FREE BCACP Ambulatory Diabetes Management Questions and Answers

Question 1

A 62-year-old male with a 10-year history of type 2 diabetes, established atherosclerotic cardiovascular disease (ASCVD), and hypertension is currently treated with metformin 1000 mg BID, lisinopril 20 mg daily, and atorvastatin 40 mg daily.
His A1c is 7.8% and his blood pressure is 135/85 mmHg.
According to the most recent ADA Standards of Care, which of the following is the most appropriate addition to his regimen?

Accepted Answer

C. Liraglutide

Answer

A. Sitagliptin

Answer

B. Glipizide

Answer

D. Pioglitazone

Question 2

A patient with type 1 diabetes uses a continuous glucose monitor (CGM). Their recent 14-day report shows the following data: Time in Range (70-180 mg/dL) is 65%, Time Below Range (<70 mg/dL) is 6%, and Time Above Range (>180 mg/dL) is 29%. According to the international consensus on CGM targets, which metric should be the primary focus for improvement?

Accepted Answer

A. Increasing Time in Range to >70%

Answer

B. Decreasing Time Below Range to <1%

Answer

C. Decreasing Time Above Range to <20%

Answer

D. Increasing Mean Glucose

Question 3

Which of the following vaccinations is recommended by the CDC for all unvaccinated adults aged 19-59 with diabetes mellitus, to be administered as soon as feasible after diagnosis?

Accepted Answer

D. Hepatitis B virus (HBV) vaccine

Answer

A. Zoster vaccine (RZV)

Answer

B. Human papillomavirus (HPV) vaccine

Answer

C. Measles, mumps, and rubella (MMR) vaccine

Question 4

A 58-year-old female with type 2 diabetes, heart failure with reduced ejection fraction (HFrEF), and chronic kidney disease (eGFR 40 mL/min/1.73m²) has an A1c of 8.1% on metformin and glimepiride. Which medication would be the most appropriate agent to add for both glycemic control and reduction of heart failure hospitalizations?

Accepted Answer

C. Dapagliflozin

Answer

A. Alogliptin

Answer

B. Nateglinide

Answer

D. Lixisenatide

Question 5

A patient calls the ambulatory care clinic reporting symptoms of shakiness, sweating, and confusion. They checked their blood glucose and it was 62 mg/dL. The pharmacist should advise the patient to take which of the following immediate actions, according to the ADA's 'Rule of 15'?

Accepted Answer

C. Consume 15 grams of simple carbohydrates and recheck blood glucose in 15 minutes.

Answer

A. Eat a full meal immediately.

Answer

B. Inject their prescribed glucagon kit.

Answer

D. Drink a large glass of diet soda and rest.

Question 6

An ambulatory care pharmacist is initiating basal insulin for a 68-year-old patient with type 2 diabetes and an A1c of 9.5%. The patient weighs 100 kg. Which of the following is a common and appropriate starting dose for once-daily insulin glargine?

Accepted Answer

D. 10 units

Answer

A. 30 units

Answer

B. 50 units

Answer

C. 5 units