CCDE Exit Exam – January,2023 – June,2023 Session All fields are mandatory and you have to attempt all questions. Name Email ID Mobile No City State Pin Code The above information is correct to best of knowledge & I do hereby give my consent to use the information of this test for research work in future. 1. Somatostatin hormone secretes from ______ a) Alpha cell b) Beta cell c) Delta cell d) Stem cell 2. Which type of Diabetes is called Type 1.5 Diabetes? a) LADA b) MODY c) NDM d) MRDM 3. As per DIPSI Criteria, GDM is diagnosed, if: a) 2 Hr Plasma glucose is ≥140mg/dl after giving 75 gm oral glucose load in fasting state. b) 2 Hr Plasma glucose is ≥200mg/dl after giving 75 gm oral glucose load in fasting state. c) 2 Hr Plasma glucose is ≥140mg/dl after giving 75 gm oral glucose load irrespective of the last meal d) 1 Hr Plasma glucose is ≥140mg/dl after giving 75 gm oral glucose load in fasting state 4. As per the ADA criteria, HbA1c range for diagnose of Diabetes is ______ a) 5.7-6.4% b) ≥6.5% c) 5-6% d) ≤5.7% 5. DKA is one of the ______complications of Diabetes Mellitus. a) acute b) chronic 6. What is the blood glucose range for hypoglycemia? a) ≤80 mg/dl b) ≤70mg/dl c) ≤90mg/dl d) ≤75 mg/dl 7. Premature birth and low birth weight are recognized as risk factors for the development of both schizophrenia and diabetes later on. a) True b) False 8. Patient is anxious about disclosing self or trying new behavior. Which kind of counselling skills you required? a) Right reassurance b) Listening c) Attending d) Silence 9. Following are the modifiable risk factor of Diabetes, except________ a) Physical inactivity b) High body fat or body weight c) High blood pressure d) Race/Ethnicity 10. Glucagon secretes from which cell? a) Alpha cell b) Beta cell c) Delta cell d) Gama cell 11. What a caregiver should feel for a PWD (Person with Diabetes) ________ a) Empathy b) Sympathy 12. Characteristics of S.M.A.R.T Goals are ______ a) Specific, Measurable, Achievable, Realistic, Timely b) Specific, Minutes, Achievable, Remote, Timely c) Specific, Measurable, Accountable, Remote, Things d) Specimen, Measurable, Achievable, Repeat, Timely 13. Glaucoma occurs in people with and without diabetes. a) True b) False 14.Following points are used for Implementation & following up of PWD, except _____ a) Schedule follow-up b) Technology enabled strategies c) Irregular SMBG d) Reminder system 15. Following are the causes of Hypoglycaemia except____________ a) Too much insulin b) Unplanned exercise c) Too much carbohydrate food intake d) Too little food or eating late/skipping meals. 16. Hypoglycaemia at night followed by rebound hyperglycaemia in the morning is called________ a) Somogyi Effect b) Dawn Phenomenon c) Rainbow Effect d) Sunshine Phenomenon 17. ___________can be administered SC or IM for managing hypoglycaemia. a) Glucagon b) Dextrose c) Sulphonyl urea d) Insulin 18. Following are the symptoms of DKA, except_________ a) Dehydration b) Acidosis c) Hypoglycaemia d) Vomiting 19. In HHS, plasma glucose value is _______ a) > 500mg/dl b) > 600mg/dl c) > 650mg/dl d) > 700mg/dl 20. Which kind of Neuropathy is Sexual/Erectile Dysfunction? a) Symmetric polyneuropathy b) Polyradiculopathy c) Mononeuropathy d) Autonomic neuropathy 21. Atherosclerosis is __________ of the arteries. a) Narrowing b) Thickening c) Blockage d) Expanding 22. ________ of sugar is to be administered in case of hypoglycaemia. a) 15 gms b) 30 gms c) 50 gms d) 75 gms 23. Following are the chronic complications of Diabetes except ________ a) Neuropathy b) Cerebrovascular disease c) Diabetes Ketoacidosis d) Nephropathy 24. What percentage of carbohydrates should be included in the diet for PWD? a) 10 to 20 percentage b) 20 to 40 percentage c) 40 to 60 percentage d) 60 to 80 percentage 25. Following are the Sources of insoluble fibre except________ a) wheat bran b) whole grains c) fruits and vegetables d) psyllium 26. What is the normal cut-off range of BMI for Asian people? a) 18.5-23 kg/m2 b) 18.5-22.9 kg/m2 c) 18-23.9 kg/m2 d) 18.5-23.9 kg/m2 27. A free food or drink is one that contains less than _________ of carbohydrates per serving a) 30 calories & 10 gm b) 25 calories & 15 gm c) 20 calories & 5 gm d) 35 calories & 20 gm 28. What is the acceptable daily intake of Saccharine ? a) 8 mg/kg body weight b) 9 mg/kg body weight c) 5 mg/kg body weight d) 15 mg/kg body weight 29. Rich source of omega -3-fatty acid is _____ a) Flax seeds b) Soy c) Nuts d) Methi seeds 30. What is the calories distribution and meals gap for GDM? a) 10-25% of total calories, divided into 2meals consumed 2hrs apart b) 10-20% of total calories, divided into 2meals consumed 2hrs apart c) 10-18% of total calories, divided into 2meals consumed 1hrs apart d) 15-25% of total calories, divided into 2meals consumed 1hrs apart 31. What is the best way to avoid low blood glucose levels due to exercise? a) Blood glucose monitoring b) Extra insulin c) Extra diabetes medication d) All the above 32. Following are the example of aerobic exercise, except _______ a) Walking b) Running c) Weightlifting d) Swimming 33. Pre-exercise assessment is very important to identify the risks associated with exercise and manage the risk. Possible risk includes ________ a) Low blood sugar b) Bone injury c) Heart attack d) All of the above 34. If you have type 2 diabetes, you may be treated with _______ a) A single medicine b) Multiple medicines c) Oral medications and insulin d) All of the above 35. Which of the following antidiabetic medication does not cause weight gain? a) Gliclazide b) Insulin c) Metformin d) Glimepride 36. Which of the following drugs prevents absorption of carbohydrates in the intestine? a) Glipizide b) Acarbose c) Repaglinide d) Rosiglitazone 37. Traditional CGMS measures plasma glucose of _______ a) Interstitial fluid b) Venus Blood c) Capillary Blood d) None of the above 38. As per Indian guideline after what age onwards, yearly blood glucose test in mandatory? a) 20 yrs b) 25 yrs c) 30 yrs d) 35 yrs 39. Duration of action for short-acting Insulin is ______ a) 3-4hrs b) 4-7 hrs c) 7-9 hrs d) 3-7 hrs 40. Which test is the valuable indicator of treatment effectiveness of diabetes management? a) FBG b) PPBG c) HbA1c d) All of the above 41. Case Study 1 : A 47-year-old obese male with T2D having HbA1c of 6.9% and has been on metformin for the last 4 years. He has been abled to lose 8 kg by doing regular exercise but his last two blood tests within a span of 6 months show creatinine levels of 1.9 and 2. Being a DE, what do you advice? 42. Case Study 2 : A 32 years old gentleman had his blood glucose levels checked since he had a family history of Diabetes. His BMI is 30kg/m2 and his fasting plasma glucose (FPG) was 120 mg/dl & 2hr PPBG was 179mg/dl What should be your advice? 2. What kind of diabetes does he have? 43. Case Study 3 : A 65 years old obese man, diagnosed with diabetes 10 years ago & is on medication for the same. He had an episode of myocardial infarction (heart attack) 3 months ago. He is doing well but is gaining weight & has been advised lifestyle modifications by his doctor. He is apprehensive about performing exercise on the basis of his medical history. The doctor has referred him to the DE.1. How will you resolve the patient’s anxiety & apprehension regarding performing exercise?2. What pre-exercise tests & precautions should be carried out in such patients while exercising? 44. Case Study 4: A 33 year old women, diagnosed with diabetes 3 years ago & is on oral medication for the same. She wants to conceive and she visited a DE What should be your advice? 45. Case Study 5: A 35 -year old female recently diagnosed with GDM, 24 weeks pregnancy is going on. Her doctor has send her to DE for counselling before giving his prescription. Which are the important points in your counselling session? Specific point for dietary advice Time's up
