General

Question 1

What are the 3 P’s that remain paramount in diabetes assessment?

Answer 1

• Polyuria
• Polydipsia
• Polyphagia

Modern assessment includes the 4th P - Psychosocial factors that predict outcomes better than A1C.

Question 2

What percentage of health outcomes are driven by Social Determinants of Health (SDOH)?

Answer 2

80%

Clinical care influences only 20%. Always screen for food insecurity, transportation barriers, and health literacy.

Question 3

True or false: Depression doubles the risk of diabetes complications.

Answer 3

TRUE

Screen every patient annually with PHQ-9; a score ≥10 requires intervention.

Question 4

What constitutes adequate neuropathy screening?

Answer 4

• 10-gram monofilament test
• One additional test (vibration, pinprick, ankle reflexes, or temperature)

This combination is essential for effective screening.

Question 5

What is the target for Time in Range (70-180 mg/dL) for diabetes management?

Answer 5

> 70%

This often provides more actionable information than A1C alone, especially for patients using CGM.

Question 6

What model should be used to evaluate readiness to change in learning assessment?

Answer 6

Transtheoretical Model

Stages include: Precontemplation → Contemplation → Preparation → Action → Maintenance.

Question 7

What percentage of adults are affected by health literacy?

Answer 7

88%

Never assume education level equals health literacy; always use the teach-back method.

Question 8

What does SMART stand for in goal documentation?

Answer 8

• Specific
• Measurable
• Achievable
• Relevant
• Time-bound

This framework ensures effective goal setting.

Question 9

What is the simplest fastest and most meaningful tool to assess neuropathy

Answer 9

The 10 g mono filament test. Assess protective sensation at five sites per foot.

Question 10

What is a visible sign of insulin resistance?

Answer 10

Acanthosis nigricans

Question 11

What does the O in the OLDCARTS method stand for?

Answer 11

Onset

Refers to when the patient first noticed increased urination or thirst.

Question 12

What does the L in the OLDCARTS method refer to?

Answer 12

Location

Involves identifying where neuropathy symptoms, such as numbness or pain, are present.

Question 13

What does the D in the OLDCARTS method signify?

Answer 13

Duration

Refers to how long symptoms like fatigue have been present.

Question 14

What does the C in the OLDCARTS method stand for?

Answer 14

Characteristics

Describes the nature of symptoms, such as whether thirst is constant or worse at night.

Question 15

What does the A in the OLDCARTS method indicate?

Answer 15

Aggravating factors

Identifies activities that worsen symptoms, such as foot pain.

Question 16

What does the R in the OLDCARTS method represent?

Answer 16

Relieving factors

Refers to actions or medications that alleviate symptoms.

Question 17

What does the T in the OLDCARTS method refer to?

Answer 17

Timing

Involves identifying any patterns in symptoms, such as worsening after meals or at night.

Question 18

What does the S in the OLDCARTS method stand for?

Answer 18

Severity

Assesses how disruptive symptoms are on a scale of 1 to 10.

Question 19

What is the classic triad associated with diabetes symptoms?

Answer 19

• Polyuria
• Polydipsia
• Polyphagia

These symptoms are critical in assessing diabetes and should be explored in detail.

Question 20

When assessing complications of diabetes, what should you ask about vision changes?

Answer 20

Blurred vision, eye doctor visits, retinopathy, cataracts

Tracking these changes helps understand the progression of diabetes.