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WorksheetsDM in older adults
Total questions: 10
Worksheet time: 3mins
Name
Class
Date
1.
Which HbA1c target is most appropriate for a frail older adult with multiple comorbidities and limited life expectancy?
a)
<6.5%
b)
<7.0%
c)
<7.5%
d)
<8.5%
2.
Which class of antidiabetic medication carries the highest risk of hypoglycemia in older adults?
a)
DPP-4 inhibitors
b)
SGLT2 inhibitors
c)
Sulfonylureas
d)
Metformin
3.
What is the first-line pharmacologic treatment for type 2 diabetes in older adults with preserved renal function?
a)
Insulin
b)
Metformin
c)
Sulfonylurea
d)
Pioglitazone
4.
Which of the following is an important consideration when using SGLT2 inhibitors in older adults?
a)
Risk of urinary tract infections and dehydration
b)
Liver enzyme monitoring
c)
Severe hypoglycemia
d)
Increased appetite
5.
According to the ADA, which is a recommended component of diabetes care in older adults?
a)
Annual dental exam only
b)
Avoid all pharmacotherapy if HbA1c is <8%
c)
Individualized glycemic targets based on comorbidities and function
d)
Tight control with insulin for all patients
6.
What is a common barrier to insulin use in older adults?
a)
Low cost
b)
Lack of efficacy
c)
Visual and cognitive impairment
d)
Improved appetite
7.
Abigail, a 70-year-old woman with diabetes and a history of heart disease, visits her doctor for a routine check-up. During the visit, her doctor discusses the importance of managing her blood pressure to reduce her cardiovascular risk. What is the most appropriate blood pressure target for older adults like Abigail with diabetes and high cardiovascular risk?
a)
<160/100 mmHg
b)
<150/90 mmHg
c)
<140/90 mmHg
d)
<120/80 mmHg
8.
In an older adult with mild dementia and diabetes, what is a priority in diabetes care?
a)
Initiate basal-bolus insulin
b)
Reduce HbA1c to <6.5%
c)
Prevent hypoglycemia and simplify regimen
d)
Add SGLT2 inhibitor for weight loss
9.
Which symptom in an older diabetic patient may indicate hypoglycemia?
a)
Sweating
b)
Palpitations
c)
Confusion or behavioral change
d)
Tremor
10.
What is a key non-pharmacologic intervention for older adults with type 2 diabetes?
a)
High-protein ketogenic diet
b)
Regular strength and balance exercises
c)
Fluid restriction
d)
Avoid carbohydrates completely
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