BC ADM Safety & Risk Management 3

Question 1

A patient with type 1 diabetes reports frequent hypoglycemia unawareness. Which strategy is MOST appropriate to restore hypoglycemia awareness?

Accepted Answer

Increase the target HbA1c to allow higher glucose levels for several weeks

Answer

Hypoglycemia unawareness can be reversed by short-term avoidance of hypoglycemia, which resets the glycemic threshold for counter-regulatory responses.

Question 2

Which of the following is the MOST significant risk factor for severe hypoglycemia in patients with long-standing type 1 diabetes?

Accepted Answer

Impaired awareness of hypoglycemia (IAH)

Answer

Impaired awareness of hypoglycemia substantially increases the risk of severe hypoglycemia because patients cannot recognize and treat early warning signs.

Question 3

A patient on insulin therapy is scheduled for a colonoscopy requiring bowel prep. What is the BEST recommendation for insulin management during the prep day?

Accepted Answer

Reduce basal insulin by 20–30% and monitor glucose frequently

Answer

Reduced caloric intake during bowel prep necessitates a modest basal insulin reduction and frequent glucose monitoring to prevent hypoglycemia.

Question 4

Which glucose level threshold is generally used to define clinically significant hypoglycemia requiring intervention according to ADA standards?

Accepted Answer

< 54 mg/dL (3.0 mmol/L)

Answer

ADA Level 2 hypoglycemia is defined as glucose < 54 mg/dL and requires immediate treatment regardless of symptoms.

Question 5

A patient with type 2 diabetes and CKD stage 4 is on metformin. What is the MOST appropriate safety action?

Accepted Answer

Discontinue metformin due to risk of lactic acidosis

Answer

Metformin is contraindicated when eGFR falls below 30 mL/min/1.73 m² (CKD stage 4) due to the risk of lactic acidosis.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Safety & Risk Management 3