For last week’s practice question, we quizzed participants on checking for fibrosis & liver elastography. 52% of respondents chose the best answer. We want to clarify and share this important information, so you can pass it on to people living with diabetes and your colleagues, plus prepare for exam success!

Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer it below: Answer Question

Question: The provider is sending JR for a Liver Elastography or FibroScan test since JR has elevated ALT and AST levels along with an elevated Fib-4 score.

 Which of the following are measured during this liver ultrasound procedure?

Answer Choices:

1. Liver diameter and density.
2. Liver scarring and ductal health.
3. Hepatocyte density and distribution.
4. Liver stiffness and fat density.

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Getting to the Best Answer

If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.

Answer 1 is incorrect. 13.61% chose this answer. “Liver diameter and density.” This answer is tempting, but unfortunately, it is not accurate. Liver Elastography or FibroScan test measures for liver stiffness and fat density, two very important findings to quantify liver health.

Answer 2 is incorrect. 20.21% of you chose this answer. “Liver scarring and ductal health.” This answer is also tempting, but not accurate. Liver Elastography or FibroScan test measures for liver stiffness and fat density, two very important findings to quantify liver health.

Answer 3 is incorrect. About 14.23% of respondents chose this. “Hepatocyte density and distribution.” Unfortunately, this tempting answer is not accurate. Liver Elastography or FibroScan test measures for liver stiffness and fat density, two very important findings to quantify liver health.

Finally, Answer 4 is correct. 51.96% chose this answer. “Liver stiffness and fat density.” YES, this is the BEST Answer. This 5-10 minute, non-invasive test, measures liver stiffness or degree of fibrosis (reported as the kPa score) and the amount of fat in the liver (reported as the CAP score). Join our FREE Webinar on Exploring the GI System – From the Gut to the Butt on November 16th to learn more!

We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!

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Want to learn more about the GI System and Diabetes?

Exploring the GI System – From the Gut to the Butt | FREE Webinar

Now Recorded & Ready to Watch

Coach Bev invites you to join this 60 minute webinar that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.

Getting to the Gut Topics:

• From the Mouth to Intestines: Periodontal disease, Gastroparesis, Fatty liver disease, pancreas disorders
• Intestine as an Endocrine Organ & Bacterial Host
• NASH Treatment Options including lifestyle and pharmacotherapy
• State the relationship between gut health, microbiome and diabetes and inflammation
• Describe 3 strategies to get our microbiome back to better health.

Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.

All hours earned count toward your CDCES Accreditation Information

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The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.