CBDCE Exercise and Physical Activity 2

Question 1

Which of the following is a contraindication to exercise in a person with diabetes?

Accepted Answer

Uncontrolled proliferative retinopathy

Answer

Stable background retinopathy

Answer

Well-controlled hypertension

Answer

Stable mild peripheral neuropathy

Question 2

A diabetes educator is counseling a patient on exercise and insulin adjustment. Which general strategy is appropriate for preventing exercise-induced hypoglycemia with planned aerobic exercise?

Accepted Answer

Reduce the insulin dose acting during exercise and/or increase carbohydrate intake

Answer

Double the insulin dose before exercise

Answer

Administer insulin immediately post-exercise

Answer

Avoid all insulin on exercise days

Question 3

What is the recommended maximum number of consecutive days without exercise for adults with type 2 diabetes, per ADA guidelines?

Accepted Answer

2 days

Answer

1 day

Answer

3 days

Answer

5 days

Question 4

High-intensity interval training (HIIT) in type 2 diabetes is associated with which acute glycemic response during early recovery?

Accepted Answer

Transient hyperglycemia followed by later hypoglycemia

Answer

Immediate sustained hypoglycemia

Answer

No change in blood glucose

Answer

Permanent normoglycemia

Question 5

For a sedentary patient with type 2 diabetes and obesity, which initial exercise approach is most appropriate when designing a program?

Accepted Answer

Start with short bouts of low-to-moderate activity and gradually increase

Answer

Begin with 60-minute vigorous sessions five days per week

Answer

Recommend competitive sports immediately for motivation

Answer

Restrict all exercise until A1C is below 7%

Question 6

Which laboratory value should be obtained before a person with diabetes begins a vigorous exercise program to evaluate cardiovascular risk?

Accepted Answer

Exercise stress test if indicated by risk assessment

Answer

Serum creatinine only

Answer

Thyroid-stimulating hormone

Answer

Complete metabolic panel only

Question 7

Breaking up prolonged sitting with brief activity bouts every 20–30 minutes in people with type 2 diabetes is recommended because it:

Accepted Answer

Attenuates postprandial glucose spikes and reduces insulin resistance

Answer

Replaces the need for structured exercise sessions

Answer

Lowers fasting glucose more than aerobic exercise

Answer

Is only beneficial for patients on insulin