BC ADM Safety & Risk Management 5

Question 1

Which intervention has the STRONGEST evidence for reducing the risk of cardiovascular events in a patient with type 2 diabetes and established atherosclerotic cardiovascular disease?

Accepted Answer

Adding an SGLT2 inhibitor or GLP-1 receptor agonist with proven cardiovascular benefit

Answer

Guidelines prioritize SGLT2 inhibitors and GLP-1 receptor agonists with demonstrated MACE reduction as second-line agents in patients with established ASCVD.

Question 2

A patient with type 1 diabetes is preparing for vigorous aerobic exercise lasting 60 minutes. Which strategy BEST reduces the risk of exercise-induced hypoglycemia?

Accepted Answer

Reduce the pre-exercise bolus insulin by 25–50% and consume 15–30g of carbohydrates if glucose is < 126 mg/dL

Answer

Aerobic exercise increases insulin sensitivity and muscle glucose uptake, necessitating pre-exercise bolus reduction and carbohydrate supplementation when starting glucose is low.

Question 3

A patient using a flash glucose monitor reports frequent alarms for hypoglycemia overnight but denies symptoms. What is the MOST important safety step?

Accepted Answer

Confirm overnight hypoglycemia with fingerstick checks and evaluate insulin regimen for adjustment

Answer

Asymptomatic overnight hypoglycemia confirmed by fingerstick indicates a true safety risk requiring insulin dose adjustment, not alarm suppression.

Question 4

Which of the following best describes the 'Rule of 15' for treating mild-to-moderate hypoglycemia?

Accepted Answer

Consume 15g of fast-acting carbohydrates, wait 15 minutes, recheck glucose, and repeat if still < 70 mg/dL

Answer

The Rule of 15 recommends 15g of fast-acting carbohydrate, a 15-minute wait, and rechecking glucose to guide retreatment.

Question 5

What is the PRIMARY reason to avoid tight glycemic control (HbA1c < 6.5%) in elderly patients with multiple comorbidities?

Accepted Answer

Increased risk of severe hypoglycemia, falls, and cardiovascular events outweighs benefits in this population

Answer

The ACCORD trial and geriatric guidelines establish that tight control increases hypoglycemia risk, which in the elderly leads to falls, fractures, arrhythmias, and death.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Safety & Risk Management 5