The Appendices of the 2018 Guidelines are not merely supplementary material; they are the “engine room” of clinical practice. They provide the practical tools, algorithms, and reference charts necessary to translate evidence into daily patient care—from safe insulin titration and sick day management to comprehensive foot exams and driving safety assessments.
This practice exam tests your proficiency in utilizing these essential tools to ensure patient safety, accurate classification, and effective self-management support.
Key Concepts Covered in This Exam:
- Sick Day Management: Mastering the “SADMANS” protocol—knowing which medications (like sulfonylureas, ACE inhibitors, diuretics, metformin, and SGLT2 inhibitors) to pause during acute illness to prevent kidney injury and adverse effects.
- Insulin Pharmacokinetics: Memorizing the onset, peak, and duration of various insulin types (e.g., rapid-acting analogues vs. NPH vs. long-acting basal insulins) to optimize timing and prevent hypoglycemia.
- Titration Protocols: Applying the specific algorithms for starting and adjusting basal insulin, such as the rule to increase basal insulin by 1 unit daily until the fasting glucose target is reached.
- Neuropathy Screening: Understanding the correct technique for using the 10g Semmes-Weinstein monofilament and the 128 Hz tuning fork to detect loss of protective sensation and assess ulcer risk.
- Etiologic Classification: Differentiating between Type 1, Type 2, and “Other specific types” of diabetes, including those induced by drugs (e.g., glucocorticoids, atypical antipsychotics) or genetic defects (e.g., MODY).
