Practice Test GeeksCSG - Certified Specialist in Gerontological Nutrition Practice Test
← All CSG Flashcard Decks

Chronic Disease Management Flashcards

7 cards from real CSG practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Chronic Disease Management flashcards as text

  1. Per ADA Standards of Care, what is a reasonable A1C goal for a healthy older adult with few coexisting chronic illnesses and intact cognition?

    Answer: <7.0-7.5%

    The ADA suggests an A1C goal of <7.0-7.5% for healthy older adults with long life expectancy.

  2. An 82-year-old with diabetes, moderate cognitive impairment, and three chronic illnesses would most appropriately have which A1C goal?

    Answer: <8.0%

    Older adults with complex or intermediate health status warrant a less stringent goal of <8.0% to reduce hypoglycemia risk.

  3. For a nursing home resident with very complex health and limited life expectancy, what is the primary glycemic management priority?

    Answer: Avoiding hypoglycemia and symptomatic hyperglycemia

    In very complex or end-of-life patients, glycemic care focuses on avoiding hypoglycemia and symptomatic hyperglycemia rather than A1C targets.

  4. Which diabetes medication is listed on the AGS Beers Criteria as one to avoid in older adults because of prolonged hypoglycemia risk?

    Answer: Glyburide

    Long-acting sulfonylureas such as glyburide cause prolonged hypoglycemia and are listed for avoidance in older adults.

  5. An older adult on long-term metformin reports numbness in the feet and fatigue; which nutrient deficiency should be screened for?

    Answer: Vitamin B12

    Long-term metformin use is associated with reduced vitamin B12 absorption and deficiency, which can cause neuropathy.

  6. Which adverse effect is of particular concern when an older adult with type 2 diabetes starts an SGLT2 inhibitor?

    Answer: Volume depletion and genital mycotic infections

    SGLT2 inhibitors cause glycosuria and osmotic diuresis, increasing risks of dehydration, orthostasis, and genital infections in older adults.

  7. An alert older adult with diabetes has a fingerstick glucose of 62 mg/dL; what is the recommended first step?

    Answer: Give 15-20 g of fast-acting glucose and recheck in 15 minutes

    Hypoglycemia (<70 mg/dL) in a conscious person is treated with 15-20 g of glucose, rechecking after 15 minutes.

How this page was made: written with AI tools. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

  1. cdrnet.org — Renewal, eligibility, fees, test delivery, exam format, passing score, registration deadline, retake policy, score release, time limit · verified Oct 2026