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WorksheetsDMC 2 pre test M4
Total questions: 15
Worksheet time: 8mins
A 52-year-old patient with T2DM visits your clinic for follow-up. You want to track trends in HbA1c, medications, and complications. What is the key advantage of using an EHR system in this scenario?
Rapid lab result delivery only
Automatically prescribes medications
Integrates and tracks longitudinal patient data
Eliminates the need for patient history
Automatically alerts for insurance claims
Your clinic decides to develop a diabetes registry. Which of the following is the primary function of a PWD registry?
Promote insurance audits
Identify patients for research participation
Track and monitor clinical outcomes in patients with diabetes
Replace EHR completely
Eliminate need for routine follow-up
A physician forgets to log out of the EHR terminal in a shared clinic room. What principle of data security has been violated?
Redundancy
Confidentiality
Data mining
Audit trail
Interoperability
A 60-year-old woman with T2DM and stable comorbidities is being managed per National Diabetes Guidelines. What is the recommended HbA1c target for most non-pregnant adults?
<5.5%
<6.0%
<6.5%
<7.0%
<8.0%
A 75-year-old man with multiple comorbidities and risk of hypoglycemia is being managed per national guidelines. What is the most appropriate HbA1c goal for him?
<6.0%
<6.5%
<7.0%
<7.5%
<8.0%
A 58-year-old woman is hesitant about starting insulin due to fear of injections. What is the most appropriate first step?
Tell her it's non-negotiable
Refer to an endocrinologist
Explore her concerns and provide education
Order insulin pens immediately
Reduce oral medications
A newly diagnosed patient with T2DM is overwhelmed and struggling with dietary changes. His daughter is interested in helping. What is the best approach?
Discourage family involvement
Involve the daughter in DSME sessions
Refer to psychiatrist
Prescribe insulin immediately
Defer all advice to a dietitian
A patient with T2DM is hospitalized with DKA. He is anxious and frustrated. What communication strategy is most appropriate?
Provide only technical medical information
Use directive instructions only
Acknowledge emotions and explain next steps clearly
Delay discussion until discharge
Avoid eye contact to minimize conflict
A 45-year-old man admits he hasn't been taking his diabetes medications regularly. How should the physician approach this during the consultation?
Warn him of long-term complications
Blame him for poor outcomes
Use motivational interviewing to understand barriers
Dismiss his concerns
Increase medication dosage
A 55-year-old woman controlled on metformin asks whether she needs to monitor blood glucose at home. What should you advise?
No need to monitor
Only check if symptoms develop
Monitor occasionally
Monitor hourly
Use a continuous glucose monitor (CGM)
A pregnant woman with gestational diabetes asks how often she should monitor her blood glucose. What is the recommended frequency?
Once daily
Once weekly
Four times daily
Twice weekly
Only at bedtime
A 50-year-old man on basal insulin has normal fasting glucose but elevated postprandial readings. What should SMBG focus on?
Only bedtime readings
Random readings during the day
Pre- and post-meal readings
Fasting only
Weekly average
A patient with limited literacy struggles to understand insulin dose instructions. What is the most effective communication technique?
Repeat the instructions slowly
Give printed material only
Use visual aids and teach-back method
Ask family to explain later
Avoid complex topics
While entering data into a diabetes registry, what is the most important consideration to ensure usability of data?
Only include newly diagnosed patients
Use free text descriptions
Use standardized fields and formats
Avoid documenting lab values
Include only medication names
A physician uses the EHR to send messages to patients about test results. What is a key benefit of this approach?
Eliminates need for follow-up
Provides legal consent
Enhances timely, documented, and secure communication
Prevents all patient anxiety
Avoids phone calls altogether
