BC ADM Safety & Risk Management 4

Question 1

A patient with type 2 diabetes and heart failure is being considered for an SGLT2 inhibitor. Which safety concern requires evaluation BEFORE initiating therapy?

Accepted Answer

eGFR below 20 mL/min/1.73 m², which may limit efficacy and safety

Answer

SGLT2 inhibitors lose glycemic efficacy at very low eGFR and carry risks of volume depletion and genitourinary infections that must be weighed against cardiovascular benefits.

Question 2

Which patient scenario represents the HIGHEST risk for glucagon kit failure in an emergency?

Accepted Answer

The patient's glucagon kit has expired and caregivers have not received training

Answer

An expired kit combined with untrained caregivers represents a compounding safety failure that could result in a fatal hypoglycemic event.

Question 3

When counseling a patient with diabetes about sick-day management, which instruction is MOST important regarding insulin?

Accepted Answer

Never stop taking insulin even if not eating, as illness raises glucose and increases insulin demand

Answer

Counter-regulatory hormones released during illness increase glucose and can precipitate DKA, so insulin should never be withheld even when oral intake is reduced.

Question 4

A patient reports driving long distances and using CGM for glucose monitoring. What safety recommendation is MOST appropriate?

Accepted Answer

Confirm glucose ≥ 90 mg/dL with a fingerstick before driving and every 2 hours on long trips

Answer

CGM can have calibration lag, so fingerstick confirmation before driving is recommended; glucose should be above 90 mg/dL to provide a safety buffer.

Question 5

Which complication is MOST associated with prolonged undetected hyperglycemia in a patient using an insulin pump?

Accepted Answer

Diabetic ketoacidosis due to subcutaneous infusion set occlusion

Answer

Pump users receive only rapid-acting insulin; an occlusion eliminates all insulin delivery and rapidly leads to DKA within hours.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Safety & Risk Management 4