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1. Out of the 4 general steps in using a blood glucose (BG) meter in self-monitoring of blood glucose (SMBG) listed below, which step should occur FIRST?

A. Placing the blood drop on the test strip B. Washing the testing site with warm water and soap C. Placing the lancet in the sharps container D. Lancing the finger

2. In which of the following patients would it be MOST appropriate to counsel him or her to test BG multiple times daily (i.e., 4 or more times daily)?

A. A patient with type 2 diabetes mellitus (T2DM) who is not taking any medications to lower BG B. A patient with prediabetes who is taking metformin (Fortamet, Glucophage, Glucophage XR, Glumetza) C. A patient on an insulin pump D. Both A and B

3. Patients with uncontrolled diabetes mellitus should have their glycosylated hemoglobin (HbA1c) tested:

A. Daily B. Every 3 months C. Every 6 months D. Annually

4. A patient tests his or her BG in the afternoon 3 hours after eating lunch. The SMBG result from the meter is 247 mg/dL. Which of the following factors could impact SMBG acutely and should be discussed with the patient to assess the reasons for this elevation in BG?

A. Physical activity B. Carbohydrate content in meals C. Concurrent stress or illness D. All of the above

5. An adult patient with type 2 diabetes mellitus (T2DM) presents to your pharmacy and reports his or her HbA1c result this month was 8.5%. Why might you want to refer this patient to the pharmacist for a consult?

A. The general HbA1c goal for patients with diabetes is less than 7%. B. The general HbA1c goal for patients with diabetes is less than 6%. C. HbA1c tests do not represent long-term glucose control, so a report of your SMBG has to be evaluated first. D. HbA1c tests are not used commonly in practice, so a report of your SMBG results need to be evaluated first.

6. Which of the following statements is TRUE?

A. A fasting BG result of 145 mg/dL is at goal per the ADA guidelines. B. An HbA1c value of 11% at baseline with comorbid complications associated with diabetes suggests long-standing disease. C. Concurrent stress and illness could potentially exacerbate hypoglycemia in patients with T2DM. D. Nonadherence with insulin could be a potential cause of isolated hypoglycemia.

7. In patients with T1DM, an elevated HbA1C (above goal) is most likely a consequence of:

A. Inadequate insulin therapy B. A reduction in carbohydrate content in meals C. An increase in physical activity D. The weather

8. Which of the following could result in an elevated HbA1c reading in a patient with T2DM?

A. The diabetes treatment regimen may be too aggressive. B. The anti-hyperglycemic regimen is not sufficiently addressing the patients glycemic needs. C. Increases in physical activity over time D. Both B and C

9. When deciding how to advance therapy in patients with diabetes, which of the following factors should be considered?

A. Drug efficacy B. Side-effect profile of medications used C. Effects of the medication on the patient's weight D. All of the above

10. Which of the following statements is TRUE?

A. Heath care practitioners (HCPs) in the community setting without diabetes treatment protocols in place should make interventions without contacting the patient's primary provider B. Literature has suggested that each additional agent after metformin will lower the HbA1c by approximately 3% C. In all cases of interventions, HCPs should offer patients basic counseling on disease state and medications. D. HCPs should focus on making interventions that increase the complexity of patients' diabetes treatment regimens.