accepted Answer

Using implementation intentions (if-then planning) to link activity to existing habits

Answer

Implementation intentions ('if X situation, then I will do Y') have strong evidence for bridging the gap between intention and action in behavior change.

Question 5

A 58-year-old patient with T2DM and peripheral neuropathy wants to start exercising. Which exercise recommendation is MOST appropriate?

Accepted Answer

Swimming or cycling are preferred due to reduced plantar pressure

Answer

Non-weight-bearing or low-impact activities like swimming and cycling reduce plantar pressure risk in patients with peripheral neuropathy.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Lifestyle Management & Patient Education 2