10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The BC-ADM exam has 175 questions and runs 3 hours 30 minutes.
These 10 free BC-ADM questions are organized by exam domain, so you can see how each part of the Board Certified-Advanced Diabetes Management blueprint is tested. Reveal the answer and explanation under each question.
A 61-year-old with type 2 diabetes managed with basal-bolus insulin brings a 14-day CGM report with 89% sensor active time. It shows time in range 66%, time above 180 mg/dL 26%, time below 70 mg/dL 8%, coefficient of variation 39%, and a GMI of 7.3%. Which finding should be addressed FIRST?
Correct answer: D - Time below 70 mg/dL of 8%
A 44-year-old with type 1 diabetes has worn a CGM continuously for 4 months with consistently similar reports. The most recent 21-day report shows 92% sensor active time, a GMI of 6.9%, and time in range of 79%. A laboratory A1C drawn the same day is 8.4%. Which explanation is MOST likely?
Correct answer: C - Iron deficiency anemia is falsely elevating the laboratory A1C
A 38-year-old with type 1 diabetes says she feels burned out and constantly judged by her glucose numbers, and is exhausted by daily diabetes tasks. She denies anhedonia, hopelessness, sleep disturbance, and thoughts of self-harm, and reports enjoying her work and family life. Which instrument is MOST appropriate to administer?
Correct answer: D - Diabetes Distress Scale (DDS-17)
A 64-year-old with type 2 diabetes has an A1C of 6.8% on metformin 1000 mg twice daily. Three months ago he was hospitalized for heart failure with reduced ejection fraction (EF 32%). His eGFR is 58 mL/min/1.73 m². Which change to his regimen is MOST appropriate?
Correct answer: A - Add dapagliflozin
A 92 kg adult with type 2 diabetes takes insulin glargine 58 units at bedtime plus metformin. Fasting glucose readings run 96 to 112 mg/dL, but the A1C is 8.7% and CGM shows glucose climbing to 250 to 290 mg/dL after lunch and dinner. Which change is MOST appropriate?
Correct answer: B - Add rapid-acting insulin before the largest meal
A 34-year-old with type 1 diabetes uses a total daily insulin dose of 50 units. Her insulin-to-carbohydrate ratio was derived using the Rule of 500 and her correction factor using the Rule of 1800. Before dinner her glucose is 182 mg/dL, her pre-meal target is 110 mg/dL, and she plans to eat 60 grams of carbohydrate. How many units of insulin aspart should she take?
Correct answer: B - 8 units
A 27-year-old using an insulin pump reports a glucose of 348 mg/dL and a blood beta-hydroxybutyrate of 2.4 mmol/L two hours after delivering a correction bolus through the pump. She feels nauseated. What is the MOST appropriate FIRST action?
Correct answer: B - Inject rapid-acting insulin by pen and change the infusion set
Four weeks after starting empagliflozin, a patient's eGFR has fallen from 62 to 55 mL/min/1.73 m². He is asymptomatic and euvolemic, his potassium is normal, and he also takes metformin and losartan. What is the MOST appropriate action?
Correct answer: C - Continue empagliflozin and recheck kidney function as scheduled
A 52-year-old returns with an A1C of 10.9%, up from 7.6% six months ago, on an unchanged regimen. On questioning, he reports that he has been injecting half of his prescribed insulin glargine dose since his insurance changed and his copay increased. What is the MOST appropriate next step?
Correct answer: C - Address insulin affordability before adjusting the regimen
A Medicare beneficiary with newly diagnosed type 2 diabetes is referred for both diabetes self-management training (DSMT) and medical nutrition therapy (MNT). Which statement about these benefits is accurate?
Correct answer: A - Both benefits may be used in the same calendar year
The full bank has 1,020 more BC-ADM questions with explanations.
Continue in the free practice test →
View plans