Categories
CDE Diabetes

Practice Exam: Organization of Diabetes Care (Chapter 6)

Now that you have reviewed the study guide for Chapter 6: Organization of Diabetes Care, it’s time to test your knowledge.

While clinical topics like medications and screening criteria often get the most attention, the CDE exam frequently includes questions on how care is delivered. The guidelines emphasize that the structure of your practice—specifically the Chronic Care Model (CCM)—is just as vital to patient outcomes as the prescriptions you write.

What to expect in this quiz: This practice exam focuses on the “non-clinical” but essential frameworks of diabetes management. You will be tested on:

  • Identifying the 6 components of the Chronic Care Model in real-world scenarios.

  • Understanding the specific definitions of Case Management and Facilitated Relay of Information.

  • Recognizing the evidence-based benefits of Telehealth and team-based care.

  • The hierarchy of Quality Improvement (QI) strategies (e.g., knowing that multicomponent interventions are superior to single ones).

1. What is the significant decrease in A1C observed with collaborative pharmacist intervention?

2. What does the “5 Rs” framework include for the organization of care?

3. Which of the following is NOT one of the 6 components of the Chronic Care Model?

4. A diabetes educator is developing a case management program. According to the evidence, which factor has the greatest impact on A1C lowering?

5. How many essential components are included in the Chronic Care Model (CCM)?

6. According to the guidelines, case management is defined as using at least how many of the following components: patient education, coaching, treatment adjustment, monitoring, and care coordination?

7. Case: A health system is evaluating shared care models. According to the evidence, which population shows the most evidence for benefit from specialized care?

8. According to the guidelines, which quality improvement strategy has excellent evidence for reducing A1C?

9. A diabetes educator is advising a clinic on implementing evidence-based flow sheets. What is the association with flow sheet use?

10. At what baseline A1C level were case management programs found to be more effective according to the meta-analysis?

11. According to the guidelines, what is the definition of “shared care” in diabetes management?

12. According to Diabetes Canada guidelines, who is the most important member of the diabetes health-care team?

13. A primary care practice wants to assess their alignment with the CCM. What practical tool can help identify gaps and develop a more robust CCM?

14. What percentage of medical care for people with diabetes in Canada takes place in primary care?

15. Case: A primary care clinic wants to improve diabetes outcomes. Which combination of QI strategies has been shown to improve A1C, BP, and cholesterol?

16. According to the evidence on telehealth, what baseline A1C level shows better improvement in glycemic control?

17. What age range defines “emerging adults” who require specialized diabetes care according to the guidelines?

18. What does the evidence suggest about the relationship between telehealth effect on glycemic control over time?


 

REFERENCE

Clement M, Filteau P, Harvey B, Jin S, Laubscher T, Mukerji G, Sherifali D. Diabetes Canada Clinical Practice Guidelines Expert Committee. Organization of Diabetes Care. Can J Diabetes. 2018;42(Suppl 1):S27-S35. doi:10.1016/j.jcjd.2017.10.005