CDE Medication Management 3

Question 1

A patient is prescribed empagliflozin (Jardiance) and develops painful urination with white discharge. What is the most likely adverse effect?

Accepted Answer

Genital mycotic infection due to glucosuria

Answer

SGLT2 inhibitors increase urinary glucose excretion, creating an environment that promotes genital mycotic (yeast) infections, especially in women.

Question 2

Which insulin analogue has the longest duration of action among the following options?

Accepted Answer

Insulin glargine U-300 (Toujeo)

Answer

Insulin glargine U-300 (Toujeo) has the longest duration of action at up to 36 hours, longer than standard glargine U-100, NPH, or detemir.

Question 3

A patient taking sitagliptin (Januvia) reports severe, persistent abdominal pain radiating to the back. What complication should be immediately suspected?

Accepted Answer

Acute pancreatitis

Answer

DPP-4 inhibitors including sitagliptin have been associated with acute pancreatitis; severe abdominal pain radiating to the back is a classic presentation.

Question 4

Which statement about pramlintide (Symlin) is correct?

Accepted Answer

It is a synthetic amylin analogue that slows gastric emptying and suppresses glucagon

Answer

Pramlintide is a synthetic analogue of amylin that mimics its effects: slowing gastric emptying, suppressing postprandial glucagon, and promoting satiety.

Question 5

When educating a patient about taking acarbose (Precose), which instruction is most important?

Accepted Answer

Take it with the first bite of each main meal

Answer

Acarbose must be taken with the first bite of each meal because it works by competitively inhibiting alpha-glucosidase enzymes in the small intestine during carbohydrate digestion.

Certified Diabetes Educator Test Practice Test

Certified Diabetes Educator Test Practice Test

CDE Medication Management 3